Provider Relations Officer - Health

About the Role

The Provider Relations Officer - Health will be responsible for strategic purchasing, monitoring patient experiences, and managing relationships and contracts with healthcare providers to ensure high-quality, cost-effective care.

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.
• Carry out 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.