Senior Local Provider Medical Manager

Job description

Job Overview

The MPM Manager will support the development, implementation, and management of medical provider networks. Reporting to the Senior Manager or Head of Department, this role focuses on ensuring the quality, cost-effectiveness, and accessibility of healthcare services provided to members. The Manager will negotiate with providers, maintain medical provider relationships, and collaborate with various departments to optimize network performance.

The incumbent is expected to negotiate strategically with the Medical Providers with an objective to procure Medical Services at an optimized cost and to generate revenue through effective applicable various revenue streams and execution of identified revenue generation strategies.

Key Responsibilities

Strategy :Support and drive the strategy devised by the MPM Management Develop cost savings strategies aligned with financial savings target, this is to be delivered by the team but also individually Network Development: Develop and maintain a robust network of healthcare providers, including hospitals, physicians, diagnostics and ancillary services .

Medical Provider Contracting

Negotiations with healthcare providers to secure favorable terms and conditions, ensuring cost-effective care and robust applicable provider revenues.

Medical Provider Relations

Establish and maintain positive relationships with network providers, addressing any concerns or issues promptly and escalating as needed .

Compliance

Ensure Medical Provider network and contract management comply with all relevant internal and external regulations, local mandates, accreditation standards, and organizational policies. Responsible for compliance of TOM and DTP’s Performance Monitoring : Monitor Medical network performance metrics, including cost, quality, and accessibility/segmentation, and implement improvement initiatives as needed.

Team Collaboration

Work collaboratively with the MPM team providing support, coaching, assistance and guidance to achieve organizational objectives.

Collaboration

Work closely with other departments such as Claims, Business development, CRM, Operations and Finance to support overall organizational goals.

Reporting

Prepare and present regular reports on network performance to senior leadership. Work effectively with AI, machine learning, data analytics, and cloud-based tools, adhering to high standards of data governance, security, and ethical use.

Key Requirements

Education : Bachelor’s degree in healthcare administration, Business Administration, or a related field. Master’s degree preferred.

Experience

• Minimum of 5-7 years of experience in healthcare network management Skills : Strong negotiation and contract management skills
• Excellent communication and interpersonal skills Analytical and problem-solving abilities
• Knowledge of healthcare regulations and accreditation standards
• Proficiency in relevant software and technology tools Regional medical industry knowledge Allianz Group is one of the most trusted insurance and asset management companies in the world.

Caring for our employees, their ambitions, dreams and challenges is what makes us a unique employer.

We are united by a shared commitment

to put our customers first and at the center of everything we do. Their needs inspire our thinking and guide our actions. Together, we can build an environment where everyone feels empowered and confident to explore, grow and shape a better future – for our customers and for the world around us.

At Allianz, we stand for unity

we believe that a united world is a more prosperous world, and we are dedicated to consistently advocating for equal opportunities for all. The foundation for this is our inclusive workplace, where people and performance both matter, and where integrity, fairness, inclusion and trust are at the heart of our culture. We therefore welcome applications regardless of race, ethnicity or cultural background, age, gender, nationality, religion, social class, disability or sexual orientation, or any other characteristics protected under applicable local laws and regulations.

Great to have you on board. Let's care for tomorrow.

Note

Having different strengths, experiences, perspectives and approaches is an integral part of Allianz‘ company culture. One means to achieve this is a regular rotation of Allianz employees across functions, Allianz entities and geographies. Therefore, Allianz expects from its employees a general openness and a high motivation to regularly change positions and collect experiences across Allianz Group.