We are a leading financial services provider committed to making decisions easier and lives better for our customers and colleagues around the world. From our environmental initiatives to our community investments, we lead with values throughout our business. To help us stand out, we help you step up, because when colleagues are healthy, respected and meaningfully challenged, we all thrive. Discover how you can grow your career, make impact and drive real change with our Winning Team today.

　　Working Arrangement

　　Hybrid

　　Job Description

　　Are you looking for a supportive, collaborative workplace with great teams and inspiring leaders? You’ve come to the right place. We’re looking for ambitious people who share our values and want to make every day better for people around the world. If this sounds like you, and the career below sounds exciting, we’d like to hear from you.

　　The Opportunity

　　The customer is the focus of everything we do, and millions of end users rely on our products daily. We believe in the value of empowering Head of TPA Management and Provider Relations with the resources to solve critical problems for the future of our business, which is why we need you.

　　On The Job You Will

　　Accountable to accelerate the achievement of Health business in Indonesia by building a solid foundation for administrating health insurance, with strong focus on indemnity product and services; with main focus on cost containment, provider relations and making sure seamless and best in class customer experience through all touchpoints.

　　Making sure to achieve cost containment initiatives in 4 pillars: provider management, cost management, fraud management, and TPA management.

　　Lead, plan and ensure smooth transition for any transformation initiatives, covering agreement, provider network, risk assessment, data migration and product knowledge and communication to relevant stakeholders.

　　Build and design solid foundation for administrating health insurance by managing providers and TPA relations

　　Ensure Providers have updated and reasonable clinical pathway and standard tariff, negotiate and continuous review of Providers cashless procedures, data and reports those needed, cashback and rebate.

　　Collaborate and work closely with TPA to ensure administrative process is meet agreed SLA, continuous review and improve administrative process for better customer experience.

　　Join data analytic with TPA to provide better insight and use the information to improve cashless process from registration, monitoring to discharge process.

　　Monitoring and tracking to achieve “payright” / “cost containment” by ensuring Case Management Team from Manulife and TPA work closely with Providers

　　Work with Health Product, Pricing and Health Strategy team in designing health product, provide Providers and TPA insight and challenges to ensure more innovative and effective health product design

　　Communicate and socialize any changes, new process to Distributions.

　　Individual Accountabilities:

　　Lead the Providers and TPA team in providing excellent service experience to customers

　　Develop, design, monitoring, review , and improve process relate with Providers and TPA from registration, monitor to discharge as well as Providers procedure and responsible.

　　Build and maintain relationship with Providers and TPA

　　Proactively work with across function within or outside Health to initiate idea or input that be able to grow health business including optimize and control the claim.

　　Achieve Payright from cashless facility

　　What motivates you?

　　You obsess about customers, listen, engage and act for their benefit

　　You think big, with curiosity to discover ways to use your agile mindset and enable business outcomes

　　You thrive in teams, and enjoy getting things done together

　　You take ownership and build solutions, focusing on what matters

　　You do what is right, work with integrity and speak up

　　You share your humanity, helping us build a diverse and inclusive work environment for everyone

　　We Are Looking For Someone With

　　Bachelor's degree in Medical or a related field with minimum of 5 years of experience in health insurance industry.

　　Strong understanding of the health insurance industry

　　Medical knowledge and strong analysis skill.

　　Knowledge of Provider and TPA

　　Strong driver and leadership skill

　　Effective communication skills, both written and verbal.

　　Excellent analytical and problem-solving skills.

　　Strong data analysis and interpretation abilities.

　　Ability to present complex information in a clear and concise manner.

　　Strong attention to detail and accuracy in data analysis

　　What can we offer you?

　　A competitive salary and benefits packages.

　　A growth trajectory that extends upward and outward, encouraging you to follow your passions and learn new skills.

　　A focus on growing your career path with us.

　　Flexible work policies and strong work-life balance.

　　Professional development and leadership opportunities.

　　Our commitment to you

　　Values-first culture We lead with our Values every day and bring them to life together.

　　Boundless opportunity We create opportunities to learn and grow at every stage of your career.

　　Continuous innovation We invite you to help redefine the future of financial services.

　　Delivering the promise of Diversity, Equity and Inclusion We foster an inclusive workplace where everyone thrives.

　　Championing Corporate Citizenship We build a business that benefits all stakeholders and has a positive social and environmental impact.

　　About Manulife and John Hancock

　　Manulife Financial Corporation is a leading international financial services group that helps people make their decisions easier and lives better. With our global headquarters in Toronto, Canada, we operate as Manulife across our offices in Asia, Canada, and Europe, and primarily as John Hancock in the United States. We provide financial advice, insurance, and wealth and asset management solutions for individuals, groups and institutions. At the end of 2022, we had more than 40,000 employees, over 116,000 agents, and thousands of distribution partners, serving over 34 million customers. At the end of 2022, we had $1.3 trillion (US$1.0 trillion) in assets under management and administration, including total invested assets of $0.4 trillion (US $0.3 trillion), and segregated funds net assets of $0.3 trillion (US$0.3 trillion). We trade as ‘MFC’ on the Toronto, New York, and the Philippine stock exchanges, and under ‘945’ in Hong Kong.

　　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 .