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 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.