Provider Business Partnering, Consultant

2 weeks ago

Kuala Lumpur, Kuala Lumpur, Malaysia AIA Australia Full time 60,000 - 120,000 per year

FIND 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 support even more people - including our own - to live Healthier, Longer, Better Lives.

If you believe in better, we'd love to hear from you.

About the Role

To manage and enhance relationships with healthcare panel providers, particularly hospitals, ensuring alignment with organizational goals, cost efficiency, and high-quality service delivery.

Panel Provider Management

  • Evaluate and assess new panel provider applications in accordance with established credentialing guidelines.
  • Coordinate documentation and facilitate site visits to support the Hospital Specialist Review Committee in provider selection and review.

Provider Engagement & Performance Management

  • Develop and deliver performance review presentations using internal dashboards and analytics to communicate AIA's strategic direction, process updates, and performance expectations.
  • Monitor and analyze provider performance, focusing on:
  • Claims utilization trends
  • Service quality and turnaround times
  • Adherence to fee schedules
  • Detection and mitigation of potential fraud or abuse
  • Other indicators related to panel provider's performance
  • Provide constructive feedback and collaborate with providers on continuous improvement initiatives.

Alliance & Relationship Management

  • Foster strong, collaborative, and mutually beneficial relationships with healthcare providers.
  • Enhance coordination between internal stakeholders (e.g., agencies, corporate clients) and Preferred Providers.
  • Lead initiatives to promote steerage towards Preferred Providers, optimizing service quality and cost-effectiveness.

Cost & Network Strategy Management

  • Support the implementation of the Network Strategy to meet medical cost containment and inflation control targets.
  • Contribute to special projects aimed at driving cost savings and enhancing the efficiency of medical cost management.

Education and Experience

  • Bachelor's degree in healthcare management, business administration, or a related field.
  • Minimum 5 years of experience in hospital operations, insurance, or healthcare industry.
  • Preferred background: Medical doctor, nurse, or experienced professional in hospital billing, claims, or provider network management.
  • Strong understanding of hospital billing practices, medical claims processes, and insurance fraud detection.
  • Excellent interpersonal and negotiation skills to manage hospital relationships effectively.
  • Strong problem-solving abilities and attention to detail.
  • Effective communication and training capabilities.
  • Ability to analyse medical and financial data to support cost containment initiatives.

Build a career with us as we help our customers and the community live Healthier, Longer, Better Lives.

You must provide all requested information, including Personal Data, to be considered for this career opportunity. Failure to provide such information may influence the processing and outcome of your application. You are responsible for ensuring that the information you submit is accurate and up-to-date.

  • Finance Business Partner

    22 hours ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Hytech Full time

    About HytechHytech is a leading management consulting firm headquartered in Australia and Singapore, specialising in digital transformation for fintech and financial services organisations. We deliver end-to-end consulting services and provide robust middle- and back-office solutions that enable our clients to optimise operations, enhance efficiency, and...

  • HR Business Partner

    23 hours ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Global Blue Full time

    Disclaimer: This position requires experience in the Singapore, Malaysian, and Australian markets.Who we are:At Global Blue, we firmly believe that enhancing the shopping experience drives performance.Our mission is to seamlessly connect shoppers and brands worldwide by simplifying the shopping experience and boosting retailer performance. With over 40 years...

  • HR Business Partner

    1 week ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Sika Full time

    Company Description Sika was first established in Malaysia in 1989 and full operations commenced in 1991 through its wholly-owned subsidiary, Sika Kimia Sdn Bhd, with the completion of its local head office and production plant in Nilai, Negeri Sembilan.  Since then, the company has gained a leading position in the country with the acceptance and...

  • Permitting Consultant/Specialist

    1 week ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Hexa Business Full time

    Job Purpose:To coordinate with PE consultants and local authorities to ensure all B2S sites have valid permits in line with agreed SLAs. Additionally, to support site acquisition (SAQ) activities as needed.Key ResponsibilitiesEnsure all B2S sites are properly permitted by local authorities in accordance with service level agreements.Collaborate with Project...

  • Finance Business Partner

    2 weeks ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Hays Full time 90,000 - 120,000 per year

    Looking for an experienced commercial Finance Business Partner for a FMCG MNC based in KL.Your new companyFinance Business Partner - SEA (Commercial)Location: Kuala Lumpur, Malaysia Employment Type: PermanentAn international FMCG leader is seeking a dynamic Finance Business Partner - SEA (Commercial) to join its regional team. This role will be pivotal in...

  • VP1, HR Business Partner

    2 weeks ago

    Kuala Lumpur, Kuala Lumpur, Malaysia UOB Full time 80,000 - 120,000 per year

    About UOBUnited Overseas Bank Limited (UOB) is a leading bank in Asia with a global network of more than 500 branches and offices in 19 countries and territories in Asia Pacific, Europe and North America. In Asia, we operate through our head office in Singapore and banking subsidiaries in China, Indonesia, Malaysia and Thailand, as well as branches and...

  • Partner Solution Architect

    5 days ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Private Advertiser Full time

    Job ResponsibilitiesServe as a key technical member of the Solution Architecture team in helping to enable partners and ensure partner success in building partner practice, capabilities, and solutions on the Huawei Cloud platform.Scope each partner engagement, with attention towards clear and well-defined objectives and success criteria.Provide the...

  • Human Resources Business Partner

    7 days ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Uncommonly Good People Full time

    We are Uncommonly Good People – a talent & recruitment consultancy specializing in AdTech, MarTech, Digital Agencies, and E-commerce across APAC. We partner with some of the most innovative and high-growth companies in the digital marketing and advertising space to help them find top talent. We're working with our client to find their next superstar -HR...

  • Partner Marketing Manager

    1 week ago

    Kuala Lumpur, Kuala Lumpur, Malaysia The Channel Company Full time

    About The Channel CompanyThe Channel Company is the global leader in data-driven growth acceleration solutions and services for the IT channel. With 40+ years of channel expertise and a premier portfolio of editorial brands, marketing and event services, and strategic consulting, we help technology vendors, solution providers, and IT decision-makers...

  • Human Resources Business Partner

    1 week ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Private Advertiser Full time

    1. Business PartnershipServe as the primary HR contact and advisor to the business entity on all HR-related matters.Understand business needs and provide HR solutions that support strategic and operational goals.Partner with line leaders to identify workforce requirements, organizational changes, and talent needs.Support and guide leaders in managing...