Network and Healthcare Management & Strategy, Analyst

AIA; Kuala Lumpur; On-site; MYR 60,000 - 85,000; Full time

Job summary

AIA in Kuala Lumpur is seeking an Analyst for Network and Healthcare Management & Strategy to oversee administration of the hospital panel and cashless services for policyholders. You will support claims operations and act as intermediary between providers and AIA Health Services, ensuring timely updates and smooth workflows.

Ideal candidates hold a Health/Life Sciences degree or diploma, with healthcare or insurance experience, strong communication, problem solving, and basic accounting

Qualifications

• Degree/Diploma in Health or Life Sciences, Allied Health or relevant disciplines.
• Working experience in healthcare or managed care or insurance industry.
• Knowledge in healthcare management, experience in nursing and medical advancement.
• Good verbal and written communication skills, problem solving skills, able to manage people, fundamental knowledge in accounting principles, good analytical skills, proficiency in MS Office, willing to travel.

Responsibilities

• Network Management: manage administration of hospital panel with cashless services.
• Provider Engagement: coordinate with providers and ensure timely communications.
• Contracting: support the negotiation of provider contracts and cost improvements.
• Alliance/Relationship Management: maintain relationships and oversee issue resolution with providers.

Skills

Verbal and written communication

Problem solving

People management

Analytical skills

MS Office

Accounting principles

Education

Degree/Diploma in Health or Life Sciences, Allied Health or relevant disciplines

Tools

MS Office

Job description

## Network and Healthcare Management & Strategy, Analyst申请: Kuala Lumpur, MY-AIA Malaysia: Full time: 今天发布: JR-71100**Start building a career with purpose.** *At AIA, your perspective, curiosity and ideas can contribute to our Purpose of helping millions of people live Healthier, Longer, Better Lives. Across our diverse markets, you will learn through meaningful work, collaborate with experienced colleagues and build practical skills as you turn fresh ideas into positive outcomes and a more sustainable future for our customers and communities.* *Join us to explore new possibilities, grow through real experiences and start making an impact across Asia.* **About the Role** 1. To manage (administration related matters) panel of healthcare providers that provides medical services with cashless facility to covered members and policyholders of AIA health insurance policies. 2. To support claims operations and act as intermediary for operational matters between panel providers and AIA Health Services. 3. Responsible for maintaining providers system set-up, updating and prompt communication for smooth operation between providers & AIA**Roles & Responsibilities:******1. Network Management**** Hospital Panel-ship* To provide the relevant assessment study on new panel provider applicant and provide recommendations based on credentialing guidelines and requirements.* To support the process of deliberation by the Hospital Specialist Review Committee which includes documentation and site visits.Provider Engagement* To provide and receive feedback from providers for mutual improvement.Contracting* To support the negotiation of provider contract to gain strong commercial improvements and delivery of major cost savings.* To be ensure necessary contracts are renewed before expiry, i.e. package pricing contracts and to continuously follow up to ensure contracts are closed within a reasonable time period.Relationship Management/Communication* To oversee the handling of complaints from internal and external clients on services related issues by panel providers especially issues related to claims and GL TATs & SLAs.* To oversee and track swift resolution of claims and GL issues related to internal AHS processes thru active operations meeting and interventions.* To conduct provider training sessions and proactively communicate with panel providers on new procedures and/or urgent updates to daily operational requirements of AHS****2. Business Development***** To coordinate business events with providers including meetings, official openings, launches, etc.* To develop and disseminate marketing materials related to packages and Platinum provider with assistance from Provider Business Associates.* To develop and bridge the relationship between Agency with package and Platinum providers.* To follow up and close the Addendums for package pricing and terms renegotiations with providers.****3. Alliance Management***** To drive steerage to Platinum and package pricing partners* To proactively manage the allocation and promotion of health events to preferred or package partners.**4. Others*** To perform other tasks as and when required**Minimum Job Requirements:*** Degree/Diploma in Health or Life Sciences, Allied Health or relevant disciplines* Working experience in healthcare or managed care or insurance industry.* Knowledge in healthcare management, experience in nursing and medical advancement.* Good verbal and written communication skills, problem solving skills, able to manage people, fundamental knowledge in accounting principles, good analytical skills, proficiency in basic computer operating software like MS Office, willing to travel for job assignments.*Build a career with us as we help our customers and the community live Healthier, Longer, Better Lives.**You must provide all requested information, including Personal Data, to be considered for this career opportunity. Failure to provide such information may influence the processing and outcome of your application. You are responsible for ensuring that the information you submit is accurate and up-to-date.*