Inova Care Hiring! Full Time Provider Relations Specialist (Singapore) in - Ricebowl

WE’RE HIRING | Provider Relations Specialist

Key Responsibilities:

• Recruit, contract and maintain relationships with clinic, hospitals and ancillary care providers.
• Manage key provider relationships (including problem solving) to ensure a positive collaboration with the company.
• Analysis of provider network for adequacy in addressing access requirements, as well as the identification and recruitment of new providers to meet certain geographic or care needs.
• Work to ensure the quality of the provider network, as well as quality of all products and services offered by the company.
• Conduct provider orientations, provider education forums and site visits to ensure that network providers are knowledgeable of Inova Care products, operating procedures and services.
• Research and resolve misapplied claim payments or provider reimbursements.
• Issue EOP (explanation of provider payments)
• Collaborate with medical statistics unit and other company departments as required regarding the development and implementation of provider fee schedules.
• Ensure that company’s provider network recruitment and provider retention targets are satisfied.
• Weekly and monthly reports regarding provider network development and management activities.
• Support the company’s provider network goals and objectives regarding clinical pathways.
• Other tasks assigned by the company related to support the company’s growth, revenue and provider network objectives.

Performance Objectives:

• New provider recruitments according local markets targets
• 95% retention of provider network
• 100% credentialing of all network providers
• 100% usage of provider web portal and automated tools