Medical Network, Assistant Manager Manager
Role Summary
Bowties mission is to make insurance good again and our vision is to build a category-defining health insurance company.
As the Medical Network Manager you wont just be setting the strategyyou will be executing it. You will roll up your sleeves to dig into utilization data negotiate directly with clinic groups and handle complex daily operations shoulder to shoulder with your team members. If you love building systems from scratch and arent afraid to get into the weeds of medical operations this is the role for you.
About the Role
You will be working in a fast-paced organization that promotes cross-functional collaboration to overhaul our medical panels to provide best-in-class health / medical services to our members.
Your Key Responsibilities Include:
Key Milestones
First 6 Months: Get in the Weeds & Optimize
Panel Diagnostics: Dive deep into the raw usage data of our existing Group Medical panels. You will personally map out the friction points in the customer experience and implement immediate hands-on fixes.
Pricing & Renegotiation: Crunch the numbers on current pricing structures and get directly on the phone or in the room with healthcare providers to renegotiate terms enhancing Bowties bargaining power and securing better rates.
6-18 Months: Build & Integrate
Architect Our Network: Build Bowties proprietary medical network from the ground up. You wont just be conceptualizing the strategy; you will be drafting the SLAs onboarding the anchor clinics and establishing the operational workflows.
Cross-Functional Execution: Work directly in the trenches with our Product Tech and Claims teams to wire the medical journey (booking consulting) seamlessly into the insurance journey (pre-approvals direct billing).
BAU/Daily Operations
Frontline Provider Admin & Management: Actively manage relationships with panel doctors clinics and hospital groups. You will personally handle high-level escalations and complex daily issues that require a senior touch.
The success of this role will be measured by:
1. Panel Usage Optimization Map panel usage data; fix top friction points.
2. Network Build & Activation Onboard X anchor clinics with live direct-billing within 18 months.
3. Member Experience & Resolution Lift panel CSAT; cut escalation resolution time.
About you
Experience: 5 years of hands-on experience in healthcare administration health insurance network management or TPA operations; with at least 1 year of experience working on a network role within an insurance company.
A Builder Mentality: You are highly scrappy and execution-oriented. You thrive in a zero-to-one environment where you have to build the plane while flying it.
Negotiation & Persuasion: Proven direct experience negotiating fee schedules and contracts with medical providers. You know how to close a deal that benefits both the patient and the business.
Data-fluent: You dont need someone else to pull insights for you; you are comfortable looking at a spreadsheet of utilization data and spotting the story it tells.
Customer-Centric: You are deeply empathetic to the patient experience and are driven to eliminate the administrative hurdles they face in the healthcare system.
Strong communication skill with bilingual fluency in English and Chinese
And the following qualifications are preferred but not essential
Experience with network and panel development in GBA.
We Offer
Apart from a great career path and an opportunity to do good and do well we also offer:
Competitive package
Flexible work arrangement
Benefits include medical/ dental coverage and wellness programs
Employee discounts
Fun co-operative and flexible startup culture
Weekly sharing sessions and regular social gatherings
Excellent learning opportunities with Professional Development Sponsorship
About Bowtie
We are the first licensed virtual insurer (虛擬保險公司) in Hong Kong.
We believe that insurance is fundamentally good and we are here to bring the good back through our passionate innovative and customer-centric team.
By combining our deep domain expertise and our own proprietary modern technology we are building one of the most iconic category-defining health insurance companies in Asia.
We take pride in moving fast all the time and our track record in moving ahead in the game. Our digital insurance platform is also ranked #2 in the world in Sia Partners 2023 report.
As we grow were always looking for highly dynamic hands-on and passionate talent to join our team. If you are looking for a rewarding career where you will grow together with strong talents from different backgrounds and build products and services that bring a positive impact on the lives of millions of people in Hong Kong / Asia apply to our opening today!
Information collected will be treated in strict confidence and used solely for recruitment purposes.
The company will retain all applications no longer than 24 months of which will be destroyed thereafter.
We are an equal-opportunity employer. We do not discriminate on the basis of race sex disability or family status in the employment process.
Employment Type : Full Time
Experience: years
Vacancy: 1