Provider Relations Specialist

信諾西格納數據技術服務有限公司
上海市

Main duties/Responsibilities

  • Manage the relationship with in-network providers to streamline the end to end process, incl but not limited to provider on board Training/trouble shooting/coordination/Escalation.
  • Be responsible for the corresponding network provider file and info is stored in the right way and keep it as latest version.
  • Ensure network providers are strictly following our latest workflow/communication mechanism etc.
  • Support Network Development Landscape in assigned Area, in developing/managing relationships with targeted local public and private healthcare providers to fulfil the business requirement.
  • Support the Value Based Negotiation by keep improving and facilitate the collaboration with provider.
  • Experienced at End to End workflow with partnership and engagement of the coordination when/where required.
  • Local and Global Commercial support is required.
  • Specific Project engagement as directed by Medical Network Development
  • Domestic Travel required per business development request at regular/continuous frequency
  • Be agile to the insurance/medical market changes
  • Other tasks may assigned when there is need.

Requirements

  • 3+ year of provider relation, or contracting experience
  • Knowledge of medical claim, benefits and healthcare preferred
  • Good analytical, problem-solving, Strong execution and attention-to-detail skills
  • Strong verbal, written and interpersonal communication skill
  • Ability to work well under pressure with frequent interruptions and shifting priorities
  • Fluent in English and Mandarin in writing, reading and verbal, other foreign language E.g Japanese is preferred.
  • Bachelor degree or above
  • Technological competence in outlook and MS Office proficiency including Word, PowerPoint and Excel
(***)

职能类别:护士/护理人员其他

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上班地址:东方路18号保利广场E栋7楼

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