Assistant Manager- Medical Networks

Nextcare

Muscat

On-site

OMR 15,000 - 23,000

Full time

4 days ago
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Job summary

Allianz Partners in Oman is seeking an Assistant Manager MPM to oversee Medical Provider networks, negotiate tariffs, and onboard providers to build a cost-efficient regional network. You will lead local provider management, drive regulatory compliance with authorities, and coordinate with claims, legal and IT to implement CPT pricing and ePrescriptions.

This role requires a medical background, 3–5 years of related experience, and strong leadership and communication skills to maintain high

Qualifications

  • Bachelor’s or Master’s degree; medical background preferred.
  • 3–5 years’ experience in a network administration environment (hospitals/insurance companies/TPAs).
  • Fluent in written and spoken English, French and Arabic; other languages are an advantage.
  • Legally permitted to work in the country of operations.
  • Able to work autonomously in a fast-paced environment.

Responsibilities

  • Support and drive the strategy devised by Global & Regional Head of MPM.
  • Deliver assigned objectives within full scope of Medical Provider Management within the region.
  • Lead contract negotiations, tariff revisions, and service expansions.
  • Manage provider relations and ensure regulatory compliance.
  • Coordinate with regulators, providers, and internal teams to ensure compliance.
  • Prepare weekly/monthly reports to the Manager and daily updates on priority matters.

Skills

Communication
Multilingual
Analytical skills
Relationship management
Negotiation
Problem solving
Organization & time management
Leadership

Education

Bachelor’s / Master’s Degree

Tools

Microsoft Office

Job description

About The Role

The Assistant Manager for MPM is locally responsible to efficiently and effectively manage the Medical Provider networks. The Assistant Manager MPM is expected to negotiate the tariff and facilitate the onboarding of Medical Providers with an objective to have a diverse portfolio of medical services which are financially beneficial to the Allianz group.

The Assistant Manager for MPM is locally responsible to efficiently and effectively manage the Medical Provider networks. The Assistant Manager MPM is expected to negotiate the tariff and facilitate the onboarding of Medical Providers with an objective to have a diverse portfolio of medical services which are financially beneficial to the Allianz group. The Assistant manager is responsible for supporting MPM Manager/ Senior Manager in leading the team and manage the local provider relationship management for the assigned region.

What You Will Do
  • Support and drive the strategy devised by the Global & Regional Head of MPM.
  • Deliver assigned objectives within full scope of Medical Provider Management within the region individually or in co-ordination with a team of Medical Provider Management resources locally, where applicable.
  • Work/lead the projects (Global/Regional/Local Regulatory) as required for the business continuity in the region.
  • Consolidation, Integration, Maintenance & Development of a single AP Medical Provider Network in the Region with regional direction.
  • Withholds the reputation of company, beneficiaries, payers and all other parties involved.
  • Ability to deliver on targets set locally, regionally and globally.
  • Acquires medical services in accordance with MPM strategy and manage empanelment request from Medical Providers to provide comprehensive network at an optimized cost.
  • Responsible for implementing the Local & Regional DOAP (Delegation of Authority Policy)
  • Act as the senior representative for the Oman provider network and the primary point of contact for hospitals, clinics, and pharmacies.
  • Lead contract negotiations, tariff revisions, service expansions, and direct billing performance per DOA policy.
  • Manage escalations, ensure provider satisfaction, and maintain strong strategic relationships with key network partners.
  • Oversee all Oman MPM activities, ensuring alignment with corporate standards and regional strategy.
  • Fully own and lead all regulatory deliverables mandated by the Financial Services Authority (FSA) under the regional guidance.
  • Coordinate with regulators, providers, internal legal, claims, and IT to ensure compliance with the regulatory requirements.
  • Lead the full transition from internal codes to Standard CPT pricing across contracted providers.
  • Conduct technical tariff mapping, CPT validation, and price impact simulations to ensure cost-neutral implementation.
  • Negotiate revised price lists with hospitals and clinics to avoid cost inflation and manage financial risks.
  • Work closely with Mapping and claims teams to validate coding accuracy and financial implications.
  • Lead the rollout of ePrescriptions across all contracted pharmacies and ensure seamless integration with Damani and PBM systems under regional direction.
  • Drive the completion of the regulatory mandated SPC.
  • Ensure providers adopt required contractual terms, pricing structures, and regulatory clauses.
  • Manages negotiations with Medical Providers to reduce average claim cost per network.
  • Provide regional and local Medical provider cost analysis to facilitate Cost Containment & Financial Savings impact
  • Tariff negotiation and renegotiations/ new service inclusions with the providers to maintain competitive tariff in line with defined benchmarks.
  • Enhances the Provider revenue structure to generate savings in line the regional MPM strategy as applicable and in compliance with the regulatory framework.
  • Responsible for supporting periodic reporting of MPM centrally and regionally.
  • Maintain and update all the required trackers / reports/Dashboards required within MPM function
  • Maintain valid Medical Provider data, hierarchy, and links for the region and update web interactive portal services.
  • Manages the negotiation of health checkup packages / Gate keeper arrangements / special schemes arrangements with Medical providers with specification of SLA.
  • Provides weekly/monthly reports to the Manager and daily updates on priority matters.
  • MPM Complaint Management by investigation, closure and escalations as needed
  • Adapt to the entire Allianz Partners Technical Infrastructure within all lines of businesses required to successful delivery of the assigned objectives/tasks.
  • Closely works with all the departments within the organization to resolve MPM related queries
  • Guarantee Medical Provider Management business continuity, efficiency and service levels within the region
  • Other activities/ special projects as directed/ assigned by the MPM Senior Manager and Regional Head of MPM MEA from time to time.
  • AI Readiness Work effectively in an environment shaped by artificial intelligence (AI), machine learning, data, analytics and cloud-based tools, using insights responsibly with our standards of data governance, security and ethical use.
What You Will Need
  • Bachelor’s / Master’s Degree; Medical background preferred.
  • 3-5 years’ experience in a network administration environment (preferably gained in hospitals, insurance companies, TPAs).
  • Physically fit to carry out duties.
  • Logical thinking mind set and ability to solve problems
  • Strong communication (verbal & written), presentation and interpersonal skills
  • Fluent in written and verbal English, French and Arabic; other languages are an advantage
  • People management and motivation
  • Analytical skills
  • Business and commercial acumen
  • Relationship and stakeholder management
  • Able to use a range of standard (Microsoft Office) and non-standard IT applications to support and enhance the work;
  • Legally permitted to work in the country of operations
  • Local medical/health industry knowledge
  • Flexibility and can work autonomously
  • Ability to adapt communication style based on target audience
  • Strong organization, prioritization and time management
  • Process minded
  • Target driven
  • Can do attitude
  • Able to work in a fast pace, high delivery work environment
  • High level of dependability, accountability, and integrity.
  • Ability to work under pressure.
  • Ability to adapt to change, meet the changing demands of work environments, any delays or other unexpected demands.
How We Hire

Allianz Partners does not accept unsolicited CV’s or approaches from agencies. We only work with partners on our approved supplier lists, under contract. Any unsolicited submission will not be considered.

106429 | Procurement | Professional | Non-Executive | Allianz Partners | Full-Time | Permanent

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. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better future for our customers and 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. And the foundation for this is our inclusive workplace, where people and performance both matter, and nurtures a culture grounded in integrity, fairness, inclusion and trust.

We therefore welcome applications regardless of 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.

Join us. Let's care for tomorrow.

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