20 ago
|
Rgp
|
Ciudad de México
20 ago
Rgp
Ciudad de México
As our Medical Provider Management Coordinator, you will play a pivotal role in managing and optimizing our network of medical providers (hospitals, doctors, and ancillary services). You will drive direct commercial negotiations, evaluate market terms, and ensure seamless operational execution—delivering efficiency, quality, and regulatory compliance across our major medical insurance contracts.
What you will work on
Network Operations: Coordinate the onboarding, modification, and offboarding of medical providers, managing both legal and operational validations.
Commercial Negotiation: Lead direct negotiations with hospitals, clinics, and physicians to align with strategic goals and corporate policies.
Financial & Market Analysis: Perform comparative price benchmarkings and market analyses to ensure cost sustainability and competitiveness.
Contract & Compliance: Oversee adherence to payment terms and contractual obligations; support internal/external audits.
Cross-Functional Collaboration: Partner with Claims, Treasury,
and Product teams to optimize medical network operations and medical cost initiatives.
Data Integrity: Maintain accurate, up-to-date provider databases and ensure clear traceability of all contract updates.
What you will bring
Bachelor's degree in Business Administration, Economics, Engineering, Health, or a related field.
Minimum 2 years of experience in medical provider management within the insurance industry.
Experience with hospitals, clinics, physicians, or healthcare provider agreements.
Knowledge of medical claims and direct payment processes.
Experience in provider negotiations and rate benchmarking.
Strong Excel, analytical, and organizational skills.
Good understanding of healthcare and insurance regulations.
Strong communication and negotiation skills.
Intermediate English proficiency, both written and spoken.
Willingness and ability to work 100% onsite at Torre Manacar, Mexico City.
What you can expect
An inspirational place for yo
📌 Medical Provider Management Coordinator (Ciudad de México)
🏢 Rgp
📍 Ciudad de México