Team Leader - Medical Services

What you do

Is responsible for day to day management of a multidisciplinary team of healthcare professionals providing 24/7 support to our international health customers accessing value based healthcare across the globe.

 

Key responsibilities include:

 

• To support and coordinate the effective placement of Treatment Guarantees to providers 24/7 across the globe, to ensure our customers have access to value based healthcare in a timely manner.

• To support and deliver strong clinical leadership and workforce planning in collaboration with global supervisor support group needs.

• Ensure strong cost containment for the department aiming to reduce treatment variations and avoidance medical costs.

• To act as a point of contact for clinical queries, claims adjudication, customer issue resolution and escalations, ensuring prompt and appropriate resolution for the customer.

• To provide coaching and on the job training to all team members to the standards required to perform the function of a Medical Advisor.

• Continuous improvement of the Medical team processes, and ensuring best practice processes are utilized within the Medical team.

• Effective management of the company’s Medical Services function and team ensuring appropriate liaison with helpline teams, claims function and the client services function as well as with external partner relationships.

• Ensuring all Medical team processes are aligned with the customer at the heart of our work and all other relevant business functions.

• Support delivery of strong case management for complex and high cost cases including Fraud.  Developing guidelines and protocols for the same.

• To assist in resolving value based negotiations where cost of treatment and/or quality of treatment provision is under review between Allianz Worldwide Care and a provider, physician or TPA.

• To ensure all existing operating service standards are consistently met 24/7 and to devise strategies to improve these in line with transformation objectives.

 

 

As the successful candidate for this Team Leader role, you will be able to show:

 

• Experience in the Health Insurance Industry is essential 

• Clinical experience in hospital / community practice desirable or Management professional qualification

• Previous Management Experience of people across remote and flexible locations desirable

• Project management or workforce capacity planning background would be advantageous

• Ability to work effectively within a global team environment where colleagues are working remotely 24/7.

• Strong boundaries in managing sensitive relationships whilst advocating for customers and different and competing stakeholders

• Ability to work well in a fast paced and busy commercial environment

• Highly motivated & proactive priority management style

• Strong communication and interpersonal skills

• Excellent leadership qualities & ability to delegate effectively

 

 

What we offer

Our employees play an integral part in our success as a business. We appreciate that each of our employees are unique and have unique needs, ambitions and we enjoy being a part of their journey.

 

We are there to empower and encourage you with your personal and professional development ensuring that you take control by offering a large variety of courses and targeted development programs. All that in a global

environment where international mobility and career progression are encouraged. Caring for your health and wellbeing is key priority for us