We are currently seeking a high calibre professional to join our team as a
Manager, Medical Services. Principal Responsibilities In this role you will
Strategic Leadership
Manage the medical network, address any servicing issues and implement administrative and procedural changes with our providers, along with H&W solutions for our corporate
Management of Medical Network
Develop and enhance medical providers relationship, oversees medical provider onboarding and their end-to-end services, including cost control, contracting, fee schedule and panel doctor list maintenance, regular due diligence and re-credentialing exercises, provider quality control and 3rd party provider procurement management
Negotiating agreed fees for renewal and the utilization of specialized medications to control costs
Quality Assurance
Investigation and handling of complaints, disputes and disciplinary action of providers
Communicating with providers, including providing feedback on member experiences, updates on clinical best practices, and results of quality assurance reviews
Enhancing provider satisfaction and performance
Employee Benefits Health and Wellness Solution
Provide health and wellness solution to EB corporate clients, e.g., Health check plans, onsite vaccination, wellness day events management, etc
Cross-Functional Collaboration
Collaborate with claim departments, product development, EB sales, distribution, operations, risk and control and other stakeholders to integrate and deliver solutions
Qualifications
To be successful you will need
University graduate
Previous experience in medical network development for the insurance industry
Experience working in clinics and claims services is highly desired
Experience in health insurance and regulatory landscape
Strong leadership and team management skills
Excellent project management skills with attention to detail
Excellent communication and interpersonal skills
Strong problem-solving and analytical skills
Opening up a world of opportunity http://www.hsbc.com/careers HSBC is committed to building a culture where all employees are valued, respected and opinions count. We take pride in providing a workplace that fosters continuous professional development, flexible working and opportunities to grow within an inclusive and diverse environment. Personal data held by the Bank relating to employment applications will be used in accordance with our Privacy Statement, which is available on our website.
Issued by The Hongkong and Shanghai Banking Corporation Limited.