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

Related Jobs

Madison Group

Actuarial Analyst

Madison Group careers, Madison Group salaries. 2022 Job vacancies at Madison Group for Actuarial Analyst in Kenya. Apply today.

banking & insurance Nairobi, Kenya Nov/25/2022
Old Mutual

Broker Consultant

Old Mutual careers, Old Mutual salaries. 2022 Job vacancies at Old Mutual for Broker Consultant in Kenya. Apply today.

banking & insurance Nairobi, Kenya Nov/18/2022
Jubilee Insurance

Care Manager (Field)

Jubilee Insurance careers, Jubilee Insurance salaries. 2022 Job vacancies at Jubilee Insurance for Care Manager (Field) in Kenya. Apply today.

banking & insurance Nairobi, Kenya Nov/17/2022
Britam

Corporate Audit Assurance Manager

Britam careers, Britam salaries. 2022 Job vacancies at Britam for Corporate Audit Assurance Manager in Kenya. Apply today.

banking & insurance Nairobi, Kenya Nov/16/2022