Provider Network Relations

Job Summary: Cultivates and optimizes relationships with healthcare providers in the assigned area, ensuring an effective network that delivers high quality care to HMO members.

• Process Management

Delivers the following processes and activities consistently according to agreed-upon quality standards and turn-around time

• Establishment of provider network in the assigned areas, including but not limited to clinics, hospitals, and doctors

Onboarding new providers in the assigned areas according to established guidelines and standards

• Resolution of concerns of providers, including the escalation and monitoring of resolution for the complex ones

Actively contributes to policy and guideline discussions, offering insights and recommendations based on their expertise and experience.

• Analyzes raised concerns within their area of expertise, resolves them independently when possible, and escalates complex issues to ensure Service Level Agreements (SLAs) are met

• Job Qualifications:

College Graduate (BS Nursing, Psychology, etc.)

With at least 3 years experience on the same role (Healthcare/HMO)

Proficient in the use of Microsoft Office tools

With excellent attention to detail, Organizational Savvy and Results oriented

Must be willing to work in Cebu/CDO (Hybrid)

Job Type: Full-time

Pay: Php30,

• 00 - Php40,000.00 per month
  
  Benefits:
• Employee discount

Health insurance

• Paid training

Schedule:

• 8 hour shift

Day shift
Supplemental Pay:

• 13th month salary

Performance bonus