Medical network

2 weeks ago


Manama, Manama, Bahrain MedNet Bahrain W.L.L. Full time
Medical Network Team Leader – Met Net Bahrain As a member of Munich Re, the Med Net Group is a leading Third-Party Administrator across the MEA region. We are currently seeking to hire a "Medical Network Team Leader". The Team Leader - Medical Network plays a pivotal role in driving Med Net Bahrain Medical Network success by supporting the Network Manager to manage operations in the Network team, which includes the development, management, maintenance, and evaluation of the health care service provider network of Med Net in accord with the business plan, best in class contracts, defined managed health care objectives, and appropriate revenue generation. Your Role: Plan, manage and control the network development and management operations. Lead and conduct Network Benchmarking exercises to ensure Med Net has in place appropriate networks, providers, discounts/tariff in the respective provider networks. Support all Med Net operations by ensuring effective coordination with health care service providers and fulfilling information and documentation requirements. Lead the conducting of review and monitoring initiatives (such as analytical studies) implemented to facilitate optimum control of fraud, waste, and abuse of the health care benefits. Coordinate internally with various relevant stakeholders to ensure appropriate actions are taken with the relevant medical providers. Meet Providers on a periodic basis to strengthen business relationships. Serve as a mediator between Med Net departments and providers to resolve network-related complaints/issues. Monitor Provider training/orientation programs effectively, focusing on existing network providers. Manage & monitor accurate updates of Med Next with data relating to addresses, discounts, creation of new codes, contracts, and provider data. Your profile: Diploma in Business or Hospital Administration / Medical Doctor OR a Diploma in any allied healthcare sciences.4 years in a similar environment in the TPA/medical insurance sector as well as 2 years of network experience preferably in the GCC region. Knowledge related to medical terminology / ICD & CPT Codes. Industry knowledge related to local healthcare services system. Good interpersonal and negotiation skills. Excellent written and verbal communication skills. Strong leadership, planning, and organizational skills. Analytical and problem-solving skills.*Munich Re not only stands for fairness with regard to its clients; it is also an equal opportunities employer. Seniority level Associate Employment type Full-time Job function Health Care Provider Insurance
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