Provider Services Specialist

3 weeks ago

Dublin, Dublin City, Ireland Irish Life Group Services Limited Full time

Company: Irish Life Group Services Limited

  • Full Time Permanent position
  • Hybrid role based in our Dublin or Cork

What we offer

We have embraced a hybrid working model for most of our positions, allowing for a balanced approach of working from home and in the office.

We offer a comprehensive benefits package including competitive salaries and bonuses, robust Learning and Development support, excellent Defined Contribution pension, and comprehensive Wellbeing initiatives.

Reporting to the Senior Manager Provider Services, the Provider Services Specialist will be responsible for supporting the implementation of our out of hospital healthcare provider relationship strategy to improve our customers' health care experience, enable delivery of best practice care, and build strong collaborative relationships with medical and non-hospital healthcare providers.

The role will support the end-to-end management of our out of hospital clinics and medical consultants. Responsibilities include contract negotiations, ongoing relationship management, and monitoring the provision of quality, appropriate, and innovative services to ILH members.

The key responsibilities of the role will include:
  1. Support the implementation of our annual and medium-term negotiation strategy for medical consultants.
  2. Support the negotiation and management of contracts and agreements with medical consultants and out of hospital providers.
  3. Develop a deep understanding of consultant activity, claims patterns, and associated outcomes.
  4. Continuously review schedule rules/codes in terms of pricing and align with Consultant issues and new developments.
  5. Perform data analysis and reporting on codes in usage and volumes.
  6. Support the end-to-end delivery of our annual schedule of medical professional fees.
  7. Resolve contract/schedule issues and support management in resolution.
  8. Manage interactions with billing agencies regarding claim queries and annual distribution.
  9. Liaise and manage issues with internal ILH teams in relation to the schedule of medical professional fees.
  10. Support the team in devising a plan of action for internal changes due to market changes.
What you will help us to achieve
  1. A relevant specialist third level qualification.
  2. Good financial experience, with at least 2 years in a similar role, preferably in a Private/Public Hospital or Private Medical Insurer.
  3. Strong commercial focus and excellent business acumen.
  4. A proven track record in establishing rapport and trust for efficient negotiations.
  5. Ability to negotiate in fast-moving and pressured situations.
  6. Strong understanding of the healthcare industry.
  7. Flexibility to attend occasional onsite meetings.
  8. A passion for delivering excellent customer service and improving member experience.

The individual selected will be motivated to make a difference and significantly contribute to our business objectives.

Skills:

  1. Excellent communication and negotiating skills.
  2. Strong numerical capability.
  3. Medical provider knowledge.
  4. Proven interpersonal skills.
  5. Attention to detail and good follow-through.
  6. Highly motivated.

About us

Irish Life is one of Ireland's largest financial institutions, serving over 1.5 million customers across various financial services. We focus on developing and supporting our people's growth and professional development.

The company reserves the right to draw up a shortlist as part of the selection process. Where Agency assistance is required, the Irish Life Recruitment Team will engage directly with suppliers.

Irish Life is proud to be an Equal Opportunities employer, fostering an environment of inclusion and growth.

If you require any accommodations during the recruitment process, please contact lifecareers@irishlife.ie for support.

ILGL supports Equal Opportunity and is regulated by the Central Bank of Ireland.

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