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  • 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.

       

      Apply: Send your updated resume at jobs@eswpak.com, Cc: faisal@eswpak.com in MS. WORD FORMAT.
 

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