Provider Relations Manager – AXA Insurance (Gulf) B.S. C. (c )

• Responsible for the provider relationship management in allocated geographical area both Commercially and Medically to ensure delivery of Quality care for AXA Customers at competitive commercial terms
KEY TASK OVERVIEW (amongst others):
You will:
• Develop Medical Provider Relations and building relations with key stakeholders in assigned medical providers.
• Develop Provider Networks to meet customer and business needs through expert knowledge of market providers.
• Negotiate commercially beneficial terms for AXA with Providers.
• Assist and help in medical complex cases to ensure proper medical case management for the insured members and negotiates discounts on same.
• Implement procurement strategic action plans and communicate identified issues for agreement on resolution actions.
• Conduct Provider Quality and suitability assessments for Network Inclusion/Exclusion or Network categorization changes.
• Implement Investigations and Audit strategic action plans supporting FWA activity- 10% of time allocated.
• Monitor provider billing and utilization behaviors to identify opportunities for improvements to clinical practice and billing
• Review existing contract terms to identify areas for improvement on commercial terms and operational efficiency
• Support reconciliation activity.
• Ensure compliance with legal and regulatory requirements, represents AXA as required with external regulatory/ Health organizations.
• Enhance customer experience as part of AXA Strategy ‘Payer to Partner’.
• Provide guidance and expert medical direction to the medical claims teams, insurance departments of the medical providers.
• Represent AXA effectively both in front of providers as well as customer.

Job Details

Date Posted: 2017-10-22
Job Location: Dubai, United Arab Emirates
Job Role: Management
Company Industry: Insurance

Preferred Candidate

Career Level: Management
Degree: Bachelor's degree

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