Job Overview

Allianz Partners is seeking an experienced Assistant Manager – Medical Networks to oversee medical provider relationships and support the development of its healthcare network in Oman.

The role focuses on provider contracting, tariff negotiations, regulatory compliance, cost optimization, and network expansion. The successful candidate will support regional Medical Provider Management (MPM) leadership while maintaining strong partnerships with hospitals, clinics, pharmacies, and other healthcare providers.

Key Responsibilities as Assistant Manager

• Support global and regional MPM strategies while managing assigned medical provider network activities in Oman.
• Develop and maintain a comprehensive healthcare network that delivers quality services at competitive costs.
• Act as the primary contact for hospitals, clinics, pharmacies, and key medical network partners.
• Lead provider onboarding, contract negotiations, tariff revisions, service expansions, and direct billing arrangements in accordance with delegated authority policies.
• Manage provider relationships, complaints, escalations, and service performance.
• Oversee Oman MPM operations and coordinate local, regional, and regulatory projects.
• Manage regulatory deliverables required by Oman’s Financial Services Authority (FSA) under regional guidance.
• Lead the transition to Standard CPT pricing, including tariff mapping, coding validation, financial impact assessments, and provider negotiations.
• Coordinate with claims and mapping teams to maintain coding accuracy and prevent unnecessary cost increases.
• Support the implementation of prescriptions across contracted pharmacies, including integration with Damani and Pharmacy Benefit Management (PBM) systems.
• Drive completion of regulatory-mandated SPC requirements and ensure provider compliance with contractual and pricing standards.
• Analyze provider costs, negotiate competitive tariffs, and identify opportunities for claims cost reduction and financial savings.
• Negotiate healthcare packages, special service arrangements, and service-level agreements (SLAs).
• Maintain accurate provider records, network information, dashboards, trackers, and management reports.
• Provide regular performance updates and support business continuity across Medical Provider Management operations.
• Collaborate with Legal, Claims, IT, and other internal departments to resolve network-related matters.
• Use AI, analytics, and digital tools responsibly while following organizational data governance and security standards Jobs in Oman.
• Support additional projects assigned by senior and regional MPM leadership.

Required Qualifications, Skills & Experience

• Bachelor’s or Master’s degree, preferably with a medical or healthcare background.
• 3–5 years of experience in medical network administration, ideally within hospitals, insurance companies, or Third-Party Administrators (TPAs).
• Strong understanding of Oman’s healthcare sector, medical provider networks, and related regulatory requirements.
• Experience in provider contracting, tariff negotiations, relationship management, and healthcare cost optimization.
• Knowledge of medical pricing, CPT coding, claims processes, and provider network operations is advantageous.
• Strong analytical, commercial, negotiation, and problem-solving capabilities.
• Excellent communication, presentation, stakeholder management, and interpersonal skills.
• Fluency in written and spoken English, French, and Arabic; additional languages are advantageous.
• Ability to support team leadership, motivate colleagues, and manage multiple operational priorities gulf Jobs. 
• Proficiency in Microsoft Office and relevant business applications.
• Strong organizational skills, accountability, integrity, and attention to detail.
• Ability to work independently, adapt to changing priorities, and perform effectively under pressure.
• Familiarity with data analytics, AI-enabled tools, and modern digital working environments.
• Must be legally permitted and physically able to perform the required duties in Oman.

How to Apply

Qualified candidates with relevant healthcare network management and provider contracting experience are encouraged to apply through the official Allianz Partners careers portal.

Apply Now for the Assistant Manager – Medical Networks position in Muscat, Oman.

Recruitment Notice: Allianz Partners does not accept unsolicited CV submissions from recruitment agencies outside its approved supplier network.