Executive - Provider Network Management
4 days ago
We strive to be a leader in the insurance industry, providing innovative solutions to meet the evolving needs of our customers.
About Our OrganisationWe aim to create a culture that celebrates diversity, promotes inclusion, and supports the career aspirations of our employees.
Your Job SummaryThis role involves managing PAMB Panel hospitals and ensuring they provide high-quality services to our customers, while contributing to the company's growth objectives.
Your Key Responsibilities- Establish and maintain effective partnerships with the panel of hospitals to ensure they deliver high-quality services.
- Develop and deliver training programs for hospital staff, doctors, agents, and leaders on various topics related to claim abuses, rights of policyholders, medical coverage, and claim processes.
- Analyse data from multiple sources to identify opportunities for process improvements and implement changes with panel hospitals.
- Address complaints from hospitals, agents, and policyholders regarding HAS services and resolve issues promptly.
- Support the preparation of reports on utilization and health costs for management review.
- Participate in ongoing training and professional development to enhance knowledge and skills.
We believe in promoting equality of opportunity and benefits for all who apply and work for our organisation, regardless of their background, characteristics, or circumstances.
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