Assistant Manager, Medical Network Management
Core
Manage Prudential's medical provider network and direct billing service through contract negotiation, provider training, settlement processes, and performance monitoring to ensure customer value and service delivery.
Role type
Assistant Manager, Medical Network Management
Builds
Medical provider network and direct billing service
Domain
Health insurance / Healthcare operations
Deliverable
product features
Required skills
contract negotiation, business analysis, competitive benchmarking, network coverage review, specialty reviews, process improvement, user requirements definition, administrative support
Preferred skills
health insurance market knowledge, healthcare provider market knowledge, project management
Technologies
N/A
Responsibilities
Develop and manage medical provider network via business contract negotiation and fee arrangement; Ensure excellent customer experience through performance monitoring, quality assurance, and issue handling; Engage agency and distribution to uplift direct billing service utilization; Research and recommend network development opportunities aligned with health strategy; Support key improvement initiatives; Maintain business continuity; Provide support to ad hoc projects.
Seniority
Mid-level, hands-on management