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Manager, Medical Network Management

Manager, Medical Network Management

GREAT EASTERNKuala Lumpur, Kuala Lumpur, Malaysia
25 days ago
Job description

About the Job

To lead and manage the panel hospital network, ensuring strong partnerships, effective operations, and commercially sustainable arrangements that support Company's healthcare objectives.

  • Manage the end-to-end relationship with panel hospitals, including onboarding, performance monitoring, and periodic reviews.
  • Negotiate and secure commercially favourable terms with hospitals to support sustainable healthcare costs.
  • Oversee and resolve operational matters related to panel hospitals, including service issues, complaints, and escalations.
  • Collaborate with internal stakeholders to align hospital operations with business requirements
  • Profiling of non-cooperative, overcharging providers leading to exclusion of these doctors from network
  • Monitor and analyse hospital utilization and trends to inform decision-making and continuous improvement
  • Support core functions such as hospital profiling, specialist profiling, cost containment, and implementation of service-level improvements.
  • Leading, providing guidance, coaching and performance management.
  • Ad-hoc tasks from management from time to time.
  • Takes accountability in considering business and regulatory compliance risks and takes appropriate steps to mitigate the risks.
  • Maintains awareness of industry trends on regulatory compliance, emerging threats and technologies in order to understand the risk and better safeguard the company.
  • Highlights any potential concerns / risks and proactively shares best risk management practices.

We are looking for people who

  • Have 5 – 8 years of experience in insurance and healthcare, with proven managerial experience.
  • Possess a valid APC or have experience in a private hospital (an advantage).
  • Demonstrate strong business acumen and excellent skills in communication, analysis, negotiation, organization and problem-solving.
  • Are tactful, detail-oriented, and proficient in Excel and data analysis.
  • High level of integrity, takes accountability of work and good attitude over teamwork.
  • Takes initiative to improve current state of things and adaptable to embrace new changes
  • How you succeed

  • Champion and embody our Core Values in everyday tasks and interactions.
  • Demonstrate high level of integrity and accountability.
  • Take initiative to drive improvements and embrace change.
  • Take accountability of business and regulatory compliance risks, implementing measures to mitigate them effectively.
  • Keep abreast with industry trends, regulatory compliance, and emerging threats and technologies to understand and highlight potential concerns / risks to safeguard our company proactively.
  • Who we are

    Founded in 1908, Great Eastern is a well-established market leader and trusted brand in Singapore and Malaysia. With over S$100 billion in assets and more than 16 million policyholders, including 12.5 million from government schemes, it provides insurance solutions to customers through three successful distribution channels – a tied agency force, bancassurance, and financial advisory firm Great Eastern Financial Advisers. The Group also operates in Indonesia and Brunei.

    The Great Eastern Life Assurance Company Limited and Great Eastern General Insurance Limited have been assigned the financial strength and counterparty credit ratings of "AA-" by S&P Global Ratings since 2010, one of the highest among Asian life insurance companies. Great Eastern's asset management subsidiary, Lion Global Investors Limited, is one of the leading asset management companies in Southeast Asia.

    Great Eastern is a subsidiary of OCBC, the longest established Singapore bank, formed in 1932. It is the second largest financial services group in Southeast Asia by assets and one of the world's most highly-rated banks, with an Aa1 rating from Moody's and AA- by both Fitch and S&P. Recognised for its financial strength and stability, OCBC is consistently ranked among the World's Top 50 Safest Banks by Global Finance and has been named Best Managed Bank in Singapore by The Asian Banker.

    To all recruitment agencies :

    Great Eastern does not accept unsolicited agency resumes. Please do not forward resumes to our email or our employees. We will not be responsible for any fees related to unsolicited resumes.

    Location :

    Menara Great Eastern, HQ

    Employment Type : Permanent

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    Manager Management • Kuala Lumpur, Kuala Lumpur, Malaysia