Careers

Duties & Responsibilities: 

A.  Network Strategy Execution & Provider Relations

• Support the execution of GlobeMed’s network strategies, policies, and provider engagement initiatives.
• Ensure healthcare providers are informed of GlobeMed’s policies, procedures, and updates.
• Maintain strong working relationships with healthcare providers and key stakeholders.
• Supervise day-to-day provider coordination activities and ensure service quality.

B.  Contracts & Rates Management

•        Support contract reviews, renewals, and rate revisions in coordination with the Network Relations Manager.
•         Participate in negotiations related to providing contractual and financial terms when assigned.
•        Ensure proper execution, documentation, and filing of provider contracts.
•        Monitor reconciliation processes and intervene when discrepancies arise.
•        Handle escalated provider complaints and coordinate solutions with internal departments.

C. Network Management & Coordination

•         Support implementation of contracting policies related to provider inclusion, suspension, or termination.
•        Coordinate communication of network changes to internal departments, including guarantor relations.
•        Ensure compliance with network selection criteria and operational standards.

D. Network Database & Data Quality Oversight

•       Supervise the collection, validation, and updating of provider data and questionnaires.
•         Ensure network database accuracy, completeness, and timely updates.
•         Oversee provider information published on internal systems and platforms.

E.  Policies, Procedures & MOPs

•         Ensure proper implementation of network-related policies and Modus Operandi.
•         Identify gaps in procedures and recommend improvements to the Manager.

F.  Analysis, Reporting & Cost Control

•        Supervise preparation of provider statistics, comparison studies, and cost analysis.
•         Support continuous cost containment initiatives and utilization reviews.
•        Ensure reporting tools and data outputs meet management requirements.

Qualifications: 

•         Bachelor’s degree in business administration, Finance, Insurance, Healthcare Management, or related field.
•         Master’s degree or health insurance diploma is an advantage.
•         5–7 years of experience in healthcare insurance, hospital administration, or network management.
•        Good understanding of provider contracts, hospital tariffs, medical billing rules, and accreditation standards
•         Strong supervisory and coordination skills.
•        Analytical and problem-solving capabilities.
•        Effective communication and stakeholder management skills.
• Ability to lead a team and manage multiple priorities.