Assistant Manager, Network Development and Management

FIND YOUR 'BETTER' AT Blue Care

If you believe in better, we’d love to hear from you.

About the Role

Responsible to assist in establishing the strategy, creation, direction and evolution of the provider network. The incumbent will liaise with providers and conduct ongoing evaluation of network performance so as to ensure a complete, stable, accessible well-regarded and high-quality delivery system.Responsibilities:
Setup and maintain provider network
Initiate and maintain network provider for health services.

Administer credentialing process and operation of network provider.

Establish working procedure and identify control process for compliance to service standards.

Accomplish the requirement for panel network to perform eligibility check and EDI claims submission for accuracy and efficiency.

Conduct briefing/training to internal staff.

Attend panel meeting / facility visits for ensuring accur...