KEY TASKS AND RESPONSIBILITIES

• Strategic Purchasing – continuous engagement with providers to ensure provision of high-quality, cost-effective care
• Patient Experience monitoring – ongoing monitoring of patient feedback from the providers to guarantee great patient experience
• Provider network management - maintain an updated provider panel, monitor adequacy of providers in all key regions and conduct provider audits
• Provider relationship management – organize service meetings, training on UAPOM
• processes, obtain provider feedback and share relevant reports on providers
• Provider contracting – coordinate contracting of providers and managing the provider contract lifecycle.
• Customer service support - attend client service meetings to ensure delivery of superior customer experience.

SKILLS, KNOWLEDGE & COMPETENCIES

• Excellent communication and negotiation skills.
• Excellent interpersonal relationship skills.
• Extensive networking with SP and other medical insurers.
• Excellent analytical and monitoring skills
• Good decision-making skills.
• High level of integrity and honesty.

QUALIFICATIONS & EXPERIENCE

• Diploma/bachelor’s in nursing or clinical medicine
• At least 2 years’ experience in a busy hospital setting
• Prior relevant experience in health insurance is preferred
• Extensive knowledge of public and private healthcare providers in Kenya
• Any insurance certification will be an added advantage.