Responsibilities:
1. Oversee and manage relationships with Third-Party Administrators in the hospital sector.
2. Ensure efficient processing of medical claims, adhering to industry standards and regulations.
3. Collaborate with cross-functional teams to streamline TPA-related processes for optimal efficiency.
4. Implement and enforce best practices in TPA management to enhance operational excellence.
5. Provide strategic guidance on TPA negotiations and contract management.
6. Stay abreast of industry trends and regulations impacting TPA operations.
7. Foster strong partnerships with TPA providers to optimize service delivery and customer satisfaction.
Requirements:
• Proven experience in TPA management within the hospital industry.
• In-depth knowledge of healthcare regulations and compliance standards.
• Strong negotiation and contract management skills.
• Excellent communication and interpersonal abilities.
• Demonstrated ability to optimize operational processes for TPA efficiency.
• Relevant educational background in healthcare management or a related field.
Note: Only candidates with a background in the hospital industry should apply.