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