Provider Relations Officer
Maxicare Healthcare Corporation
Date: 3 weeks ago
City: Makati City
Contract type: Full time
Responsibilities
- Performs completed staff work to ensure availability of relevant, trusted healthcare and benefits providers and physicians (i.e. data collection, prepare presentation materials, reviews and evaluates application & submitted documentary requirements, etc.);
- Negotiates contracts that comply with industry regulations applying risk minimizing techniques;
- Initiates collaboration with other Maxicare divisions/departments to identify and pursue better provider networks.
- Negotiate terms and conditions of contracts with healthcare providers, ensuring alignment with organizational objectives and regulatory requirements
- Provides inputs and ensures the drafting, reviewing, and finalization of contracts;
- Serves as the primary point of contact for contract-related inquiries and issues;
- Collaborates cross-functionally with internal Maxicare divisions or departments such as legal, finance, operations, and provider network management to ensure seamless contract execution and alignment with organizational objectives.
- Conducts regular business review, Provider & Physician’s performance evaluation and attends to/resolves other relevant issues and concerns raised by both internal and external stakeholders
- Implements appropriate provider development strategy to ensure a culture of collaboration, continuous improvement, and shared success with th e partner provid ers
- Experience in HMO and Insurance is an advantage
- Strong negotiation and presentation skils
- Strong client relationship
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