Local Medical Provider Manager

Job description / Role

Job overview

The local manager (LMPM) for MPM is locally responsible for efficiently and effectively managing the medical provider networks. The assistant manager/LMPM MPM is expected to negotiate and facilitate the onboarding of medical providers with an objective to have a diverse portfolio of medical services which are financially beneficial to the Allianz group.

The assistant manager is responsible for supporting MPM manager/senior manager in leading the team and managing the assigned region medical providers. The position reports to MPM manager/senior manager of the assigned region.

What you do

Responsibilities will include, but are not limited to, the following:

• Support and drive the strategy devised by the global and regional head of MPM.
• Deliver assigned objectives within full scope of medical provider management within the region individually or in coordination with a team of medical provider management resources locally, where applicable.
• Work/lead on projects (global/regional/local regulatory) as required for the business continuity in the region.
• Consolidation, integration, maintenance and development of a single AP medical provider network in the region.
• Use judgment, diplomacy and confidentiality with respect to the complete procurement process, ensuring integrity.
• Withhold the reputation of company, beneficiaries, payers and all other parties involved.
• Ability to deliver on targets set locally, regionally and globally.
• Responsible for the provider network expansions per local business requirements within optimum cost.
• Acquire medical services in accordance with MPM strategy and manage empanelment requests from medical providers to provide a comprehensive network at an optimized cost.
• Responsible to implement the local and regional DOAP (delegation of authority policy).
• Manage negotiations with medical providers to reduce average claim cost per network.
• Provide regional and local medical provider cost analysis to facilitate cost containment and financial savings impact.
• Tariff negotiation and renegotiations/new service inclusions with the providers to maintain competitive tariff in line with defined benchmarks.
• Enhance the provider revenue structure to generate savings in line with the regional MPM strategy.
• Responsible for compliance, maintenance and updates of desktop procedures, checklists, DOAP.
• Responsible for supporting periodic reporting of MPM centrally and regionally.
• Performance monitoring and assessments of medical providers in terms of delivery, quality, pricing and efficiency.
• Maintain and update all the required trackers, reports and dashboards required within MPM function.
• Maintain valid medical provider data, hierarchy, and links for the region and update web interactive portal services.
• Manage the negotiation of health checkup packages, gatekeeper arrangements, special schemes arrangements with medical providers with specification of SLA.
• Provide weekly/monthly reports to the manager and daily updates on priority matters.
• MPM complaint management by investigation, closure and escalations as needed.
• Adapt to the entire Allianz Partners technical infrastructure within all lines of businesses required for successful delivery of the assigned objectives/tasks.
• Closely work with all the departments within the organization to resolve MPM related queries.
• Guarantee medical provider management business continuity, efficiency and service levels within the region.
• Other activities/special projects as directed/assigned by the MPM senior manager and regional head of MPM MEA from time to time.

What you bring

To be successful in this position you will need to have the following skills and experience:

• Bachelor's or master's degree; medical background preferred.
• 3-5 years' experience in a network administration environment (preferably gained in hospitals, insurance companies, TPAs).
• Physically fit to carry out duties.
• Logical thinking mindset and ability to solve problems.
• Strong communication (verbal and written), presentation and interpersonal skills.
• Fluent in written and verbal English, French and Arabic; other languages are an advantage.
• People management and motivation.
• Analytical skills.
• Business and commercial acumen.
• Relationship and stakeholder management.
• Able to use a range of standard (Microsoft Office) and non-standard IT applications to support and enhance the work.
• Legally permitted to work in the country of operations.
• Local medical/health industry knowledge.
• Flexibility and ability to work autonomously.
• Ability to adapt communication style based on target audience.
• Strong organization, prioritization and time management.
• Process minded.
• Target driven.
• Can do attitude.
• Able to work in a fast-paced, high delivery work environment.
• High level of dependability, accountability, and integrity.
• Ability to work under pressure.
• Ability to adapt to change, meet the changing demands of work environments, any delays or other unexpected demands.

What we offer

Our employees play an integral part in our success as a business. We appreciate that each of our employees are unique and have unique needs and ambitions, and we enjoy being a part of their journey.

We are there to empower and encourage you with your personal and professional development ensuring that you take control by offering a large variety of courses and targeted development programs. All that in a global environment where international mobility and career progression are encouraged. Caring for your health and wellbeing is a key priority for us. This is why we build Work Well programs to provide you with peace of mind and give the flexibility in planning and arranging for a better work-life balance.

Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges, is what makes us a unique employer. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better future for our customers and the world around us.

We at Allianz believe in a diverse and inclusive workforce and are proud to be an equal opportunity employer. We encourage you to bring your whole self to work, no matter where you are from, what you look like, who you love or what you believe in.

We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, disability or sexual orientation.

Join us. Let's care for tomorrow.

About the Company

With over 159,000 employees from 172 nationalities across more than 70 countries, we are one of the world's most trusted insurance and asset management companies. We offer a broad range of products and services in property/casualty insurance, life/health insurance, and asset management. We have our largest operational presence in Europe, and our parent company, Allianz SE, is headquartered in Munich, Germany. From jobs in Actuarial, Business and IT to Inhouse Consulting and Investment Management - your opportunities are endless!