Medical Network Officer - Provider Relations

Job description / Role

Medical Network Officer - Provider Relations (Dubai & Abu Dhabi)

This role is related to maintaining relationships with Hospitals / Clinics / Pharmacies.

Your role will be to assist the "Assitant Manager Provider Relations and Contracting " in development of the health care service provider network.

Key Responsibilities:
- Identify sub-categories of providers and preferred providers through Provider Profiling analysis, to create distinctive network advantages for MedNet
- Negotiate contracting and re - contracting process with health care service providers within corporate guidelines to ensure all services provided are cost effective and in accord to quality standards
- Conduct presentations and trainings for appointed health care provider staff on managed care concepts and provide updates on all related procedures in order to ensure awareness of MedNet service requirements and policies across the network
- Review policy manual and network agreements in an on-going basis and provide suitable recommendations
- Support the Team leader / Manager in implementation of quality assurance programs in order to maintain standards of quality and minimize fraudulent cases
- Develop and maintain monthly statistical reports to facilitate benchmarking and performance management of network operations for management decision making
- Update MedNeXt with data relating to addresses, discounts, creation of new codes, specialty, etc on a periodic basis
- Prepare quarterly network newsletters intended for Insured members, Insurance companies and Intermediaries

Requirements

- Diploma or Bachelors Degree in Medicine, Physiotherapy, Nursing, Radiology, Laboratory technician or Hospital Administration
- 2-3 years of experience in a Provider Contracting role in TPA / medical insurance sector preferably in the Gulf region
- Good interpersonal skills and ability to communicate clearly and effectively with internal and external clients across all levels, with fluency in business English (written and spoken); Arabic would be an advantage
- UAE Driving License is mandatory. The role involves travelling.
- Industry knowledge related to local healthcare services system will be an added advantage.

About the Company

MedNet is a managed care service provider of quality solutions that meet an individual's long-term healthcare needs and offers financial protection against unforeseen health crisis and expenses. MedNet is dedicated to build long-term relationships with customers (insured members, insurance companies and other entities which require managed care services) by facilitating access to high quality and affordable managed care services.