Medical Services Director
1 week ago
About AXA Philippines
We are seeking a skilled Medical Services Director to join our team in managing medical and health services. The successful candidate will be responsible for planning, directing, and coordinating the company's healthcare operations, including TPA relationship management.
Key Responsibilities:
- TPA Relationship Management: Manage relationships with Third-Party Administrators (TPAs) to ensure smooth hospital network development and effective claims administration.
- Network of Medical Specialists: Develop and maintain a network of medical specialists to provide high-quality services to clients.
- Process Review and Improvement: Continuously review and evaluate processes to improve efficiency and quality in delivering customer service.
- Vendor Management: Track, measure, and report vendor performance according to contractual obligations and agreed-to service standards.
Requirements:
- Graduate in business management, medical, paramedical, or other related courses.
- Minimum 5 years of experience in managing medical/health insurance operations or administration from HMO or insurance company.
- Expert knowledge of the healthcare insurance market and relevant practices and regulations, and product solutions.
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