Director, Health Provider Management

Director, Health Provider Management

The Director of Health Provider Management is responsible for leading the development and management of Manulife’s healthcare provider network. This role involves negotiating agreements with healthcare providers, ensuring the network's adequacy, and fostering positive relationships with providers to guarantee high-quality care for customers, all with ultimate goal of claim cost containment. 

Position Responsibilities:

• Design and execute strategies to establish and sustain a high-caliber provider network and third-party administrators (TPAs) when necessary.
• Engage in contract negotiations with healthcare providers, focusing on fee structures and performance standards.
• Oversee network performance and provider satisfaction, making enhancements as required.
• Identify and adopt the best practices in provider management for relevant markets.
• Work collaboratively with internal departments, such as operations, finance, marketing, corporate communication and product team, to ensure network alignment with organizational objectives.
• Analyze data and trends to identify opportunities for network growth and enhancement.
• Conduct analytics on network providers to evaluate performance metrics and deliver insights for relevant business teams.
• Ensure adherence to regulatory requirements and accreditation standards in provider network management.
• Lead a team of network management professionals, offering guidance and support to achieve objectives.
• Develop frameworks and guidelines in negotiating fees or discounts with providers based on price, volume, and outcomes.
• Collaborate closely with the Claims team to provide feedback to providers and, conversely, relay findings from provider performance analytics back to the Claims team.

Required Qualifications:

• A bachelor's degree in healthcare administration, business administration, or a related field. 
• Demonstrated experience in network and provider management or healthcare administration, with a minimum of 7 years in a leadership role. 
• Comprehensive understanding of healthcare regulations, compliance requirements, and industry trends. 
• Strong communication and negotiation abilities, with a talent for building and maintaining relationships with providers. 
• Skilled in data analysis and reporting, with the capability to leverage data for network optimization and cost containment strategies. 
• Familiarity with healthcare IT systems and network management tools. 
• Strategic thinking and problem-solving skills, with the ability to develop and execute network strategies that align with business objectives.

When You Join Our Team:

• We’ll empower you to learn and grow the career you want.
• We’ll recognize and support you in a flexible environment where well-being and inclusion are more than just words.
• As part of our global team, we’ll support you in shaping the future you want to see.

About Manulife and John Hancock

Manulife Financial Corporation is a leading international financial services provider, helping people make their decisions easier and lives better. To learn more about us, visit https://www.manulife.com/en/about/our-story.html.

Manulife is an Equal Opportunity Employer

At Manulife/John Hancock, we embrace our diversity. We strive to attract, develop and retain a workforce that is as diverse as the customers we serve and to foster an inclusive work environment that embraces the strength of cultures and individuals. We are committed to fair recruitment, retention, advancement and compensation, and we administer all of our practices and programs without discrimination on the basis of race, ancestry, place of origin, colour, ethnic origin, citizenship, religion or religious beliefs, creed, sex (including pregnancy and pregnancy-related conditions), sexual orientation, genetic characteristics, veteran status, gender identity, gender expression, age, marital status, family status, disability, or any other ground protected by applicable law.

It is our priority to remove barriers to provide equal access to employment. A Human Resources representative will work with applicants who request a reasonable accommodation during the application process. All information shared during the accommodation request process will be stored and used in a manner that is consistent with applicable laws and Manulife/John Hancock policies. To request a reasonable accommodation in the application process, contact recruitment@manulife.com.

Working Arrangement

Hybrid