Provider Business Partnering, ConsultantAIA Malaysia • Kuala Lumpur, Kuala Lumpur, Malaysia
No longer accepting applications
Provider Business Partnering, Consultant
AIA Malaysia • Kuala Lumpur, Kuala Lumpur, Malaysia
11 days ago
Job descriptionCoordinate documentation and facilitate site visits to support the Hospital Specialist Review Committee in provider selection and review. Provider Engagement & Performance Management Monitor and analyze provider performance, focusing on : Service quality and turnaround times Adherence to fee schedules Detection and mitigation of potential fraud or abuse Other indicators related to panel provider's performance Provide constructive feedback and collaborate with providers on continuous improvement initiatives. Alliance & Relationship Management Enhance coordination between internal stakeholders (e.g., agencies, corporate clients) and Preferred Providers. Lead initiatives to promote steerage towards Preferred Providers, optimizing service quality and cost-effectiveness. Cost & Network Strategy Management Contribute to special projects aimed at driving cost savings and enhancing the efficiency of medical cost management. Bachelor’s degree in healthcare management, business administration, or a related field. Minimum 5 years of experience in hospital operations, insurance, or healthcare industry. Preferred background : Medical doctor, nurse, or experienced professional in hospital billing, claims, or provider network management. Strong understanding of hospital billing practices, medical claims processes, and insurance fraud detection. Excellent interpersonal and negotiation skills to manage hospital relationships effectively. Strong problem-solving abilities and attention to detail. Effective communication and training capabilities. Ability to analyse medical and financial data to support cost containment initiatives.
Provider Business Partnering, Consultant
Employer : AIA Malaysia
Location : Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia
About The Role
To manage and enhance relationships with healthcare panel providers, particularly hospitals, ensuring alignment with organizational goals, cost efficiency, and high-quality service delivery.
Responsibilities
- Panel Provider Management
Evaluate and assess new panel provider applications in accordance with established credentialing guidelines.
Develop and deliver performance review presentations using internal dashboards and analytics to communicate AIA’s strategic direction, process updates, and performance expectations.
Claims utilization trends
Foster strong, collaborative, and mutually beneficial relationships with healthcare providers.
Support the implementation of the Network Strategy to meet medical cost containment and inflation control targets.
Qualifications
Seniority Level
Mid-Senior level
Employment Type
Full-time
Job Function
Consulting, Information Technology, and Sales
Industries
Insurance
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Consultant • Kuala Lumpur, Kuala Lumpur, Malaysia
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