# Healthcare Network Operations Manager (Quản lý Vận hành Hệ thống CSYT)

**Company**: Prudential
**Location**: Thành phố Hồ Chí Minh
**Experience**: senior
**Job type**: full-time
**Category**: Operations
**Industry**: Healthcare

**Apply**: https://prudential.wd3.myworkdayjobs.com/en-US/prudential/job/Thnh-ph-H-Ch-Minh/Healthcare-Network-Operations-Manager--Qun-l-Vn-hnh-H-thng-CSYT-_26060563?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_f9253a4a-9a2

## Description

Prudential's purpose is to be partners for every life and protectors for every future.

The role requires a strategist across various areas of Health from providers, payers, and hospitals network with strong understanding of the trends, opportunities, and challenges.

To lead and manage the end-to-end operations of the healthcare provider network post-onboarding, ensuring seamless service delivery, robust Direct Billing operations, and strong alignment with claims processes and organizational standards.

## Job Description

### Network Operations Management

- Manage day-to-day operations of hospital and clinic network within the Direct Billing ecosystem

- Ensure providers adhere to claims submission processes, Direct Billing workflows, and service standards

- Act as primary operational focal point for healthcare providers

- Support provider onboarding validation to ensure operational readiness

### Provider Performance Management

- Coordinate with Claims teams to ensure efficient end-to-end claims processing

- Monitor key metrics: TAT, accuracy, rejection/dispute rates

- Conduct performance reviews and corrective action plans

- Identify root causes of claims discrepancies and inefficiencies

### Operational Excellence

- Drive process standardization and workflow optimization

- Support digital claims and automation initiatives

- Deliver training and ensure provider alignment with process updates

- Undertake projects / other work and duties allocated by management as and when required.

## Job Accountability

- Driving operational excellence across healthcare provider network

- Ensuring efficient Direct Billing and claims execution at provider level

- Strengthening provider performance and governance

- Delivering continuous improvement in service quality, cost, and operational efficiency

## Job Requirements

a. Qualification: Degree in Economics, Business Administrative, Business Management, and etc.

b. Experience

- Preferably experience in Operations management, Insurance business and Business Strategic Planning and Health Management will be an advantage.

- Working insurance company or banking at managerial level for at least 5 years.

c. Knowledge, Skills & Attributes

- Insurance/Legal/Health management and project management, Operational management, stakeholder coordination, problem-solving, analytical thinking

- Possess knowledge on Life Insurance claims processing.

- Computer literate and familiar with MS Excel, MS Word & MS PowerPoint.. Self-assured and results oriented

## Skills

### Required
- Operational management
- Insurance/Legal/Health management
- project management
- stakeholder coordination
- problem-solving
- analytical thinking
- Life Insurance claims processing
- MS Excel
- MS Word
- MS PowerPoint

### Nice to have
- Operations management
- Insurance business
- Business Strategic Planning
- Health Management

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Source: [Apply at prudential.wd3.myworkdayjobs.com](https://prudential.wd3.myworkdayjobs.com/en-US/prudential/job/Thnh-ph-H-Ch-Minh/Healthcare-Network-Operations-Manager--Qun-l-Vn-hnh-H-thng-CSYT-_26060563?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)