Provider Contract Executive

3 weeks ago


Brighton, United Kingdom Bupa Full time

**Provider Contract Executive**

**Bupa Victory House - **Trafalgar Pl, Brighton, Brighton and Hove, Brighton BN1 4FY**

Full Time Permanent (35 hours per week)

Flexible / Hybrid working options

£37,500 - £39,000 + fantastic benefits

Here you’ll be welcomed. We champion diversity and we understand the importance of our people representing the communities and customers we serve. You’ll find an inclusive environment where you can be yourself and where everyone is driven by the same purpose - helping people live longer, healthier, happier lives and making a better world.

Bupa Global is the international health insurance division of Bupa. We provide customers who want premium international coverage with products and services to access the healthcare they need anytime, around the world, whether at home or when studying, living, travelling or working abroad.

Bupa Global has offices around the world including London and Brighton (UK), Dublin (Europe), Miami (USA), Dubai (UAE, in partnership with OIC), Egypt and Hong Kong (China) as well as regional offices in mainland China, Singapore, the Dominican Republic, Bolivia, Panama, Guatemala and Ecuador.

**Role Overview**

To support the Provider Network Development Managers in Healthcare management in developing, improving and maintaining Bupa Global’s network of providers in Europe.

T o support research into the relevant approach for the market: direct contracting, hospital network access, cost management through Third party administrators or other third party arrangements, and to support delivery of the recommended approach, through to contract compliance and governance. You will also support a portfolio of providers / geographical areas delivering strong network position and cost management through direct contracting or relationships with external partners and correspondents.

**What you'll do**:

- T o support the implementation, development and maintenance of Bupa Global’s provider management strategy for the region, ensuring alignment with Bupa Global’s proposition development, sales and service agenda.
- Achieve personal targets and develop pipeline for future activity.
- Negotiate and oversee negotiations of contracts with providers to enable access to healthcare, delivering financial and commercial advantage through best price and quality care for our customers. Delivery should be in conjunction with sales, marketing, finance and operational areas of the business to ensure effective implementation and management.
- Support management of provider relationships ensuring delivery of high quality, customer focussed and cost effective healthcare to all Bupa Global members.
- Ensure that relevant records reflect up to date communications with providers facilitating prompt resolution of enquiries / issues.
- Act as point of referral for escalated queries. Within target markets, review and regularly monitor Bupa Global’s claim spend and procedures, and provider behaviour to ensure that opportunities for additional claims spend management are highlighted.
- Ensure results are incorporated into quarterly provider or partner review processes, and / or annual renewal processes. Within target markets, support the definition and execution of strategies to extend provider coverage e.g. to build doctors’ networks with agreed discounts and direct settlement, or other inpatient / outpatient direct settlement

**What you'll need**:

- The job holder should be educated to degree level or a suitable equivalent.
- Previous experience, preferably in private medical insurance or negotiation.
- Perfect command of English, both written and verbal. Other languages would be an advantage.
- Strong commercial knowledge of the health insurance industry
- Good commercial negotiation skills, able to deal with high level hospital administrators but also at operational management level.
- Ability to deliver projects on time, budget and within agreed quality.
- Proven track record of achieving targets with a consistent high level of quality.
- Ability to work under pressure in a fast paced environment
- Ability to influence business areas without having direct management responsibility.
- The jobholder is expected to understand and maintain a strong vision of Bupa Global’s overall business strategy and the role of the Healthcare Services function in creating competitive advantage and customer value.
- Within this framework the jobholder is required to consult with Sales, Marketing, Finance and Operational areas in determining purchasing and negotiating approaches in target markets.
- The jobholder is expected to work independently in building relationships and liaising with other areas of the business

**Why Bupa?**

We are a health insurer and provider. With no shareholders, our customers are our focus. We reinvest profits into providing more and better healthcare for the benefit of current and future customers.

Our benefits are driven by what matters to our people. It



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