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 Old Mutual 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.
- Any other duty assigned by management.
SKILLS AND 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, KNOWLEDGE & EXPERIENCE
- Bachelor of Science in Nursing
- 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
44 open positions on Semasocial right now
· 8698 open positions in Nairobi County, Kenya
· 2 posted in the last 7 days
