HealthAssure - Medical Network Head

Overview:

- As the Medical Network Head, The Candidate will be responsible for overseeing and managing the medical network within our organization.

- This includes developing and maintaining relationships with healthcare providers, hospitals, clinics, and other medical facilities to ensure the delivery of high-quality medical services to our clients or patients.

- The Candidate will play a key role in optimizing the network to enhance accessibility, quality, and cost-effectiveness of healthcare services.

Key Attributes:

- Market focused individual.

- Strong on relationships.

- High on energy.

- Strong on Execution.

- Team Player.

Key Responsibilities:

Network Development:

- Identify, evaluate, and onboard healthcare providers to expand the medical network.

- Negotiate agreements with healthcare providers to ensure favorable terms and conditions for both parties.

- Conduct regular assessments of the network to identify gaps and opportunities for expansion or improvement.

Provider Relations:

- Serve as the primary point of contact for healthcare providers within the network.

- Create positive relationships with providers to promote collaboration and cooperation in delivering healthcare services.

- Address provider concerns and grievances in a timely and effective manner.

Team Leadership and Management:

- Lead and manage a team of professionals responsible for medical network management.

- Provide guidance, support, and mentorship to team members to foster their professional development and growth.

- Foster a collaborative and inclusive team culture that values diversity and promotes innovation.

Network Optimization:

- Analyse data / trends and Implement strategies to improve network efficiency, accessibility, and cost-effectiveness.

- Stay informed about industry trends, regulations, and best practices related to medical network management.

Quality Management:

- Develop and implement quality assurance measures to ensure that providers adhere to established standards of care.

- Monitor key performance indicators (KPIs) related to provider performance, customer outcomes, and customer satisfaction.

- Take corrective actions as needed to address quality issues and improve overall performance.

Compliance and Regulatory Affairs:

- Ensure compliance with relevant healthcare regulations, laws, and accreditation standards.

- Keep abreast of changes in regulations and update network policies and procedures accordingly.

- Collaborate with legal and compliance teams to address regulatory issues and mitigate risks.

Qualifications:

- Bachelor's degree in healthcare administration, business administration, or a related field.

- Master's degree preferred.

- Minimum of 7 years of experience in healthcare management, with a focus on network development and provider relations.

- Strong knowledge of healthcare delivery systems, managed care principles, and healthcare regulations.

- Excellent communication, negotiation, and interpersonal skills.

- Proven leadership abilities with the ability to motivate and inspire a team.

- Analytical mindset with the ability to analyse data and make data-driven decisions.

- Ability to thrive in a fast-paced and dynamic environment.

- Preferred Fields: Network Management, Sales, Bancassurance.