Medical Specialist Partnership Manager
Core
Design, grow, and manage medical specialist networks for insurer partners to balance specialist needs, member access, and insurer affordability.
Role type
Senior B2B partnership manager (healthcare contracting)
Builds
Medical specialist networks and funding models for private health insurers
Domain
Private health insurance and medical specialist contracting
Required skills
B2B relationship management, commercial contract negotiation, claims and financial data analysis, process improvement documentation, stakeholder engagement with senior clinicians
Preferred skills
Knowledge of Medicare Benefits Schedule (MBS), understanding of private health insurance schemes (no-gap/known-gap), familiarity with medical practice operations
Technologies
Advanced Excel
Responsibilities
Analyze claims and market data to identify network opportunities; manage contracted specialist relationships and MPPA agreements; build relationships with practice managers and professional associations; respond to provider queries, complaints, and compliance audits; monitor network performance and report on trends; educate internal teams and insurer partners on network programs
Seniority
Senior, hands-on IC
