Total 4 job vacancies by Alliance Healthcare Group Limited

About the Opportunity

We are currently seeking dynamic professionals to join our managed Healthcare team to drive the development and expansion of our Healthcare service provider network.

What You'll be Doing

• Build strong and strategic relationships & partnerships with new and existing panel providers to drive improved value & outcomes for our patients and ensure that quality of care and operational targets are achieved.
• Manage day-to-day delivery of operational activities including project management, reporting, implementation, problem resolution and other activities to facilitate strong relationships with providers.
• Identify and resolve operational issues with a positive approach.
• Provide support in panel management, panel recruitment and engagement to facilitate seamless delivery of services.
• Provide insights to the development, review, and negotiation and of provider contracts.
• Manage communication with providers including escalations & resolutions to issues, provide advisory to providers regarding current processes, new or updated policies and procedures.
• Monitor, review, report and conduct analysis on provider performance, metrics and data such as billing, utilization, referrals, benefit design and service quality for operational and business planning.
• Review potential business opportunities, functional models, process improvements, and propose optimal solutions that enhances service efficiency, patience-centered care and patient experience.
• Drive improvement in patient care management.
• Support any other ad-hoc projects assigned by Supervisor.

What We Are Looking for

• Diploma in Health management services or business related courses.
• Highly developed interpersonal, communication and stakeholder management skills.
• Demonstrate positivity and adaptability towards day-to-day tasks.
• Exceptional analytical, organisation skills and problem-solving skills.
• Passional about driving change to improve business outcomes and promote improvement ideas.
• Strong knowledge of Singapore Healthcare provider community.

We regret to inform that only shortlisted applicants will be notified for a virtual interview.

To learn more about our Organization, please visit https://alliancehealthcare.com.sg.

We are seeking dynamic professionals to join our claims team in our corporate managed healthcare business segment.

Pay Rate: $13/h

Responsibilities:

Claims Management – Outpatient and Inpatient Medical Claims

• Understand and examine the provisions of medical policies to determine the patient’s/member’s level of medical coverage against the terms and conditions of the policy
• Provide accurate and efficient assessment of medical claims, validation, pre-authorisation of applications and LOG issuance
• Ensure evidence and claims information are documented and maintained in accordance to company compliance policies and SLA
• Work with the management team to share claim trends, analyse and interpret data in relation to medical claims and identify areas of improvement in the current medical claims cycle and SOPs
• Contribute to ad hoc projects, initiatives, and other activities such as new developments of Medical Claims solutions and processes

Requirements:

• Able to commit minimum 3 months period, 5 days a week (Mon to Fri)
• Able to commit to either fixed morning and/or fixed afternoon shifts
• Experience of claims process for medical claims, preferable in a Third-Party Administrator/Managed Healthcare environment is ideal
• Good Organisational skills and exceptional eye for details
• Good communication skills and stakeholder management skills

We regret to inform that only shortlisted applicants will be notified for an interview.

To learn more about our Organization, please visit https://www.alliancehealthcare.com.sg.

Job Description

We are seeking dynamic professionals to join our claims team in our corporate managed healthcare business.

The Job

• Provide accurate and efficient adjudication of claims, validation, pre-authorisation of applications and LOG issuance to meet operational and SLA targets
• Conduct regular review of current claims processes and working with internal stakeholders on developing new and improved processes to improve efficiency and overall claims experience
• Manage escalations and stakeholder relations
• Being a champion for change as well as providing on-going training and development for effective claims management.
• Liaise with the Insurance Company to verify exceptions as well as to resolve any complaints
• Conduct analysis, prepare periodic reports and presentation when required

Requirements:

• Strong technical understanding of the claims process for medical claims, preferably in a Third-Party Administrator/Managed Healthcare environment
• Highly developed interpersonal skills
• Excellent organisational skills and exceptional eye for details
• Passionate about driving change to improve business outcomes.
• Exceptional communication skills and stakeholder management skills

Interested applicant please click apply, or send in your resume to us. Kindly note that only shortlisted candidates will be contacted.

To know more about our organisation, please visit https://www.alliancehealthcare.com.sg

We are seeking dynamic professionals to join our claims team in our corporate managed healthcare business segment.

Pay Rate: $13/h

Responsibilities:

Claims Management – Outpatient and Inpatient Medical Claims

• Understand and examine the provisions of medical policies to determine the patient’s/member’s level of medical coverage against the terms and conditions of the policy
• Provide accurate and efficient assessment of medical claims, validation, pre-authorisation of applications and LOG issuance
• Ensure evidence and claims information are documented and maintained in accordance to company compliance policies and SLA
• Work with the management team to share claim trends, analyse and interpret data in relation to medical claims and identify areas of improvement in the current medical claims cycle and SOPs
• Contribute to ad hoc projects, initiatives, and other activities such as new developments of Medical Claims solutions and processes

Requirements:

• Able to commit minimum 3 months period, 5 days a week (Mon to Fri)
• Able to commit to either fixed morning and/or fixed afternoon shifts
• Experience of claims process for medical claims, preferable in a Third-Party Administrator/Managed Healthcare environment is ideal
• Good Organisational skills and exceptional eye for details
• Good communication skills and stakeholder management skills