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 full scope of Medical Provider Management within the region individually or in co-ordination with a team of Medical Provider Management resources locally, where applicable.

Work/lead the projects (Global/Regional/Local Regulatory) as required for the business continuity in the region.

Consolidation, Integration, Maintenance & Development of a single AP Medical Provider Network in the Region with regional direction.

Withholds the reputation of company, beneficiaries, payers and all other parties involved.

Ability to deliver on targets set locally, regionally and globally.

Acquires medical services in accordance with MPM strategy and manage empanelment request from Medical Providers to provide comprehensive network at an optimized cost.

Responsible for implementing the Local & Regional DOAP (Delegation of Authority Policy)

Act as the senior representative for the Oman provider network and the primary point of 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.

Fully own and lead all regulatory deliverables mandated by the Financial Services Authority (FSA) under the regional guidance.

Coordinate with regulators, providers, internal legal, claims, and IT to ensure compliance with the 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.

Work closely with Mapping and claims teams to validate coding accuracy and 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 the regulatory mandated SPC.

Ensure providers adopt required contractual terms, pricing structures, and regulatory clauses.

Manages negotiations with Medical Providers to reduce average claim cost per network.

Provide regional and local Medical provider cost analysis to facilitate Cost Containment & Financial Savings impact

Tariff negotiation and renegotiations/ new service inclusions with the providers to maintain competitive tariff in line with defined benchmarks.

Enhances the Provider revenue structure to generate savings in line the regional MPM strategy as applicable and in compliance with the regulatory framework.

Responsible for supporting periodic reporting of MPM centrally and regionally.

Maintain and update all the required trackers / reports/Dashboards required within MPM function

Maintain valid Medical Provider data, hierarchy, and links for the region and update web interactive portal services.

Manages the negotiation of health checkup packages / Gate keeper arrangements / special schemes arrangements with Medical providers with specification of SLA.

Provides weekly/monthly reports to the Manager and daily updates on priority matters.

MPM Complaint Management by investigation, closure and escalations as needed

Adapt to the entire Allianz Partners Technical Infrastructure within all lines of businesses required to successful delivery of the assigned objectives/tasks.

Closely works with all the departments within the organization to resolve MPM related queries

Guarantee Medical Provider Management business continuity, efficiency and service levels within the region

Other activities/ special projects as directed/ assigned by the MPM Senior Manager and Regional Head of MPM MEA from time to time.

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