Provider Management SME - Indonesia

Antal International Network; Indonesia; Remote; Confidential; Full time

Job summary

An innovative InsurTech platform provider is seeking a Provider Management SME to enhance their operations across APAC. In this remote role, you will leverage your extensive experience in health insurance and provider operations to conduct requirement sessions, document workflows, and configure platform features. This is an exciting opportunity to contribute to a forward-thinking company that is revolutionizing the insurance landscape with AI-driven solutions. If you have a passion for healthcare and technology, this role offers a chance to make a significant impact while working in a dynamic, collaborative environment.

Qualifications

• 6+ years in health insurance or healthcare provider operations.
• Strong knowledge of provider contracting and credentialing.

Responsibilities

• Conduct requirement discovery sessions with healthcare stakeholders.
• Document provider onboarding workflows and credentialing processes.

Skills

Provider Contracting

Credentialing

Tariff Management

Healthcare Regulatory Frameworks

Documentation Skills

System Configuration

Cross-functional Team Collaboration

Tools

Provider Network Management Systems

Healthcare Portals

Job description

Hiring for a Provider Management SME for an Indian headquartered InsurTech platform provider.

Company description:

Our client is an Indian headquartered InsurTech platform company developing innovative software for life and health insurance. With eight years of experience, they offer AI-driven solutions in Benefit Configuration, Underwriting, Claims Management, Provider Network Management, and FWA Detection. Their products serve insurers across APAC including India, Indonesia, Vietnam, Malaysia, the Philippines, Hong Kong, and Singapore. As part of this they are looking for Provider Management SMEs to support their expanding operations.

• Title / Designation : Provider Management SME
• Reporting Manager: Chief Product Officer
• Work Mode: Remote

Role & responsibilities:

• Conduct requirement discovery sessions with hospitals, clinics, and insurance stakeholders.
• Document provider onboarding workflows, credentialing processes, and tariff configuration.
• Configure platform features and create user stories based on business requirements.
• Develop provider contract management specifications and compliance frameworks.
• Validate data structures and interface specifications with technical teams.
• Support implementation and user acceptance testing for provider management modules.

Candidate requirements:

• 6+ years in health insurance or healthcare provider operations.
• Strong knowledge of provider contracting, credentialing, and tariff management.
• Experience with provider network management systems or healthcare portals.
• Understanding of healthcare regulatory frameworks in APAC markets.
• Excellent documentation skills and system configuration capabilities.
• Ability to translate business requirements into functional specifications.
• Experience working in cross-functional implementation teams.

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