About This Role
We are seeking a GMM Medical Provider Management Specialist with deep technical expertise, strong financial acumen, and operational command of Major Medical Expense (Gastos Médicos Mayores) insurance.
- Location: Mexico City (Onsite – South of the city, Torre Manacar)
- Contract Term: 18-Month Contract
- Compensation: $30,000 – $40,000 MXN / month (Commensurate with experience)
What You Will Work On
In this role, you will play a key part in managing, strengthening, and optimizing our network of hospitals, doctors, diagnostic centers, and specialized medical service providers. You will drive medical cost containment, ensure high operational quality, negotiate competitive commercial terms, and collaborate closely with Claims, Legal, and Product teams.
Key Responsibilities
- Lifecycle Network Management: Oversee the end-to-end provider lifecycle—prospecting, onboarding, credentialing, contract renewals, modifications, and terminations.
- Commercial Negotiation: Partner with hospitals, physicians, oncology centers, and ancillary services to negotiate competitive rate schedules, package deals, discounts, and payment terms.
- Financial & Technical Analysis: Perform cost variance analyses, rate benchmarking, and medical expense reviews across specialties, regions, and service types to support cost containment.
- Operations & Claims Support: Act as the strategic liaison between Provider Management, Claims, Direct Payment, and Treasury to resolve billing, authorization, and payment friction.
- Compliance & Data Governance: Ensure all provider files contain validated legal, tax, banking, and professional credentials, maintaining strict audit-ready traceability.
- Performance Tracking & AI Optimization: Monitor key performance indicators (SLA compliance, average cost, claims frequency, utilization) and utilize data-driven insights to optimize network strategy.
What You Will Bring
Requirements & Qualifications
Education & Languages
- Bachelor’s Degree in Business Administration, Finance, Economics, Actuarial Science, Health/Hospital Administration, Engineering, or related fields.
- Professional English proficiency is required.
- Certifications in healthcare administration, insurance, negotiation, or financial analysis are a plus.
Experience
- Minimum of 3 years in medical provider management, medical network operations, GMM claims, direct payment, or hospital agreement administration.
- Demonstrated track record in commercial negotiation, rate structure analysis, and contract administration within the private healthcare or insurance sectors.
- Experience with claims experience analysis, preferred networks, and medical cost containment strategies.
What You Can Expect
- An inspirational place for you to do your best work, be engaged in meaningful ways, and continually develop the skills, competencies and qualities that set our team apart.
- Compensation commensurate with your qualifications, experience, and other factors including geographic location, market and operational factors.
- Total Rewards include: Medical, Dental, Vision, Life Insurance, Disability Insurance, 401(k) Savings Plan, Employee Stock Purchase Plan, Professional Development Program, Paid Time Off and Paid Sick Time (in geographies where legally required).
What We Do
At RGP, we're creating a future where businesses produce their best work without constraints. We've built a global network of over 2,600 experts across four regions, providing a comprehensive suite of solutions across on-demand talent, next-generation consulting, and outsourced services to support organizations at every stage of their growth journey. Trusted by Fortune 100 companies and emerging disruptors alike, we challenge conventional ways of working, drive growth, and pave the way for long-term success through bold innovation and fearless collaboration.
Our values guide everything we do and strengthen our commitment to people. By combining smart processes, human-centered design, and advanced technology, we celebrate our team's excellence and ensure we grow together. We believe in the power of continuous learning and development to drive both individual and organizational success. It’s time to rethink how work gets done. Dare to Work Differently® with RGP.
RGP is proud to be an Equal Opportunity Employer and committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, national origin, gender, pregnancy, sexual orientation, gender identity, age, physical or mental disability, genetic information, veteran status, or any other legally protected trait and encourage all applicants to apply.
