Manager, Provider Relations (Medical/ Health Care) – Adecco Middle East

General Description
Manage and have overall performance accountability on the operation and performance of
Provider Relations.
Main Duties
Standard duties:
•Develop and implement a department strategy according to the company strategy, set
departmental and operational goals and initiate measures to reach these goals and to
improve the overall department performance
•Lead the performance management process that measures and evaluates progress against
departmental goals
•Responsible for a result-oriented management and development of people and resources,
including provision of a strong day-to-day leadership presence involving resource allocation,
monitoring, reporting, and conducting regular staff meetings
•Manage the department expenditure and requirements, keeping in mind its impact and
utilisation on the financial budget
•Foster organisational culture by establishing quality awareness and service orientation and
complying and implementing processes such as Project Management and Change
Management
•Promote and support the recruitment and development UAE Nationals to significantly
contribute to Company’s’s strategic goals
•Lead and influence the development, implementation of policies and procedures and enable
its adherence
Department Specific:
•Conduct market research and provide useful insights and information regarding market
competitors and customers to support business decisions
•Manage contracting with health care providers to meet network targets and financial goals
and build up the provider network and determine the provider mix and distribution
•Work with the appropriate internal departments to manage the provider reconciliation process
to meet Company’s’s goals
•Lead the negotiation with providers to obtain optimum services, prices and terms of payment
•Evaluate the needs for providers (additions and deletions) to determine the efficient mix and
distribution of providers
•Prepare required communications such as circulars and instructions to Providers for updates
of policies and processes
•Ensure that data management functions are completed accurately and in a timely manner
•Review and monitor statistical data regarding the performance of the network providers
(Provider Profiling) Evaluate escalated complaints received in the department with regards to
the providers to ensure that these are properly addressed and timely resolved
•Set future plans, suggest and implement projects to develop work methods of the provider
(e.g. provider manual)
•Liaise with the regulator as required

Job Details

Date Posted: 2017-11-29
Job Location: Abu Dhabi, United Arab Emirates
Job Role: Support Services
Company Industry: Insurance

Preferred Candidate

Career Level: Management
Nationality: Algeria; Jordan; Palestine; Tunisia

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