Assistant Manager – Provider Relations & Wellness at Madison Group Limited

Duties and Responsibilities

The Assistant Manager will oversee the provider and wellness management from accreditation, onboarding, contracting and provider audits with price negotiations and development of a wellness program.  The Assistant Manager will also perform the following key functions:

1. Develop and coordinate a wellness program for all our clients including regular e-shots, health talks and wellness checkup
2. Develop a chronic disease management program for all the major chronic diseases that will assist clients in the management of their benefit for best outcomes
3. Prepare a drug formulary that is cost effective and ensures quality outcomes for our clients
4. Negotiate with providers and come up with different panels to take care of different products including wellness panels, low-cost panel etc
5. Negotiate for discounts and prices with all service providers in the panel
6. Onboarding and accreditation of new service providers to ensure the adequacy of the panel
7. Conduct regular Provider audits as per internal guidelines
8. Contracting of all service providers and ensuring we have all the KYC
9. Relationship and partnership building with all our providers
10. Support other departments on client relations
11. Provider engagement on outcome metrics that improves the quality of care and cost effectiveness
12. Develop a fraud matrix for detecting fraud and come up with mitigation factors

Qualifications, Experience and Personal Attributes

Qualified candidates are required to possess the following qualifications, experience and personal attributes:

• Bachelor of Medicine & Surgery Degree
• 2 years’ experience in a large hospital or insurance company
• Good communication skills
• Good problem solving skills
• Ability to Multitask

To be received by Friday 25th February, 2022.