PURPOSE:
The jobholder shall be responsible for management of service provider in relation to contracting, accreditation and rationalization of existing service providers.
PRIMARY RESPONSIBILITIES:
Maintain a cordial working relationship with providers within CIC provider network.
Perform provider audit to ensure quality services is accessed by CIC clients and enforce compliance to CIC rules and procedures regarding member access and policy exclusions.
Accredit new service providers to meet the client’s needs/demands.
Prepare monthly utilization report on performance of service providers and develop appropriate measures to contain cost.
Negotiate service fees upon contracting of new service providers, guided by the CIC rates and standard customary fees.
Proper documentation of all service provider contracts and ensure timely renewal as per the set guidelines.
Train Service providers on CIC service access procedure/processes, update on any changes at CIC in term of health products, existing processes, new schemes on board, terminated schemes and other related claim policies.
Engage service providers in negotiation for discounts and follow up to ensure it’s earned.
Liaise internally with other sections to ensure resolution of service provider related issues.
Regular update of the CIC provider panel and timely sharing with relevant stakeholders.
PERSON SPECIFICATIONS Academic Qualifications
Bachelor’s degree in Nursing(KRCHN), Health Management or in a related field
Computer Literate
Experience
Up to two (2) years relevant experience in provider relations section
Skills and Attributes
Excellent communication and presentation skills
Problem solving skills
Good analytical skills
Excellent interpersonal skills
Excellent customer care skills
Computer literate in MS Office and other office applications
If you have the aforementioned professional and academic qualifications and you are ready to execute the above mandate.
Strictly apply through https://cic.co.ke/job-application/ clearly indicating The Position being applied for. E.g. PROVIDER RELATIONS OFFICER – MEDICALThe application should reach us by close of business on 2nd March, 2021. Please note only short listed candidates will be contacted. If you do not hear from us by 12th March, 2021 consider your application unsuccessful.
Apply via :
cic.co.ke
