Summary
Date Posted: Wednesday, February 01, 2023 , Base Salary: Not Disclosed

JOB DETAILS:

Job Purpose:
Reporting to the Team Leader Corporate Care Management, the role holder will be responsible for effective provider management to enhance cost saving measures, customer engagement and provider relationship.

Key responsibilities:
• Review provider applications and contracts.
• Negotiate rates with providers in line with Britam Cost saving strategy.
• Relationship Management of providers and ensuring they are reasonably satisfied with the company.
• Update provider panel/Contacts to ensure the list is current and up to date.
• Analysis of provider costs, claims, and provide data to inform decision making in scheme cost controls.
• Ensuring all current and upcoming providers have signed contracts and have submitted all relevant documentation, carrying out system updates and filing of all relevant provider KYC documents.
• Assist in carrying out country-wide provider audits to ensure that quality and cost-effective medical services are guaranteed for our clients.
• Provide guidance to the care management team, claims team and contact center agents on provider issues.

Knowledge, experience and qualifications required:
• Diploma in Nursing/Clinical Medicine or any other related diploma.
• Good understanding of the concepts of medical insurance.
• 2-4 years’ experience in provider management (Doctors and Hospitals).
• Proficient in the use of Microsoft office suite and packages.

Technical/ Functional competencies:
• Excellent communication, negotiation and interpersonal skills.
• Excellent analytical and monitoring skills.
• High level of integrity and honesty.
• Team player, commitment and ownership.
• Empathy and Customer Focus.
• Basic understanding of health insurance.


Work Hours: 8

Experience in Months: 48

Level of Education: Postgraduate Degree

Job application procedure

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