21 ago
|
Resources Global Professionals
|
Ciudad de México
21 ago
Resources Global Professionals
Ciudad de México
About This Role
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 you to do your best work, be engaged in meaningful ways, and continually develop the skills, competencies and qualities that set our team apart.
- Compensation commensurate with your qualifications, experience, and other factors including geographic location, market and operational factors.
- Total Rewards include: Medical, Dental, Vision, Life Insurance, Disability Insurance, 401(k) Savings Plan, Employee Stock Purchase Plan, Professional Development Program, Paid Time Off and Paid Sick Time (in geographies where legally required).
What We Do
At RGP, we're creating a future where businesses produce their best work without constraints. We've built a general network of over 2,600 experts across four regions, providing a comprehensive suite of solutions across on-demand talent, next-generation consulting, and outsourced services to support organizations at every stage of their growth journey. Trusted by Fortune 100 companies and emerging disruptors alike, we challenge conventional ways of working, drive growth, and pave the way for long-term success through bold innovation and fearless collaboration.
Our values guide everything we do and strengthen our commitment to people. By combining smart processes, human-centered design, and advanced technology, we celebrate our team's excellence and ensure we grow together. We believe in the power of continuous learning and development to drive both individual and organizational success. It's time to rethink how work gets done. Dare to Work Differently® with RGP.
RGP is proud to be an Equal Opportunity Employer and committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, national origin, gender, pregnancy, sexual orientation, gender identity, age, physical or mental disability, genetic information, veteran status, or any other legally protected trait and encourage all applicants to apply.
📌 Medical Provider Management Coordinator (Ciudad de México)
🏢 Resources Global Professionals
📍 Ciudad de México