Provider Relations Officer at Old Mutual Kenya

Old Mutual

  • Kenya
  • Permanent
  • Full-time
  • 1 day ago
Old Mutual Kenya is based in Nairobi and is part of a larger group that offers solutions in long-term savings, asset management and investment. We offer solutions to individuals and corporates underpinned by our core values which are: Respect, Integrity, Accountability and Pushing beyond boundaries.Provider Relations OfficerKEY 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.
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