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Assistant Manager - Medical Provider Networks (Oman)

Nextcare · Mascate

جديد
دائم Mid 🇬🇧 English
Microsoft Office Tariff negotiation

وصف الوظيفة

About the role

Allianz Partners is hiring an Assistant Manager for its Medical Provider Management (MPM) unit in Oman. The role manages the local medical provider network, negotiates tariffs and facilitates onboarding of providers so that the portfolio is diverse and financially beneficial to the Allianz group. It supports the MPM Manager/Senior Manager and leads provider relationship management for the region.

Key responsibilities

  • Drive the strategy of the Global and Regional Head of MPM and deliver regional objectives, including regulatory projects for business continuity.
  • Build and maintain a single AP medical provider network in the region, acquire medical services and manage empanelment requests at optimized cost.
  • Implement the Local and Regional Delegation of Authority (DOA) policy and act as the main contact for hospitals, clinics and pharmacies.
  • Lead contract negotiations, tariff revisions, service expansions and direct billing performance, and manage escalations and provider satisfaction.
  • Own regulatory deliverables mandated by the Financial Services Authority (FSA), coordinate with regulators, legal, claims and IT, and lead the move from internal codes to Standard CPT pricing.
  • Lead the rollout of ePrescriptions across pharmacies and integrate with Damani and PBM systems, and drive the regulatory-mandated SPC.
  • Negotiate health checkup packages, gatekeeper arrangements and special schemes with SLAs, and provide cost analysis to support cost containment.
  • Support central and regional reporting, maintain provider data and dashboards, and handle complaints through investigation and escalation.
  • Work with AI, machine learning, data, analytics and cloud tools, and adapt to a fast-paced environment.

Required profile

  • Bachelor's or Master's degree; medical background preferred.
  • 3-5 years' experience in network administration, preferably in hospitals, insurance companies or TPAs.
  • Fluent written and spoken English, French and Arabic; other languages an advantage.
  • Legal right to work in the country of operation.
  • Physical fitness and ability to work autonomously under pressure.

Required skills

  • Standard Microsoft Office and other IT applications.
  • Communication, presentation, stakeholder and relationship management.
  • Analytical skills, business acumen and process-oriented approach.

The position is full-time and permanent. Allianz Partners does not accept unsolicited CVs or approaches from agencies.

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Le contrat proposé est un دائم basé à Mascate.

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الرواتب والأدلة وعمليات البحث في Oman.

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