- Lead the affiliation of medical providers and medical doctors to provide services to clients and members- Negotiate and contract medical providers for agreed and discounted rates for their services- Manage the operations of the networks including settlement of claims, concerns and disputes. - Develop and maintain relationship with valued medical providers.- Evaluate providers utilization and analyze data utilizations of providers. Review of Utilization and provide analytics for renewing accounts and members- Create strategic planning for network operation, Customer Care and OPD services- Manage day to day complaint and escalation intake for Customer Care- Lead and manage the issuance of OPD LOA and Customer Care Contact Center- Approves within authority limit of availments of members- Initiate and promote quality customer service through Customer Care Contact Center- Plan and strategize improvements on customer service functions.- Provide answers to benefit inquiries and benefit availments. - Review and Analyze CSAT reports from accounts, members and providers.

- Responsible for smooth and seamless over all operation of day to day retainer clinics by keen oversight of the retainer nurses & physicians of corporate accounts, implementation of utilization management initiatives in retainer clinics and the supervision of the Medical Allied Officer (MAO) & Retainer personnel- Spearheads wellness programs of accounts and develops wellness strategies in accordance to their utilization- Initiates Utilization Management of accounts.- Creates and collaborates health and safety programs for the account in accordance to DOLE-BWC.- Recruitment and deployment of nurse and physician candidates and coordination with manpower agencies- Collaborates w/ sales team in marketing and developing services in retainer clinics to corporate accounts- Create and present Occupational Health and wellness programs to corporate accounts. - Analyzes the regular clinic reports submitted by the retainer nurses and reports the findings & corrective actions instituted whenever necessary on a quarterly basis. - Constantly identifies operational weaknesses thru regular review of reports, policies & SOPs and recommends measures to improve/enhance retainer clinic services- Responds and resolves issues, complaints & concerns of accounts with the retainer nurses within specified time frame.- Identifies affiliated providers per retainer clinic for purposes of redirection of availments as part of utilization management.- Approves OP LOAs from retainer clinics in accordance with the account’s benefit plan and within the assigned authority limit.- Recommends programs, strategies and controls of the assigned unit.

Oversee overall sales activity of the sales team- Conceptualize marketing activities both below and above the line.- Build relationship and partnership with clients and HMO partners.- Creation of clinic products to be offered to partners and clients.- Develop existing relations and source new clients for possible corporate partnership- Develop health and wellness programs to be offered to corporate clients- Study competitor activities and monitor market trends.- Assist in building customer service related activities.- Develop and initiate sales generating strategies through - Execution of continuous improvement in sales processes, sales structure and incentive schemes.- Create programs and strategic initiatives to ensure growth of sales production.- Establish and ensure compliance on operational policies and procedures including proper management of department transactions- Improvement of product’s competitive edge and expansion of marketing channels- Develop and design new products and product enhancement to be offered to new and existing clients/ accounts.

- Responsible for smooth and seamless operation of retainer clinics by keen oversight of the retainer nurses & mobile APE of corporate accounts, implementation of utilization management initiatives in retainer clinics and the supervision of the Medical Allied Officer (MAO) & Clinic Management Specialist (CMS)- Recruitment and deployment of nurse candidates and coordination with manpower agencies- Collaborates w/ sales team in marketing and developing services in retainer clinics to corporate accounts- Analyzes the regular clinic reports submitted by the retainer nurses and reports the findings & corrective actions instituted whenever necessary on a quarterly basis. - Constantly identifies operational weaknesses thru regular review of reports, policies & SOPs and recommends measures to improve/enhance retainer clinic services- Responds and resolves issues, complaints & concerns of accounts with the retainer nurses within specified time frame.- Identifies affiliated providers per retainer clinic for purposes of redirection of availments as part of utilization management.- Approves OP LOAs from retainer clinics in accordance with the account’s benefit plan and within the assigned authority limit.- Recommends programs, strategies and controls of the assigned unit.

- Lead, direct and Management of sales and marketing team ensuring productivity and efficiency of subordinates and sales team- Develop and implement new marketing strategies for the company.- Identify market opportunities to offer laboratory and clinic outsourcing.- Leads generation and maintain sales pipeline.- Create innovative outsourcing bundles to target clients.- Management of sales activities and cost to sales ratio.- Establish strategic external partnerships to negotiate innovative deals and tailor fit programs for clients.

- Management of all marketing, trade shows, events, advertising and promotional activities.- Build and maintain client relations (client relations management)- Create and offer personalized wellness programs for individual corporate clients.- Recruitment of clinic personnel and deployment to accounts. - Offer Annual Check Up management and create strategic clinic management services- Presentation and negotiation with prospective clients - Identify and attract new target markets and sales lead generation - Provide pre- sales and after sales support for corporate clients. - Monitor competitor activities and create strategic plans to counter competitor’s pricing. - Management of marketing team and sales team personnel including training. - Logistics monitoring. - Design and conceptualize new marketing ideas for the company.

- Accreditation of doctors, hospitals and clinics - Promotion of company products and stability to prospective doctors, hospitals and clinics. - Build and maintain provider relations - Manages and facilitates provider concerns while in coordination with different departments. - Utilization management. - Monitor balance billers and disaffiliation of balance billers. - Review and monitor provider contracts - Provider management- Create and develop safety and health programs for the company in accordance with occupational safety and health standards- Implement and maintain safety and health programs