Medical HMO Manager

2 days ago

Ortigas, Philippines Medicare Plus, Inc. Full time ₱104,000 - ₱130,878 per year

A manager for HMO (Health Maintenance Organization) operations is responsible for overseeing the daily operations of an HMO, ensuring efficient and effective healthcare service delivery, and managing various aspects of the business. This includes managing teams, streamlining processes, ensuring compliance with regulations, and maintaining strong relationships with healthcare providers and clients.

Key Responsibilities:

  • Team Management:Leading and motivating teams, providing guidance, and ensuring performance management.
  • Operational Efficiency:Overseeing daily operations, streamlining workflows, and optimizing resource allocation.
  • Client and Provider Relations:Maintaining positive relationships with clients (members) and healthcare providers.
  • Compliance:Ensuring adherence to healthcare regulations, industry standards, and internal policies.
  • Process Improvement:Identifying areas for improvement and implementing strategies to enhance efficiency and effectiveness.
  • Financial Management:May be involved in budget management and cost control.
  • Reporting and Analysis:Preparing reports on operational performance and analyzing data to identify trends and areas for improvement.
  • Strategic Planning:
  • Contributing to the development and implementation of strategic plans for the HMO's operations.

Qualifications:

  • Proven experience in HMO operations
  • Preferably a graduate of a medical-related course or with a strong medical background
  • 3–5 years of experience in a managerial or leadership role
  • Exceptional communication skills, both verbal and written
  • Strong leadership qualities with the ability to inspire and manage a team effectively
  • Excellent analytical thinking and confident decision-making abilities
  • Familiarity with ICD codes is an advantage
  • Personable, with the ability to build strong client relationships
  • Professional and pleasing personality, with a customer-oriented mindset

Job Type: Full-time

Benefits:

  • Health insurance

Work Location: In person

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