Provider Partnerships Executive

Date Posted: Oct. 28, 2022, 5:19 a.m.

Jubilee Insurance

Job Description

Job Ref. No. JHIL047

Role Purpose

Develop, manage, and sustain relationships with healthcare provider’s network to secure high-quality, cost-effective health care services.

Main Responsibilities

  • Relationship Management with providers and ensuring providers are reasonably satisfied with the company.
  • Participate in formation of strategic partnerships with service providers through various incentives and initiatives that motivates the providers to be advocates of the company.
  • Regular updating of the Jubilee Insurance Provider Panel and timely sharing with clients.
  • Provider onboarding and accreditation of service providers within set timelines to ensure that quality and affordable providers are contracted by the company.
  • Participate in collection and system updates of provider KYC and licenses to ensure compliance to any regulatory or health sector changes e.g., changes in the health legislation affecting the business
  • Analysis of provider costs, claims, and provide data to inform decision making in scheme cost controls
  • Ensuring all newly on boarded and existing Jubilee Health insurance panel of providers have duly executed contracts.
  • Assist in carrying out country-wide provider audits to ensure that quality, cost effective medical services can be guaranteed for clients.
  • Liaising with providers where validity of services rendered does not conform with policy provisions, provider panel rules and acceptable medical practice
  • Client presentation and member education on wise benefit utilization and risk management.
  • Provide guidance to the care management team, claims team, and contact center agents on provider issues.
  • Support the business development and underwriting team in client servicing.

Key Competencies

  • Market Awareness
  • Customer Focus
  • Continuous Innovation
  • Ownership & Commitment
  • Team Spirit

Functional Skills

  • Excellent data analytical skills
  • Performance reporting and management.
  • Relationship Building skills
  • Negotiation skills

Qualifications

  • Diploma or bachelor’s degree in Nursing or Clinical Medicine
  • Good understanding of the concepts of medical insurance
  • Proficient in the use of Microsoft office suite and packages

How To Apply

If you are qualified and seeking an exciting new challenge, please apply via [email protected] quoting the Job Reference Number and Position.

 

Only shortlisted candidates will be contacted.

Apply for this Job Now

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