Healthcare Network Operations Manager (Quản lý Vận hành Hệ thống CSYT)
Core
Strategize and manage end-to-end operations of the healthcare provider network (hospitals, clinics) within the Direct Billing ecosystem, ensuring seamless service delivery and alignment with claims processes.
Role type
Healthcare Network Operations Manager
Builds
Direct Billing workflows and claims processing operations for hospital and clinic networks
Domain
Insurance / Healthcare
Required skills
Operations management, Insurance business strategy, Health management, Project management, Stakeholder coordination, Claims processing knowledge, Process standardization, Workflow optimization, Data analysis (TAT, accuracy, rejection rates), Root cause analysis
Preferred skills
Business Strategic Planning, Life Insurance claims processing, Digital claims automation
Technologies
MS Excel, MS Word, MS PowerPoint
Responsibilities
Manage day-to-day operations of hospital and clinic network within the Direct Billing ecosystem; Coordinate with Claims teams to ensure efficient end-to-end claims processing; Monitor key metrics: TAT, accuracy, rejection/dispute rates; Drive process standardization and workflow optimization; Conduct performance reviews and corrective action plans for providers.
Seniority
Manager, 5+ years