Vendor Management Senior Manager

The role is responsible for planning, directing, and coordinating the medical and health services of the company (function or processes) including management of TPA relationship for hospital network development, management of network of medical specialist, review of processes, and engagement of new partners and processes for medical health services.

This role will oversee the management of vendor relationships and contracts to ensure the delivery of high-quality services and products.

KEY ACCOUNTABILITIES:

• Supervise and ensure smooth administration of health insurance by coordinating operational processes for services related to the company's medical portfolio, including arranging, and managing TPA partnership or network of medical specialist or relevant service partners for identified critical points across the health journey, including but not limited to:
• Access to medical network
• Claims administration
• Service delivery of well-being/health services (e.g. tele-consultation, wellness & prevention programs)
• Provide operational support: work with operations (UW, etc.) and frontline teams (Branch, Customer Care) to ensure product benefit and service delivery.
• Management of processes across the health journey—define service standards and operating policies towards improving efficiency and quality in delivering customer service; integrate provider services, in-house operations, and governance.
• Continuously review and evaluate the efficiency and effectiveness of service delivery methods, procedures, administrative and support systems; identify areas of improvement and define implementation strategies.
• Facilitate escalation and problem resolution, including corrective action planning by vendor for recurring issues or audit findings.
• Track, measure, report, and evaluate vendor performance according to contractual obligations and agreed-to service standards.
• Conduct periodic reviews with providers and business units to discuss vendor performance, issues, corrective actions, and anticipated events or changes.
• Put in place tools necessary for measuring vendor / medical specialist performance.
• Plan, direct, and spearhead health services initiatives and key partner programs.
• Collaborate with internal stakeholders, including procurement, legal and operational teams, to address vendor-related issues and drive continuous improvement.
• Keep abreast on current healthcare practices, changes in regulations, technology, and customer preferences to drive innovation and efficiency in vendor relationships.

EXPERIENCE & QUALIFICATIONS:

• Bachelor's degree in business, healthcare administration or related field
• Minimum 7 years of experience in managing medical / health insurance operations or administration from HMO or insurance company or vendor management, procurement in the health care industry
• Experience in setting up and/or managing operations processes supporting medical or HMO products, managing networks of Medical Specialist
• Experience in claims management and/or medical background preferred.
• Strong understanding of healthcare regulations, compliance requirements and industry standards
• Proven track record of successfully managing vendor relationships and contracts to achieve cost savings and operational efficiencies.
• Excellent negotiation, communication, and interpersonal skills.
• Ability to lead and develop a high performing vendor management team.
• Expert knowledge of the healthcare insurance market and relevant practices and regulations, and product solutions

• Mid-Senior level

• Full-time

• Management

• Insurance and Investment Banking