Senior Local Provider Medical Manager

Nextcare; Manama; Vor Ort; BHD 30.000 - 46.000; Vollzeit

Zusammenfassung

Allianz Group in Bahrain leads the development, implementation, and management of medical provider networks to ensure quality and accessibility of care for members.

The MPM Manager negotiates with providers, maintains relationships, and collaborates with multiple departments to optimize network performance and cost efficiency.

Qualifikationen

• Bachelor's degree in healthcare administration, business administration or a related field.
• Master’s degree is preferred for leadership roles.
• Experience in healthcare network management is highly desirable.

Aufgaben

• Support development and management of medical provider networks.
• Negotiate with providers to secure favorable terms and cost-effective care.
• Maintain provider relationships and collaborate across departments.
• Monitor network performance and implement improvement initiatives.
• Ensure compliance with regulations and accreditation standards.
• Generate revenue through applicable streams and strategic initiatives.
• Present reports on network performance to senior leadership.
• Collaborate with Claims, Business Development, CRM, Operations, and Finance.

Kenntnisse

Negotiation

Contract management

Communication

Analytical thinking

Regulatory knowledge

Technology tools

Regional healthcare knowledge

Ausbildung

Bachelor's degree in healthcare administration or related

Master's degree preferred

Tools

Healthcare IT systems

Jobbeschreibung

Job Overview

The MPM Manager will support the development, implementation, and management of medical provider networks. Reporting to the Senior Manager or Head of Department, this role focuses on ensuring the quality, cost-effectiveness, and accessibility of healthcare services provided to members. The Manager will negotiate with providers, maintain medical provider relationships, and collaborate with various departments to optimize network performance. The incumbent is expected to negotiate strategically with the Medical Providers with an objective to procure Medical Services at an optimized cost and to generate revenue through effective applicable various revenue streams and execution of identified revenue generation strategies.

Key Responsibilities

Strategy: Support and drive the strategy devised by the MPM Management

Develop cost savings strategies aligned with financial savings target, this is to be delivered by the team but also individually

Network Development: Develop and maintain a robust network of healthcare providers, including hospitals, physicians, diagnostics and ancillary services.

Medical Provider Contracting: Negotiations with healthcare providers to secure favorable terms and conditions, ensuring cost-effective care and robust applicable provider revenues.

Medical Provider Relations: Establish and maintain positive relationships with network providers, addressing any concerns or issues promptly and escalating as needed.

Compliance: Ensure Medical Provider network and contract management comply with all relevant internal and external regulations, local mandates, accreditation standards, and organizational policies. Responsible for compliance of TOM and DTP’s

Performance Monitoring: Monitor Medical network performance metrics, including cost, quality, and accessibility/segmentation, and implement improvement initiatives as needed.

Team Collaboration: Work collaboratively with the MPM team providing support, coaching, assistance and guidance to achieve organizational objectives.

Collaboration: Work closely with other departments such as Claims, Business development, CRM, Operations and Finance to support overall organizational goals.

Reporting: Prepare and present regular reports on network performance to senior leadership

Work effectively with AI, machine learning, data analytics, and cloud-based tools, adhering to high standards of data governance, security, and ethical use.

Key Requirements

Education

Bachelor’s degree in healthcare administration, Business Administration, or a related field. Master’s degree preferred.

Experience

Minimum of 5-7 years of experience in healthcare network management

Skills

Strong negotiation and contract management skills

Excellent communication and interpersonal skills

Analytical and problem-solving abilities

Knowledge of healthcare regulations and accreditation standards

Proficiency in relevant software and technology tools

Regional medical industry knowledge

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. We are united by a shared commitment: to put our customers first and at the center of everything we do. Their needs inspire our thinking and guide our actions. Together we can build an environment where everyone feels empowered and confident to explore, grow and shape a better future – for our customers and for the world around us.

At Allianz, we stand for unity: we believe that a united world is a more prosperous world, and we are dedicated to consistently advocating for equal opportunities for all. The foundation for this is our inclusive workplace, where people and performance both matter, and where integrity, fairness, inclusion and trust are at the heart of our culture. We therefore welcome applications regardless of race, ethnicity or cultural background, age, gender, nationality, religion, social class, disability or sexual orientation, or any other characteristics protected under applicable local laws and regulations.

Great to have you on board. Let's care for tomorrow.

Note:

Having different strengths, experiences, perspectives and approaches is an integral part of Allianz’s company culture. One means to achieve this is a regular rotation of Allianz employees across functions, Allianz entities and geographies. Therefore, Allianz expects from its employees a general openness and a high motivation to regularly change positions and collect experiences across Allianz Group.