Team Leader - Network
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Key skills for this role
About the Role
MedNet Global Healthcare Solutions seeks a Team Leader to oversee healthcare provider network operations. The role involves managing provider credentialing, contracting, performance analysis, and team development to ensure high-quality managed care services across multiple markets.
Key Skills for This Role
Responsibilities
- Support Network Manager in overseeing development, maintenance, evaluation, and expansion of healthcare provider network
- Manage provider credentialing and re credentialing activities ensuring compliance with company standards
- Conduct provider profiling, performance analysis, and market assessments to identify preferred providers and network enhancement opportunities
- Lead negotiations, contracting, and re contracting activities with healthcare providers ensuring cost efficiency and service excellence
- Maintain strong relationships with providers, insurance partners, and key stakeholders
- Monitor provider performance against established benchmarks and service standards
- Conduct network reviews, audits, and monitoring initiatives to identify service improvement opportunities and mitigate fraud and abuse risks
- Develop recommendations and reports to support informed decision making and continuous network performance enhancement
- Support quality assurance initiatives and ensure adherence to internal policies and operational procedures
- Serve as primary escalation point for provider related concerns and facilitate resolution across internal departments and external partners
- Conduct regular provider visits to strengthen partnerships and ensure alignment with MedNet policies and service expectations
- Deliver provider orientation programs, training sessions, and workshops to ensure awareness of MedNet products, procedures, and managed care concepts
Requirements
- Diploma or Bachelor's degree in Hospital Administration, Healthcare Management, Pharmaceutical Sciences, or related discipline
- Minimum 4 years' experience in TPA, health insurance, or managed care industry
- At least 2 years' experience managing or developing healthcare provider networks, preferably in GCC region
- Strong understanding of healthcare provider contracting, credentialing, network management, and healthcare market dynamics
- Knowledge of medical terminology, ICD and CPT coding systems
- Proficiency in Microsoft Office, particularly Excel and PowerPoint
- Strong analytical, negotiation, stakeholder management, and problem solving skills
- Excellent communication and relationship building abilities
- Proven leadership capability with ability to motivate and develop high performing teams
- Ability to work effectively in fast paced environment and manage multiple priorities
Full Job Posting
Company Overview
- MedNet Global Healthcare Solutions L.L.C. is a member of Munich Re and a leading managed care service organization serving healthcare needs across the region.
- The company is looking for a Team Leader of the Network team to support development, management, and optimization of the healthcare provider network.
Your Role
- Support the Network Manager in overseeing the development, maintenance, evaluation, and expansion of MedNet's healthcare provider network.
- Manage provider credentialing and re credentialing activities, ensuring compliance with company standards and quality requirements.
- Conduct provider profiling, performance analysis, and market assessments to identify preferred healthcare providers and network enhancement opportunities.
- Lead negotiations, contracting, and re contracting activities with healthcare providers while ensuring cost efficiency and service excellence.
- Maintain strong relationships with providers, insurance partners, and key stakeholders to support effective collaboration and business growth.
- Monitor provider performance against established benchmarks and service standards.
- Conduct network reviews, audits, and monitoring initiatives to identify service improvement opportunities and mitigate fraud and abuse risks.
- Develop recommendations and reports to support informed decision making and continuous enhancement of network performance.
- Support quality assurance initiatives and ensure adherence to internal policies and operational procedures.
- Serve as the primary escalation point for provider related concerns and facilitate resolution of network issues across internal departments and external partners.
- Conduct regular provider visits to strengthen partnerships and ensure alignment with MedNet policies and service expectations.
- Deliver provider orientation programs, training sessions, and workshops to ensure awareness of MedNet products, procedures, and managed care concepts.
Your Profile
- Diploma or Bachelor's degree in Hospital Administration, Healthcare Management, Pharmaceutical Sciences, or a related discipline.
- Minimum 4 years' experience within the TPA, health insurance, or managed care industry.
- At least 2 years' experience managing or developing healthcare provider networks, preferably within the GCC region.
- Strong understanding of healthcare provider contracting, credentialing, network management, and healthcare market dynamics.
- Knowledge of medical terminology, ICD and CPT coding systems.
- Proficiency in Microsoft Office applications, particularly Excel and PowerPoint.
- Strong analytical, negotiation, stakeholder management, and problem solving skills.
- Excellent communication and relationship building abilities.
- Proven leadership capability with the ability to motivate and develop high performing teams.
- Ability to work effectively in a fast paced environment and manage multiple priorities.
Why Join Us?
- Part of a respected organization backed by Munich Re's global expertise and commitment to excellence.
- Opportunity to contribute to the development of a high performing healthcare network while working alongside industry professionals.
Equal Opportunity
- Munich Re is an equal opportunity employer.
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