To develop, manage, and optimize the provider network to ensure cost-effective, high-quality, and accessible healthcare services aligned with business objectives, customer satisfaction, and regulatory requirements.
Key Accountabilities - Network Strategy & Development Define and execute the provider network strategy (hospitals, clinics, diagnostics, pharmacies). Ensure optimal geographic coverage and specialty mix in line with regulatory mandates and BUPA / Client priorities. Identify and onboard high-quality providers aligned with pricing targets.
- Cost Management & Commercial Negotiation Lead tariff negotiations and contracting with providers. Drive cost containment initiatives (packages, bundled pricing, caps). Balance cost vs. quality vs. accessibility.
- Provider Relationship Management Maintain strong relationships with key providers (e.g., Mediclinic, American, Burjeel, Aster, including but not limited to top 30 groups). Act as escalation ...