Job Description
OVERALL PURPOSE:
Senior Specialist Provider Relation
– To develop, maintain, and build relations with key stakeholders within the provider network to provide excellent service for clients at the best rates possible, contributing to the organization’s profitability.
Key Responsibilities:
1- Strategic Contribution:
Senior Specialist Provider Relation
– Contribute to the development and execution of the division’s short to mid-term plans by maintaining and building relations with key stakeholders from the provider network while monitoring compliance.
2- Operations:
Senior Specialist – Provider Relation
– Develop, maintain, and improve relationships with various providers.
– Review and negotiate contracts with providers in the network to ensure discounts are provided for the achievement of optimal financial results.
– Assist in the development of proposals and cost estimates to be negotiated with providers based on technical evaluations of services and budget forecasting activities.
– Develop reports analyzing contract details and statistics and ensure that price lists and contracts are continuously maintained and updated on systems by the back-office team in a timely manner.
– Ensure new policies and contracts are communicated to providers in a timely and effective manner, keeping them abreast of any changes.
– Work on achieving key performance indicators while monitoring compliance of providers with shared policies and procedures.
– Ensure that the contracts with service providers are properly updated and price sheets are properly maintained.
– Review of insurance claims to ensure accuracy and compliance with agreements and contractual clauses.
– Ensure timely dissemination of contractual information within the organization to relevant stakeholders.
Senior Specialist Provider Relation
3- Policies, Systems, Processes & Procedures:
– Follow all relevant departmental policies, processes, standard operating procedures, and instructions to ensure work is carried out in a controlled and consistent manner.
4- Continuous Improvement
– Contribute to the identification of opportunities for continuous improvement of processes, productivity, and cost reduction related to own work.
5- Reporting
– Ensure that all relevant periodic and ad-hoc reports are prepared timely and accurately, and meet the function’s requirements, policies, and standards.
Academic Qualifications and Experience:
– Bachelor’s degree in health science (paramedic), business administration, or other relevant fields
– 8+ years of related experience
– English Proficiency
Skills
– Bachelor’s degree in health science (paramedic), business administration, or other relevant fields
– 8+ years of related experience
– English Proficiency
