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VP Provider Management (Medical) Negotiable Bangkok 16 October 2017

  • Manage and grow a network of panel providers that provide cashless facility to covered members including recruitment, utilization management, renewal and termination. Builds cordial working relationship between healthcare providers and claims managers.
  • Negotiate provider contracts to gain strong commercial improvements and delivery of major cost savings.
  • Ensure the agreed provider contract pricing and discount structures are embedded into operational processes to ensure contract compliance.
  • To co-ordinate and make arrangements with panel providers for healthcare related functions on behalf of corporate clients
  • Review the existing and renewed contracts to identify areas of improvement on commercial terms and operational efficiency
  • Be responsible for the commercial and medical management of the portfolio providers in order to resolve the identified trends, unit cost control and obtain competitive commercial terms and reconciliation outcome within the agreed target forecasting, timescales and quality standards.
  • Identify cost and quality performance of panel providers by profiling paid claims data using analytics and to strategize action plans for improvement by providers.
  • Work closely with Health Claims Management team to source for Case studies that are to be highlighted to panel providers.
  • Arrange and conduct performance dialogues with senior management team of panel providers to showcase their opportunities for improvement in terms of quality and cost.
  • Support Care Coordination to set up specialized networks and negotiate discounts for complex procedures or chronic diseases. 
  • Support prevention and well- being activities by identifying suitable partners amongst network hospitals.
  • Doctor of Medicine (M.D.) and/or Master’s Degree in Business Administration would be advantage
  • Proven relevant experience in with insurance / reinsurance companies in Thailand / Asia
  • Leading moderate sized teams
  • Contract Negotiation and Administration
  • Hospital Network Relationship Management
  • Vendor (TPA) Performance Management
  • Training Design and Delivery
  • At least 5 years practical experience in medical field.
Interested candidates, please submit your full resume and recent photo to recruitment@skillboxthailand.com