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- Develop and implement strategies which ensures a competitive edge in the market over the mid to long term
- Drive the development and implementation of cost containment strategies, with the support of various GEM participants, including the Cost Containment Manager, the sales team, the Managed Care team, the BI team, as well as other relevant participants
- Research market trends in the health care industry via media sources, articles, books, conferences and discussions
- Research and test new strategies that will lower healthcare costs
- Be accountable for the overall performance of our cost containment strategies in LATAM
- Act as a customer service advocate and ensure quality service excellence
- Assist and facilitate the implementation of new business
- Development and leadership of a high-performance team
- Recruit, equip, motivate, coach, train, evaluate, reward and retain quality resources
- Ensure that team has the tools, procedures and materials to maximize their performance
- Ongoing and frequent communication of business strategy and results to leaders and employees
- Creating and fostering an environment that is positive and production driven
- Leadership of optimized cost containment practices throughout the organization
- Develop and communicate a cost containment vision that is aligned with the company's strategic direction
- Define and communicate monthly and quarterly objectives, targets and metrics
- Leading and implementing system changes that enhance cost containment efforts
- Be accountable for the cost of saved dollar ratio in the department and enable your leaders to foster that culture with their teams.
- Optimize the revenue generated through cost containment while considering cost of operations.
- Successful implementation of cost containment strategies, with measurable results
- Right people in the right jobs meeting their mandated expectations
- High client satisfaction levels
- Develop and direct the management of the team to increase generated revenues by optimizing savings per bills, optimizing hit rate, and increasing productivity
- Optimize our relationships and monitor performance of our networks.
- Support the Business Development initiatives such as RFP's and Dead Claims Analysis
- Continue to improve management dashboards to monitor performance and productivity
- Manage appropriate staffing levels to support the company's profitability
- Ensure employee engagement and retention
- Fast learner
- Knowledge of the LATAM Healthcare Systems
- Knowledge of E-repricing and Go-Trex systems
- Knowledge of industry players (medical providers, networks, software vendors, competitors...)
- Strong ability to influence others at all levels
- Strong ability to organize and prioritize
- Strong analytical and critical thinking skills/outside the box thinking
- University degree
- 10 plus years leadership and/or cost containment experience
- Excellent communication skills in English (verbal and written)
- Bilingual
Assistant Director – LATAM Network Development - Mexico City, México - Global Excel Management Inc
Descripción
Job Description
Position Purpose and Description
This position exists to enhance the cost containment performance, that drive revenue and minimize overall claims costs, by ensuring that payments are aligned with the reasonable value of the services received by the insured members of our Corporate Clients.
Expected Outcomes & Actions
Success Measures
Major Job Accountabilities
KSA (Knowledge, Skills and Abilities/Attitudes)
Requirements and Qualifications
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