Job Overview
We are seeking a Medical Provider Management Specialist to join our team.
The successful candidate will be responsible for supporting the development, expansion, and management of medical networks in Australia.
This role involves managing over 1,000 providers across hospitals, day surgeries, GP practices, and medical centres.
Key Responsibilities:
* Market scanning and identification of new providers for inclusion in the network
* Management of provider enquiries for network inclusion
* Negotiation with providers
* Preparation of provider contracts
* Undertaking pre-contractual checks
* Setting up contracted providers across relevant platforms
Provider Management:
* Day-to-day management of provider queries and enquiries
* Collaboration with stakeholders to resolve provider issues
* Annualized vendor integrity screening
* Ensuring provider details are accurate across Allianz Partners Systems
MPM Processes and Regulatory Compliance:
* Supporting adherence to local practices with the MPM global target operating model
* Developments of new modules or changes to modules in the MPM global target operating model
* Management of local MPM processes and ensuring they are documented
Health Program Innovation & New Model Development:
* Research and analysis of emerging healthcare models
* Supporting the development of new health models
* Identification and negotiation with suitable providers
Data and Reporting:
* Leading role in working with the BI and Operations Analytics Team to scope and enhance regular reporting
* Development of regular reporting to suit internal and external stakeholder needs
This is a challenging yet rewarding role that requires strong communication skills, attention to detail, and the ability to work independently.
The ideal candidate will have experience in medical provider management, contract negotiation, and data analysis.
If you are a motivated and organized individual with a passion for healthcare, we encourage you to apply.