Job description
Job Summary
Responsible for the overall strategic and operations direction of the medical insurance business to ensure the business aligns with and meets the company’s strategic objectives. Further, the other critical element of this role is management of the unique interplay between demand and supply of health services in the insurance system with an aim to achieve a high level of customer satisfaction on one hand and sustainable/profitable business retention on the other.
Key tasks and responsibilities
Cost reduction including claims, acquisition and administration costs.
Internal capabilities for sustainable change, including advanced analytics and business process improvement.
In conjunction with the Managing Director and the executive team develop robust strategy for the medical business that aligns with the overall company vision, mission, values and strategic direction.
Execute the medical business strategy including business development, production innovation, customer experience and staff performance management and development.
Ensure and effective risk management of the medical business to achieve the business objectives. This will also include continuous review and improvement of the medical business processes and systems.
Medical business claims management – ensure all claims are properly vetted and efficiently processed and paid.
Ensure excellent customer experience by ensuring smooth and efficient access to services from service providers and prompt interface with clients.
Manage service providers to ensure UAPOM customers receive efficient and effective access to satisfied and motivated service providers. In particular ensure that service provider accounts are properly maintained and promptly reconciled to enable efficient processing and payment of service provider payments.
Mentor and guide medical business staff to ensure the deliver the UAPOM brand promise and culture while achieving self-development.
Regularly report the performance of the medical business to the managing director and the management team in accordance with applicable structures and ensure medical business is fully aligned with the rest of the company by building effective teamwork within the department and with other departments.
Innovative/disruptive idea development and implementation e.g. integrated health care delivery and growth of Health Business.
Drive an innovation culture within the Health business – Innovation management framework, document innovation policy /collaboration/ adoption/cross functions & business etc.Lead the innovation process to generate ideas and develop viable innovation projects.Incubate early stage initiatives that have the potential to become long-term revenue opportunities
Monitor and report on innovation initiatives and provide support/oversight in conjunction with the Managing Director
Identifies and develops strategic partnerships for implementation of innovative ideas.
Any other duties as allocated by the managing director.
Academic/Professional Qualifications and experience
Degree in Health Systems, Business Management or Operations Management. MBA is an added advantage
Professional qualification in Insurance (ACII or FLMI or AIIK)
5 years’ experience in a senior management role.
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