Provider Business Partnering, Consultant – AIA Malaysia (Insurance)
AIA Malaysia (Insurance)
Healthcare
Role Summary
This role focuses on managing and enhancing relationships with healthcare panel providers, primarily hospitals, to ensure alignment with organizational goals, cost efficiency, and high-quality service delivery. The position involves evaluating new providers, monitoring performance, and supporting network strategies to control medical costs.
Job Description
The role involves managing and enhancing relationships with healthcare panel providers, particularly hospitals, to ensure alignment with organizational goals, cost efficiency, and high-quality service delivery. Responsibilities include evaluating new panel provider applications, coordinating documentation and site visits for provider selection, delivering performance review presentations, monitoring provider performance indicators, fostering collaborative relationships with healthcare providers, and supporting the implementation of network strategies to control medical costs.
Job Requirements
Bachelor's degree in healthcare management, business administration, or a related field.
Minimum 5 years of experience in hospital operations, insurance, or healthcare industry.
Preferred background as a medical doctor, nurse, or experienced professional in hospital billing, claims, or provider network management.
Strong understanding of hospital billing practices, medical claims processes, and insurance fraud detection.
Excellent interpersonal and negotiation skills to manage hospital relationships effectively.
Strong problem-solving abilities and attention to detail.
Effective communication and training capabilities.
Ability to analyse medical and financial data to support cost containment initiatives.
Quick Info
Company
AIA Malaysia (Insurance)
Location
Kuala Lumpur
Salary
Undisclosed
Skills Required
10 skills
Click to submit your application
Required Skills
Healthcare Management
Hospital Operations
Provider Network Management
Medical Billing
Medical Claims Processing
Insurance Fraud Detection
Negotiation Skills
Performance Monitoring
Data Analysis
Communication Skills
Application Tips
- Ensure your resume highlights relevant skills and experience
- Tailor your application to match the role requirements
- Double-check all information before submitting
- Submit your application as soon as possible to increase your chances