National Provider Head - KSA
Job Status: open
One of our Clients is looking for National Provider Head for the following roles.
Position Title: National Provider Head
Position Based In: Saudi Arabia
Employer / Client’s Detail: Leading Insurance Company
Gender: Male
Education: Master degree/ Business/Commerce and/or Supply Chain.
Experience:Ideally, 5-7 years experience in the Insurance provider or Hospital sectors.
Job Descriptions / Responsibilities:
- Monitor and analyse trends in claims spending/unit cost and utilisation of services at provider level in order to identify areas for possible savings supported by a rigorous Unit cost improvement program put in place at Provider level.
- Plan, coordinate and carry out with providers periodic performance review to ensure objective deliveries as per targets and maintain professional relationship.
- Improve agreements of existing providers by negotiating competitive prices and discounts to guarantee Bupa a competitive edge in the health insurance market.
- Identify and Develop Cost effective providers considering customer and geographical evolving landscape.
- Negotiate in collaboration with the medical and commercial team, the best pricing, terms and conditions of contracts with current provider’s portfolio.
- Liaise with network providers to resolve customers complaints received through the customer service and sales units.
- Plan, coordinate and carry out commercial reconciliation meetings with providers, this will include planning and coordinating meetings with the BUPA medical teams to ensure a quality and optimised reconciliation process delivery.
- Assess, evaluate and improve in collaboration with the providers, the quality of services delivered by the providers to our customers through an agreed segmented Customer service offering.
- Manage Provider relation team recruitment, staffing, induction and individual capability building plan.
- Assess and evaluate, on a periodic basis, Provider relation operational performance progress at individual level against clear and defined objectives.