Job Description

At AIA we\'ve started an exciting movement to create a healthier, more sustainable future for everyone. Sound like you? Then read on. WE ARE LOOKING FOR 1. To manage a panel of Providers that provides medical services with cashless facilities to At AIA we\'ve started an exciting movement to create a healthier, more sustainable future for everyone. Sound like you Then read on. WE ARE LOOKING FOR 1. To manage a panel of Providers that provides medical services with cashless facilities to covered members of AIA health insurance policies. 2. To build cordial business relationships with panel providers with regular dialogues sessions, communications and promotion/ marketing activities. 3. To support claims operations and act as an intermediary for operational matters between panel clinics and AIA Health Services. Provider Engagement: To create the GP Clinic Dialogues presentation deck to ensure panel clinics are updated with the latest information/ changes from AIAHS. To provide and receive feedback from providers by monitoring behaviour and evaluating the performance of hospital panel providers based on claims utilization, market best practice, service level, adherence Relationship Management/Communication: To oversee the handling of complaints from internal and external clients on services-related issues by panel providers especially issues related to claims, services-related issues by clinics, suspected high cost, churning of visits, MC-related issues etc. To conduct provider training sessions and proactively communicate with panel providers on new procedures and/or urgent updates to daily operational requirements of AHS. To oversee and track the swift resolution of operational issues related to internal AHS processes thru active operations meetings, collaboration with operation teams and interventions. Cost Management To support special projects that may incur significant savings and impact medical inflation. Patient Steerage Strategy To proactively manage the allocation and promotion of health events to preferred partners, such as Platinum Hospitals and clinics that want to work with AIA for new initiatives. To steer patients from tertiary/ secondary care to primary care by upskilling panel clinics, increasing procedures to perform in clinics and reducing referral to hospital/ specialist clinics. Proactively create a calendar of events for each year either by matching to the provider\'s calendar and/or populating an internal calendar.

Monster