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PAMB | Executive, Provider Network Managment

PAMB | Executive, Provider Network Managment

Prudential plcKuala Lumpur
18 days ago
Job description

Prudential’s purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support our people’s career ambitions. We pledge to make Prudential a place where you can Connect, Grow, and Succeed.

The incumbent is responsible to manage PAMB Panel hospitals and ensure efficient and effective services are provided to our customers as well as contributing to the overall objectives of supporting Company’s growth.

1. Build, foster and maintain a close working relationship with the panel of hospitals, i.e. administrative staff & doctors.

2. Provide education and awareness to the hospital staff, doctors, agents, leaders on claim abuses, rights of policyholders, medical coverage, claim processes, do’s and don’ts etc.

3. To resolve service gaps through constructive feedback, and implement process improvements where appropriate with panel hospitals.

4. To resolve complaints by hospitals, agents and policyholders with reference to the Hospital Alliance Services (HAS) services.

5. Provide a support on extraction, aggregation, and quality assurance of data from multiple sources in support of performing quantitative analyses and reporting of utilization and health costs.

6. Updating and submission of report as required by management within the agreed service standards

7. Continuously attend / involve with training for personal and career development.

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

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Network • Kuala Lumpur