What Jobs are available for Provider Relations in Malaysia?
Showing 5 Provider Relations jobs in Malaysia
Provider Relations Specialist
Posted 6 days ago
Job Viewed
Job Description
- Detail oriented with proven time management and organizational skills (including the ability to
engage in multiple task and meet deadlines /standards).
- International mindset to be able to work remotely/hybrid situation with colleagues.
- A growth mindset with positive attitude towards change and the ability to play an active role in
implementing change initiatives.
- Able to seek out best practices to effectively deal with diverse, complex and highly sensitive issues.
Developmental Value of Position:
- The opportunity to collaborate with a diverse, global team, gaining insights and perspectives from
colleagues across various regions.
- Take responsibility for driving individual performance while actively contributing to the teams overall
success.
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Experience/Knowledge, Education and Other Requirements:
- Minimum of 3 years of experience in Operations, Data Analysis, Marketing/Communications, or
Relationship Management, with a strong operational and customer/provider-facing background.
- Experience in insurance and healthcare industry.
- Proficiency in English; additional languages are an asset.
- Strong analytical and problem-solving skills. - International mindset with the ability to work remotely
with global colleagues, partners, and providers.
- Dedication to delivering excellent service to members, clients, and providers.
- Strong can-do attitude and high proficiency in relationship management, with an understanding of
multicultural behaviours.
- Action-oriented problem-solving approach.
- Excellent organizational, planning, and prioritization skills to meet deadlines.
- Proven experience in complaint management and improving customer service standards.
- Ability to assess situations, conduct research, gather relevant data, and provide constructive
feedback.
- Accountability for achieving personal results and contributing to team goals.
- Excellent communication skills, both verbal and written, including presentation skills.
- Positive role model with the ability to work independently and collaboratively with colleagues at all
levels.
- Experience in data interpretation and report drafting.
- Strong practical knowledge of MS Office applications, particularly Excel.
- Availability to travel up to 30- 50 % within the country & international
Personal Competencies Required:
- Self management - Management of time/priorities and the ability to adjust strategies as needed to
enhance personal productivity and also contributing to overall performance of the team.
- Balances stakeholders - Engages with multiple stakeholders and responds to potential conflicts
with a well balanced and a solution which is mutually beneficial.
- Communication - Would need to develop and delivery multi-mode communication that conveys a
clear understanding of the unique needs of different audiences.
- Conflict Management - Handling conflicts effectively which results with minimal
disruption/involvement of other stakeholders.
- Responsible decision making / persuasion - Using compelling arguments to gain the support and
commitment of others and able to make split second decision on operational commitments.
**About The Cigna Group**
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.
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                    Senior Processor Executive (Insurance - Provider Relations) - Cantonese
 
                        Posted 8 days ago
Job Viewed
Job Description
**Location:** Malaysia
**Language Requirement:** Must have proficiency in Cantonese (Verbal and written)
**Summary:**
**Senior Processor Executive:**
Handle enquiries from network providers including but not limited to card acceptance / PA / outstanding claim status / contractual & fee review
Provide administrative support including but not limited to report generation / system updates & maintenance / claim status checking / calls to network providers as ad hoc request / maintenance of network summaries / voucher request handling
Provide administrative support including but not limited to report generation / system updates & maintenance / follow-up with network providers via email / communication with Claims for processing
**Team Lead:**
Oversee and supervise subordinates in their day-to-day activities, to ensure contract compliance activities are carried out.
Oversee and supervise subordinates on admin support and network healthcare provider data maintenance in PCMS system, to ensure contract compliance activities are carried out.
**Job Responsibilities and Expectations**
· Handle phone call and email enquiries from our network provider regarding the medical cards, pre-authorization, referrals
· Handle enquiries related to contract renewal, fee review, portal access and movement notice
· Provide information on pre-authorization status, Guarantee of Payment Letter and claims
· Update and maintain accurate records of all inquiries and provider list
· Generate different reports and network summaries on regular and ad hoc basis.
· Handle movement notices and update internal systems.
· Create and maintain provider records, provider related codes and contract details in internal systems.
· Support onboarding of new providers.
· Send notification email to internal parties on ""Large Hospital Claim"" cases.
· Handle contract renewals and maintain system reference data.
· Check claims status upon receiving enquiries from network providers.
· Ensure all data entries and system updates are accurate and completed on time.
· Make calls to network providers upon ad hoc request.
**Team Lead:**
· Oversee and supervise subordinates on day-to-day activities. Manage the Team to perform the duties accurately and efficiently.
· Monitor performance of the team to ensure delivery of agreed KPI.
· Provide regular training to staff and new joiners.
· Maintain standard operating procedures in the team up-to-date and ensure the team's compliance to the agreed processes.
· Conduct regular communications and provide coordination with Team on the services. Establish internal escalation workflow.
· Make clear and justifiable decision and escalate to HK Team when (and only when) necessary.
· Prepare performance reporting for review on regular basis. Handle ad hoc tasks assigned by Team.
**Desired Experience:**
· With 1 year of experience in provider relations or health insurance
· Good communication and negotiation skills. Good analytical and problem solving skills
· Detail-minded and willing to accept new challenges
**Team Lead:**
· With at least 4 years of solid experience at Team lead level in provider relations or health insurance
· Strong sense of continuous improvement and desire to deliver quality outputs; strive to over-deliver on SLAs to improve and enhance work efficiency and quality
· Exceptional communication and negotiation skills.
· Strong analytical, problem solving and root cause identification skills and strong attention to detail
**About Cognizant** **:**
Cognizant (Nasdaq: CTSH) engineers modern businesses. We help our clients modernize technology, reimagine processes and transform experiences so they can stay ahead in our fast-changing world. Together, we're improving everyday life. See how at or @cognizant .
**#LI-CTSAPAC**
Cognizant is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.
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                    Senior Processor Executive / Team Lead (Insurance - Provider Relations) - Cantonese
 
                        Posted 14 days ago
Job Viewed
Job Description
**Location:** Malaysia
**Language Requirement:** Must have proficiency in Cantonese (Verbal and written)
**Summary:**
**Senior Processor Executive:**
Handle enquiries from network providers including but not limited to card acceptance / PA / outstanding claim status / contractual & fee review
Provide administrative support including but not limited to report generation / system updates & maintenance / claim status checking / calls to network providers as ad hoc request / maintenance of network summaries / voucher request handling
Provide administrative support including but not limited to report generation / system updates & maintenance / follow-up with network providers via email / communication with Claims for processing
**Team Lead:**
Oversee and supervise subordinates in their day-to-day activities, to ensure contract compliance activities are carried out.
Oversee and supervise subordinates on admin support and network healthcare provider data maintenance in PCMS system, to ensure contract compliance activities are carried out.
**Job Responsibilities and Expectations**
· Handle phone call and email enquiries from our network provider regarding the medical cards, pre-authorization, referrals
· Handle enquiries related to contract renewal, fee review, portal access and movement notice
· Provide information on pre-authorization status, Guarantee of Payment Letter and claims
· Update and maintain accurate records of all inquiries and provider list
· Generate different reports and network summaries on regular and ad hoc basis.
· Handle movement notices and update internal systems.
· Create and maintain provider records, provider related codes and contract details in internal systems.
· Support onboarding of new providers.
· Send notification email to internal parties on ""Large Hospital Claim"" cases.
· Handle contract renewals and maintain system reference data.
· Check claims status upon receiving enquiries from network providers.
· Ensure all data entries and system updates are accurate and completed on time.
· Make calls to network providers upon ad hoc request.
**Team Lead:**
· Oversee and supervise subordinates on day-to-day activities. Manage the Team to perform the duties accurately and efficiently.
· Monitor performance of the team to ensure delivery of agreed KPI.
· Provide regular training to staff and new joiners.
· Maintain standard operating procedures in the team up-to-date and ensure the team's compliance to the agreed processes.
· Conduct regular communications and provide coordination with Team on the services. Establish internal escalation workflow.
· Make clear and justifiable decision and escalate to HK Team when (and only when) necessary.
· Prepare performance reporting for review on regular basis. Handle ad hoc tasks assigned by Team.
**Desired Experience:**
· With 1 year of experience in provider relations or health insurance
· Good communication and negotiation skills. Good analytical and problem solving skills
· Detail-minded and willing to accept new challenges
**Team Lead:**
· With at least 4 years of solid experience at Team lead level in provider relations or health insurance
· Strong sense of continuous improvement and desire to deliver quality outputs; strive to over-deliver on SLAs to improve and enhance work efficiency and quality
· Exceptional communication and negotiation skills.
· Strong analytical, problem solving and root cause identification skills and strong attention to detail
**About Cognizant** **:**
Cognizant (Nasdaq: CTSH) engineers modern businesses. We help our clients modernize technology, reimagine processes and transform experiences so they can stay ahead in our fast-changing world. Together, we're improving everyday life. See how at or @cognizant .
**#LI-CTSAPAC**
Cognizant is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.
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                    Customer Relationship Management Manager (CRM)
Posted 16 days ago
Job Viewed
Job Description
Company Background:
Our client is a growing MLM company specializing in wellness products. In line with their expansion, they are looking for a Customer Relationship Management (CRM) Manager to be part of their dynamic team in Puchong .
Job Responsibilities:
- Design and implement CRM strategies that improve customer satisfaction, retention, and loyalty, while also creating meaningful post-purchase engagement.
- Develop creative methods to maintain customer interaction after purchase, ensuring customers feel continuous support from the company, even in cases without active sales representative contact.
- Maintain and optimize the CRM platform to ensure data accuracy, seamless automation, and efficient workflows with all data accessible for reference, analysis, and reporting.
- Create and execute loyalty programs, after-sales communication strategies, and educational content to build trust, strengthen relationships, and encourage repeat purchases.
- Deliver a consistent and supportive experience across every stage of the customer journey, working closely with cross-functional teams.
- Monitor and evaluate CRM campaign effectiveness, emphasizing post-purchase metrics such as repeat purchase rate, customer activity, and feedback.
- Ensure CRM practices comply with relevant regulations and data privacy laws, safeguarding customer trust and business integrity.
- Stay updated on CRM trends, tools, and technologies to introduce innovative solutions that enhance customer engagement and strengthen long-term bonds.
Job Requirements:
- Minimum a Bachelor's Degree in any relevant field.
- At least 6 years of working experience in CRM Management, customer experience or related field where 2 years in lead/ managerial level.
- Experience in customer segmentation, retention strategies and loyalty programs.
- Knowledge of data protection regulations and CRM best practices.
- Ability to manage multiple job in a fast-paced environment.
- Excellent communication and interpersonal skills to collaborate with internal teams and engage customers effectively
- Able to communicate in English & Mandarin (Due to business nature)
Working Hour:
Monday - Friday, 9:00am - 6:00pm
Only shortlisted candidate will be notify.
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                    Supervisor - Network Management Center (NMC)
Posted 1 day ago
Job Viewed
Job Description
Become a member of a global community! The international logistics industry is an integral piece of the global trade puzzle; we make the world go round. Global supply chain management is what we do, and at the heart of Expeditors you will find professionalism, leadership, and a friendly environment, all of which foster an innovative, customer service-based approach to logistics. Expeditors is a global logistics company headquartered in Seattle, Washington. As a Fortune 500 company, we employ over 19,000 trained professionals in a worldwide network of over 350+ locations across six continents. Expeditors satisfies the increasingly sophisticated needs of international trade through customized solutions and seamless, integrated information systems.
Our Mission
We recruit, train, and retain the very best logistics and technical experts the world over. We love to promote from within - more than 50 percent of our employees have been at Expeditors for five years or more. Our high retention rate is influenced by a unique compensation program for positions that are more than just jobs - they're chances to grow, do what you love and build a career with us!
Responsibilities and Tasks
Customer Engagement: Forming complete awareness of the customer's wants and needs and being always accountable to provide complete responses in operational calls. Ensuring that your customer SOP requirements are adhered to, and expectations are met or exceeded.
Data Competency: Validating complete, accurate, and timely data for all shipments. Including managing EDI transmissions and the integrity of internal and external reporting. The ability to analyze data and situations, breaking complex problems into solvable pieces providing key stakeholders, whether internal or external, details to make informed decisions. Present information in a manner that allows the end user the ability to understand if the process is working as designed.
Team Management: Employee development is key to this role, you must be capable of building up the team around you so that their abilities, experience and expertise match your own. Administratively responsible for not only yourself but managing and continuously monitoring the team's documentation of time worked (ATT), vacation, WFH, punctuality, and required training to ensure compliance.
Project and Program Management: The management and documentation of initiatives and projects. Working in concert with your managers and stakeholder(s) to ideate, plan, execute, and validate initiatives that have a direct and quantifiable benefit for the customer(s), Expeditors, and / or the NMC.
Financial Excellence: Developing a complete understanding of the NMC P&L, and your role in controlling those items within your control. The ability to explain your role in and impact to the Customer P&L including SPD, EPS, and expense to revenue.
+ (Preferred) Bachelor's degree in Business, Supply Chain/Logistics, Finance, Economics or related field, or equivalent
+ At least two years of experience working at Expeditors, or a similar corporate environment
+ Exceptional customer service, presentation, research, verbal and written communication
+ Effective interpersonal skills, including proven abilities to listen, comprehend, effectively communicate clearly and concisely to obtain positive results
+ Fluent in English
+ (Preferred) Qualifications in supply chain management or logistics (e.g. IATA/FIATA)
Expeditors offers excellent benefits:
+ Employee Stock Purchase Plan
+ Training and Personnel Development Program
+ Growth opportunities within the company
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