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Provider Relations Operations
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Provider Relations O....
back_arrow Provider Relations Operations

Provider Relations Operations

4 - 6 years
SAR 6000 - 10000
1 Vacancy

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Provider Relations Operations

Job Description

Req ID : 713547
  • Set the targets aligned with the overall forecast.
  • Analyze, monitor the cost effectiveness of the unit and utilization of services of the providers to control and drop it year after year.
  • Plan for reconciliation meetings, this will include scheduling meetings, coordination with medical manager, preparation of financial figures and negotiation tools
  • Negotiate the reconciliation with the providers to achieve the set targets
  • Document the reconciliation facts and send feedback to the claims department and regional manager
  • Prepare presentation to the owners of top 20 provider, at least once/year to highlight the trends and errors
  • Ensure that the reconciliation is conducted on regular basis and in line with the CCHI regulations

Company Industry

Insurance

Department / Functional Area

Corporate Planning / Consulting / Strategy

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About Company

Information Technology & Services

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We are an international healthcare company. Our purpose is helping people live, longer, healthier, happier lives and making a better world. Bupa has come a long way from our origins when we were established as a UK health funding organisation in 1947. We’ve become an international healthcare company, providing health funding and treatment, care and other health services to over 31 million customers across the world.