Provider Relations Associate

iCare HMO; Metro Manila; On-site; PHP 446,000 - 759,000; Full time

Job summary

iCare HMO in National Capital Region seeks a Provider Network Manager to expand and retain its accredited healthcare providers across NCR, align with PMD-Head, and ensure data integrity in the provider roster.

The role requires a Bachelor’s degree, 2+ years in provider networks, strong negotiation and communication skills, and proficiency in data analysis and SharePoint-based updates.

Qualifications

• Bachelor’s degree graduate.
• Minimum of 2 years of experience in provider network management.
• Strong understanding of healthcare accreditation and provider relationships.
• Excellent communication, negotiation, and stakeholder management skills.
• Proficient in data analysis, report preparation, and system oversight.

Responsibilities

• NCR accreditation of healthcare providers, including scouting and meetings.
• Retain NCR network through renewal collaboration with PMD-Head.
• Update the NCR network in the system and SharePoint.
• Prepare monthly NCR network reports and tracking.

Skills

Provider network management

Stakeholder management

Data analysis

Communication

Negotiation

Education

Bachelor's degree

Tools

SharePoint

Job description

Job Purpose:

Provider network expansion and retention, relationship management and secure discounts with the accredited medical providers in National Capital Region.

Principal Accountabilities:

1. NCR accreditation of healthcare providers

   1. Scouting of prospective providers

   2. Represents iCare in NCR meetings

   3. Conducts physical/virtual orientation related to procedures, program features and answer inquiries of the healthcare personnel.

   4. Conducts individual accreditation of doctors when necessary.

   5. Visits accredited providers and for accreditation in NCR.

   6. Negotiate with providers for discounts, packages and rates.

   7. Review line up of Specialists per accredit facility and accredit if not available.

   8. Endorses to the PMD Head reviewed Provider MOA for approval.

2. Retention of NCR network

1. Collaborates with PMD-Head for the provider partnership renewal.

2. Conducts accreditation renewal of doctors and facilities when necessary.

3. Updating of the NCR network

1. Encodes in the system the newly accredited healthcare providers.

2. Updates the system for any changes in the roster of accredited healthcare providers.

3. Ensure information integrity of the Luzonaccredited providers in the database.

4. Ensures annual submission of provider requirements (LTO, Pricelist, etc).

5. Upload and maintain the NCR network files in SharePoint.

4. Report

6.1 Provides NCRnetwork report every end of the month.

6.2 Monitor and creates a tracker of the NCRaccreditation request coming from google form and replies to the requestor every 3 days until Agreement is signed.

6.3 Request and reviews IT extracted accredited network and endorse for website uploading.

6.4 Monitor implementation and provides discount reports every month.

Qualifications:

• Bachelor’s degree graduate

• Minimum of 2 years of experience in provider network management or related fields.

• Strong understanding of healthcare accreditation provider relationship build up

• Excellent communication, negotiation, and stakeholder management skills.

• Proficient in data analysis, report preparation, and system oversight.