Provider Business Partner, Network and Healthcare
19 hours ago
At AIA we’ve started an exciting movement to create a healthier, more sustainable future for everyone.
- It’s about finding new ways to not only better people's lives, but to better the communities and environments we live in. Encompassing our ambition of helping a billion people live Healthier, Longer, Better Lives by 2030._
- And to get there, we need ambitious people who believe in playing an important part in shaping that future. People seeking unmatched career and personal growth opportunities, who are driven to work with, and learn from some of the most inspiring and supportive leaders in the business._
Sound like you? Then read on.
WE ARE LOOKING FOR.....
To manage and grow a panel of healthcare providers that provides medical services with cashless facility to covered members and policyholders of AIA health insurance policies. To build cordial business relationship with panel providers and ensure medical claims costs are contained effectively with regular performance dialogues and monitoring of utilization with the use of analytics. To support claims operations and act as intermediary for operational matters between panel providers and AIA Health Services.
Roles & Responsibilities:
Network Management
- Hospital Panel-ship
- To provide the relevant assessment study on new panel provider applicant and provide recommendations based on credentialing guidelines and requirements.
- To support the process of deliberation by the Hospital Specialist Review Committee which includes documentation and site visits.
- Provider Engagement;
- To create the Performance Dialogues presentation deck from internal dashboards.
- To provide and receive feedback from providers by monitoring behavior and evaluating the performance of hospital panel provider based on claims utilization, market best practice, service level, adherence to fee schedule and possible fraud for mutual improvement.
- Contracting;
- To support the negotiation of provider contract to gain strong commercial improvements and delivery of major cost savings.
- To be ensure necessary contracts are renewed before expiry, i.e. package pricing contracts and to continuously follow up to ensure contracts are closed within a reasonable time period.
- Relationship Management/Communication
- To oversee the handling of complaints from internal and external clients on services related issues by panel providers especially issues related to claims and GL TATs & SLAs.
- To oversee and track swift resolution of claims and GL issues related to internal AHS processes thru active operations meeting and interventions.
- To conduct provider training sessions and proactively communicate with panel providers on new procedures and/or urgent updates to daily operational requirements of AHS
Business Development
- To build cordial win-win business relationships with providers.
- To coordinate business events with providers including meetings, official openings, launches, etc.
- To develop and disseminate marketing materials related to packages and Platinum provider with assistance from Provider Business Associates.
- To develop and bridge the relationship between Agency with package and Platinum providers.
- To follow up and close the Addendums for package pricing and terms renegotiations with providers.
Alliance Management
- To support the identification suitable providers to Platinum status.
- To support the identification suitable of package pricing partners
- To drive steerage to Platinum and package pricing partners
- To proactively manage the allocation and promotion of health events to preferred or package partners.
- Proactively create a calendar of events for each year either by matching to provider’s calendar and/or populating an internal calendar.
Health Analytics
- To provide actionable insights from the relevant dashboards related to providers and medical inflation for the empanelment of providers.
- To provide analysis and tracking of medical inflation and claims savings from;
- Platinum providers
- Package Pricing
- Contract renegotiations of discounts
- New panels
- To perform quarterly bill reviews of top incurred providers/diagnosis/procedures for identifying major cost contributors in the bill.
- To perform bill reviews as needed to support Performance Dialogues, empanelment and daily operational needs.
- To perform due diligence for package pricing using analytics.
Cost Management
- To support the team’s managers in executing the Network Strategy to achieve targeted medical inflation targets.
- To maximize cost savings on panel negotiations
- To maximize the impact of package pricing by expanding to all viable procedures and hospitals nationwide.
- To support special projects that may incur significant savings and impact on medical inflation.
- Build a career with us as we help our customers and the community live Healthier, Longer, Better Lives._
-
Provider Business Partnering, Specialist
7 months ago
Kuala Lumpur, Malaysia AIA Full timeAt AIA we’ve started an exciting movement to create a healthier, more sustainable future for everyone. - It’s about finding new ways to not only better people's lives, but to better the communities and environments we live in. Encompassing our ambition of helping a billion people live Healthier, Longer, Better Lives by 2030._ - And to get there, we need...
-
Provider Business Partnering, Analyst
7 months ago
Kuala Lumpur, Malaysia AIA Full timeAt AIA we’ve started an exciting movement to create a healthier, more sustainable future for everyone. - It’s about finding new ways to not only better people's lives, but to better the communities and environments we live in. Encompassing our ambition of helping a billion people live Healthier, Longer, Better Lives by 2030._ - And to get there, we need...
-
Strategic Healthcare Partner- One Pfizer
4 days ago
Kuala Lumpur, Malaysia Pfizer Full timeThe Strategic Healthcare Partner is responsible for the overall Pfizer relationship with all portfolio of Strategic and cross-channel Key Accounts. The Strategic Healthcare Partner is responsible for leading the ONE Pfizer approach and partnering with selected Key Accounts to provide account-centric solutions that supported improved patient services and...
-
Business Development Manager
7 months ago
Kuala Lumpur, Malaysia cargo-partner Full time**Want a role that you are properly utilised?** You can join us on an exciting journey where you can use your skills to identify new businesses and build up our brand in the marketplace. This would be more than just hitting your KPIs, but playing an important role to build up relationships and establish our name in the marketplace. Sounds like your cup of...
-
Network and Healthcare Management
7 months ago
Kuala Lumpur, Malaysia AIA Full timeAt AIA we’ve started an exciting movement to create a healthier, more sustainable future for everyone. - It’s about finding new ways to not only better people's lives, but to better the communities and environments we live in. Encompassing our ambition of helping a billion people live Healthier, Longer, Better Lives by 2030._ - And to get there, we need...
-
Business Development Manager
6 months ago
Kuala Lumpur, Malaysia cargo-partner Full time**Want a role that you are properly utilised?** You can join us on an exciting journey where you can use your skills to identify new businesses and build up our brand in the marketplace. This would be more than just hitting your KPIs, but playing an important role to build up relationships and establish our name in the marketplace. Sounds like your cup of...
-
Network Architect
7 months ago
Kuala Lumpur, Malaysia Hexa Business Full time**Urgent Hiring Based in Malaysia !!!!!** Job Title : - Network Architect Based in Kuching Sarawak Salary : Upto 17k RM. **Role Summary**: As a Network Architect, you will play a crucial role in designing, planning, and implementing network solutions for our organization. Your primary focus will be on fiber, submarine, access network, bandwidth, and...
-
Business Development Manager Kul
7 months ago
Kuala Lumpur, Malaysia cargo-partner Full timeResponsibilities :_ a) Drive and generate new business development through selling cargo-partner Logistics value propositions in specialized vertical markets. b) Identify prospective clients for the purpose of selling and to obtain market feedback for the nominated product. c) Exceed sales targets in accordance with the requirements provided by the Sales...
-
IT Network Specialist
7 months ago
Kuala Lumpur, Malaysia IT Business Solutions Sdn Bhd Full timeManaging the operation of Complex IT Network infrastructure of both on prem and cloud(Azure, GCP or AWS). - Experience and knowledge of the dynamic routing protocols (BGP) & other network protocol. - Experience and knowledge of Defendable Architecture or Zero Trust model. - Experience and knowledge of Multi-vendor Network and Security Products, Palo Alto,...
-
Healthcare Management Trainee
3 days ago
Kuala Lumpur, Malaysia Verdure Healthcare Consultancy Sdn. Bhd. Full timeJob Responsibilities: '¢ Handling customer inquiries (not sales) '¢ Customer data file processing '¢ Interpretation and analysis of medical reports, including DNA reports '¢ Communicate with hospitals and laboratories '¢ Arranging appointments for customers Benefits: '¢ Friendly team '¢ Birthday holiday '¢ Bonus rewards '¢ After 1 year of service,...
-
Associate Director, Commercial Healthcare
7 months ago
Kuala Lumpur, Malaysia AIA Full timeFIND YOUR 'BETTER' AT AIA - We don’t simply believe in being ‘The Best’. We believe in better - because there’s no limit to how far ‘better’ can take us._ - We believe in empowering every one of our people to find their 'better' - in the work they do, the career they build, the life they live and the difference they make. So that together we can...
-
Pamb Executive, Provider Network Management
7 months ago
Kuala Lumpur, Malaysia Prudential plc Full timePAMB | Executive, Provider Network Management Prudential's purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make...
-
Provider Contracting Lead Analyst
7 months ago
Kuala Lumpur, Malaysia The Cigna Group Full time**Job Objective**: APAC Provider Network Manager will be responsible for developing and executing negotiation strategies working directly with contracted providers such as clinics, outpatient facilities, pharmacies, among others, in order to deliver best in class service to CGHB’s providers, customers and clients and act as the Subject Matter Expert...
-
Network Partnership and Operations Specialist
7 months ago
Kuala Lumpur, Malaysia Intellect Full timeThe role will be part of the **Care Operations** team and will manage Intellect’s mental healthcare provider network so as to offer a best-in-class medical network spanning across and beyond Asia so as to meet our customer needs. This role will act as the main liaison with network partners from sourcing, contracting, onboarding, implementation, ongoing...
-
Provider Management Executive
1 week ago
Kuala Lumpur, Malaysia CompuMed Services Sdn Bhd Full time**JOB SCOPE & RESPONSIBILITIES** - To manage the panel of providers network nationwide. - To maintain the quality of the panel of providers when servicing our members. - To ensure the availability of suitable providers to service our clients at all times. - To ensure that a proper procedures/system is in place for the department operation - Ensure that...
-
Business Development
1 week ago
Kuala Lumpur, Malaysia Tech Titan Sdn Bhd Full timeAbout Company: This is a challenging yet rewarding position with one of the leading Cyber Security companies in the region, Tech Titan Distribution. Established over 10 years, we are 1 Stop NEXT Gen IT solutions and Services Provider that always drive innovative solutions towards Digital Transformation and provides leading IT solutions. We lead the industry...
-
Sales Executive
3 days ago
Kuala Lumpur, Malaysia Sinergia Talents Sdn Bhd Full time**About Our Client** Our client is a rapidly expanding pharmaceutical company (HQ's in Kuala Lumpur) looking to escalate their business. Challenging scope of work, providing an outstanding opportunity for personal and technical growth. - Channel of coverage - GPs / IPs / Government & Private Hospitals - Their OTC range includes children health...
-
Human Resources Manager
7 months ago
Kuala Lumpur, Malaysia Luxury Business Solutions Sdn Bhd. Full time**Manager, Human Resources Business Partner** The HR Manager is responsible for the overall HR function and partners with the business to provide proactive, commercially focused and high-quality HR support including: recruitment, compensation and benefits, performance management, training needs identification, HR operations, policy management and employee...
-
Security & Network Operations Analyst
7 months ago
Kuala Lumpur, Malaysia BSI Full timeGreat that you're thinking about a career with BSI! Job Title: Security and Network Operations Analyst Location: Kuala Lumpur, Malaysia or Hong Kong About the role: Are you passionate about safeguarding digital landscapes and ensuring uninterrupted network operations? Due to a huge period of growth within BSI, we're seeking a skilled Security and Network...
-
Business Partner
7 months ago
Kuala Lumpur, Malaysia Capex Solutions Pte Ltd Full time**Seeking a Visionary Business Partner in Caregiving** Join us in a role that's not just a job, but a stepping stone to a fulfilling, long-term career. We are on the lookout for a Chinese Business Partner, ideally with experience in caregiving or as a flight attendant. **Quick Facts**: - **Role**:Business Partner in Caregiving. - **Requirements**: Chinese...