Job Responsibilities :
- Develop and execute strategic plan to acquire and manage HMO providers across the region
- Provide thorough assessment and credentials of provide facilities.
- Ensure prompt attention and resolution to provider issues.
- Documentation of all formal provider complaints and issues with resolution plan and implementation dates.
- Drive required expansion of provider network within the regions.
- Organize and conduct provider forum annually.
- Maintain an updated provider directory.
- Ensure prompt investigation/resolution of complaints against provider from clients.
- Ensure effective case management/referral of enrollee on admission. Conduct frequent and timely provider education for the providers on the health plan.
Qualification:
- Medical Doctor with practising licence and a minimum of 2 years experience
- Knowledge of HMO and working with a HMO will be an added advantage.
- Must have conflict resolution and negotiations skill.
Kindly forward your resume to [email protected] with Provider Relation Officer as the subject of the mail.
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