Assistant Manager, Medical Network Management

We are seeking an Assistant Manager to oversee the development and management of Prudential's medical provider network and direct billing service.

Job Responsibilities:

• Develop and manage Prudential's medical provider network and direct billing service through business contract negotiation, arrangement of agreed fees, provider training, settlement process and third-party agreements.
• Ensure excellent delivery of customer experience and value from network providers through performance monitoring, quality assurance, feedback management, daily servicing issue handling and implementation of process improvement initiatives.
• Engage agency and distribution through education, communication and engagement activities to uplift utilization of Prudential's direct billing service.
• Research, recommend opportunities on development of medical network and align with Prudential's health strategy through business analysis, competitive benchmarking, network coverage and specialty reviews.
• Support delivery of key improvement initiatives through provision of user requirements.
• Maintain business continuity by providing administrative support as necessary.
• Provide support to ad hoc projects and proposition initiatives arising from time to time.

Job Requirements:

• Degree holder with experience in medical network, clinical or healthcare operations.
• Minimum 3 years in managing contract negotiations involving medical network providers.
• Good negotiation and communication skills with strong business acumen.
• Good command of written and spoken English and Cantonese. Mandarin is an advantage.
• Experience in health insurance / healthcare provider market / project management is an advantage.