Assistant Manager- Medical Networks

About the role
The Assistant Manager for Medical Provider Management (MPM) is locally responsible for efficiently and effectively managing the Medical Provider networks. This role involves negotiating tariffs and facilitating the onboarding of Medical Providers with the objective of building a diverse portfolio of medical services that are financially beneficial to the organization. The Assistant Manager supports the MPM Manager/Senior Manager in leading the team and managing local provider relationships within the assigned region.

What you will do
Responsibilities will include, but are not limited to, the following:

• Support and drive the strategy devised by the Global & Regional Head of MPM.
• Deliver assigned objectives within the full scope of Medical Provider Management within the region, either individually or in coordination with a team of local MPM resources.
• Work on/lead projects (Global/Regional/Local Regulatory) as required for business continuity in the region.
• Consolidate, integrate, maintain, and develop a single AP Medical Provider Network in the region according to regional direction.
• Uphold the reputation of the company, beneficiaries, payers, and all other involved parties.
• Achieve targets set locally, regionally, and globally.
• Acquire medical services in accordance with the MPM strategy and manage empanelment requests from Medical Providers to ensure a comprehensive network at optimized costs.
• Implement the Local & Regional Delegation of Authority Policy (DOAP).
• Serve as the senior representative for the Oman provider network and the primary contact for hospitals, clinics, and pharmacies.
• Lead contract negotiations, tariff revisions, service expansions, and direct billing performance per DOA policy.
• Manage escalations, ensure provider satisfaction, and maintain strong strategic relationships with key network partners.
• Oversee all Oman MPM activities, ensuring alignment with corporate standards and regional strategy.
• Own and lead all regulatory deliverables mandated by the Financial Services Authority (FSA) under regional guidance.
• Coordinate with regulators, providers, internal legal, claims, and IT teams to ensure compliance with regulatory requirements.
• Lead the full transition from internal codes to Standard CPT pricing across contracted providers.
• Conduct technical tariff mapping, CPT validation, and price impact simulations to ensure cost-neutral implementation.
• Negotiate revised price lists with hospitals and clinics to avoid cost inflation and manage financial risks.
• Collaborate with Mapping and claims teams to validate coding accuracy and its financial implications.
• Lead the rollout of ePrescriptions across all contracted pharmacies and ensure seamless integration with Damani and PBM systems under regional direction.
• Drive the completion of regulatory mandated Single Point of Contact (SPC).
• Ensure providers adopt the required contractual terms, pricing structures, and regulatory clauses.
• Manage negotiations with Medical Providers to reduce average claim costs per network.
• Provide regional and local Medical provider cost analysis to facilitate cost containment and financial savings impact.
• Conduct tariff negotiation and renegotiations for new service inclusions with providers to maintain competitive pricing in line with defined benchmarks.
• Enhance Provider revenue structure to generate savings in alignment with the regional MPM strategy while complying with the regulatory framework.
• Support periodic reporting of MPM centrally and regionally.
• Maintain and update all required trackers, reports, and dashboards within the MPM function.
• Maintain valid Medical Provider data, hierarchy, and links for the region and update web interactive portal services.
• Manage negotiation of health check-up packages, Gatekeeper arrangements, and special schemes arrangements with Medical providers, ensuring adherence to specifications of Service Level Agreements (SLA).
• Provide weekly/monthly reports to the Manager and daily updates on priority matters.
• Manage MPM complaint resolution through investigation, closure, and escalations as needed.
• Adapt to the company’s Technical Infrastructure across all lines of business required to successfully deliver assigned objectives/tasks.
• Collaborate closely with all departments within the organization to resolve MPM-related queries.
• Ensure Medical Provider Management business continuity, efficiency, and service levels within the region.
• Participate in other activities/special projects as directed by the MPM Senior Manager and Regional Head of MPM MEA.
• AI Readiness: Work effectively in an environment shaped by artificial intelligence (AI), machine learning, data, analytics, and cloud-based tools, while using insights responsibly according to our standards of data governance, security, and ethical use.

What you will need
To be successful in this position you will need to have the following skills/experience:

• Bachelor’s / Master’s Degree; medical background preferred.
• 3-5 years’ experience in a network administration environment (preferably gained in hospitals, insurance companies, or third-party administrators).
• Physically fit to carry out duties.
• Strong logical thinking mindset and problem-solving abilities.
• Excellent communication (verbal & written), presentation, and interpersonal skills.
• Proficiency in written and verbal English, French, and Arabic; additional languages are an advantage.
• Leadership and motivational capabilities.
• Strong analytical skills.
• Good business and commercial acumen.
• Proficient relationship and stakeholder management skills.
• Capable of using a range of standard (Microsoft Office) and non-standard IT applications to support and enhance work.
• Legally permitted to work in the country of operations.
• Familiarity with the local medical/health industry.
• Flexibility and ability to work autonomously.
• Adaptability in communication style based on the target audience.
• Strong organizational, prioritization, and time management skills.
• Process-oriented with a target-driven mindset.
• A positive attitude towards challenges.
• Ability to thrive in a fast-paced, high-delivery work environment.
• High level of dependability, accountability, and integrity.
• Capability to perform under pressure and adapt to change, meeting unexpected demands.