Assistant Manager, Healthcare Clinic Network Management

Job Description - Assistant Manager, Healthcare Clinic Network Management (25000073)

Job Number:

25000073

Discover the GREAT in your career.

As a LIFE company, our customers are at the heart of all that we do. Being one of Asia’s leading insurers for over a century, we have built a long-lasting legacy of trust with our customers over many generations. At the foundation of this trust is Integrity, Initiative, and Involvement – from the way we treat every customer relationship with honesty and transparency, to our proactive approach of delivering the best possible solutions in both life and general insurance.

Integrity, Initiative, and Involvement is what guides us. It is what makes us do the right thing, take the lead, and choose ‘we’ over ‘me’. Our mission is to make life great for our customers because we understand what matters most to them, and we know how to help them protect it.

If you are looking to grow in an exciting career filled with opportunities and potential, we are seeking a professional to join our team as an Assistant Manager for the Healthcare Clinic Network Management team.

Job Purpose

• To support the management of the panel clinic network by assisting in clinic engagements, service agreements, grievance resolution, and operational improvements.
• The role ensures smooth coordination between clinics and internal teams to optimize service quality and cost efficiency, contributing to the success of the department.

The Role:

• Assist in identifying, onboarding, and managing panel clinics.
• Develop and maintain relationships with clinic management and practitioners.
• Support negotiations for service agreements, discounts, and other contractual arrangements with clinics.
• Monitor and report on trends in medical charges, clinic performance, and cost management initiatives.
• Assist in resolving grievances, including service issues, billing disputes, or operational concerns with panel clinics.
• Collaborate with internal teams to streamline processes and resolve issues.
• Evaluate clinic performance and suggest operational improvements to enhance efficiency and service delivery.
• Ensure panel clinics comply with medical regulations, ethical standards, and Company policies.
• Prepare reports on network performance, cost trends, medical service utilization, and issue resolution.
• Attend to any other tasks assigned from time to time.
• Takes accountability in considering business and regulatory compliance risks and takes appropriate steps to mitigate the risks.
• Maintain awareness of industry trends on regulatory compliance, emerging threats, and technologies in order to understand the risk and better safeguard the company.
• Highlight any potential concerns/risks and proactively share best risk management practices.
• Other responsibilities as needed.

The Person:

• Possess a Degree in a Healthcare-related field of studies. Majoring in Insurance would be an added advantage.
• Minimum of 3 years of experience in clinical practice, healthcare management, or medical insurance operations.
• Strong understanding of primary care clinical settings, medical cost structures, and treatment protocols.
• Experience in engaging with healthcare providers, including general practitioners and specialists.
• Demonstrated ability in negotiation and stakeholder management, particularly in medical service agreements and cost-containment initiatives.
• Strong communication, analytical, and problem-solving skills, particularly related to medical billing, claims, and grievance resolution.
• Familiarity with healthcare regulations, medical ethics, and industry practices.
• Experience in managing or supporting operational processes in medical insurance or healthcare networks.
• High level of integrity, takes accountability for work, and has a good attitude towards teamwork.
• Takes initiative to improve the current state of things and is adaptable to embrace new changes.

Great Eastern Malaysia is committed to Equal Employment Opportunity, and all qualified applicants shall receive fair and equal consideration for employment.

Entity: Great Eastern Life Malaysia

Employment Type: Permanent

About Great Eastern

Founded in 1908, Great Eastern is a well-established market leader and trusted brand in Singapore and Malaysia. With over S$100 billion in assets and more than 16 million policyholders, including 12.5 million from government schemes, it provides insurance solutions to customers through three successful distribution channels – a tied agency force, bancassurance, and financial advisory firm Great Eastern Financial Advisers. The Group also operates in Indonesia and Brunei.

The Great Eastern Life Assurance Company Limited and Great Eastern General Insurance Limited have been assigned the financial strength and counterparty credit ratings of 'AA-' by S&P Global Ratings since 2010, one of the highest among Asian life insurance companies. Great Eastern's asset management subsidiary, Lion Global Investors Limited, is one of the leading asset management companies in Southeast Asia.

Great Eastern is a subsidiary of OCBC, the longest established Singapore bank, formed in 1932. It is the second largest financial services group in Southeast Asia by assets and one of the world’s most highly-rated banks, with an Aa1 rating from Moody’s and AA- by both Fitch and S&P. Recognised for its financial strength and stability, OCBC is consistently ranked among the World’s Top 50 Safest Banks by Global Finance and has been named Best Managed Bank in Singapore by The Asian Banker.

To all recruitment agencies: Great Eastern does not accept unsolicited agency resumes. Please do not forward resumes to our email or our employees. We will not be responsible for any fees related to unsolicited resumes.