Provider Relations Officer – Health Job Old Mutual

Insurance Jobs, Old Mutual Jobs.

The job holder will be responsible for Strategic Purchasing, managing the Old Mutual Health Provider Network in Kenya and act as the liaison between Old Mutual and the service providers

Tasks & 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 & 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

• 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.

• 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

• 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