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Assistant Manager, Provider Relations
4 months ago
Madison Group Limited is a locally owned financial services holding company that specializes in Insurance and wealth management services. The Group comprises of Madison Life Assurance Kenya Limited, Madison General Insurance Kenya Limited, and Madison Investment Managers Limited. Madison Life Assurance Kenya was originally incorporated under Kenyan Laws in 1988 as Madison Insurance Company Limited (MICK) after a successful merger between Crusader Plc (1974) and Kenya Commercial Insurance Corporation.
Key Responsibilities
Develop and coordinate the wellness program for all our clients including regular e-shots, health talks and wellness check up
Develop a chronic disease management program for all the major chronic diseases that will assist clients in management of their benefit for best outcomes
Prepare a drug formulary that is cost effective and ensure quality outcomes for our clients
Negotiate with providers and come up with different panels to take care of different products including wellness panel, low cost panel e.t.c
Negotiate for discounts and prices with all service providers in the panel with an inclination towards value based reimbursement model
Onboarding and accreditation of new service providers to ensure adequacy of the panel
Conduct regular Provider audits as per internal guidelines
Contracting of all service providers and ensure they are all compliant as per the internal policies
Relationship and partnership building with all our providers
Any other role that might be assigned
Requirements
Skills and Competencies Required
Excellent communication and negotiation skills.
Ability to work independently and build effective interpersonal relations
Bias towards innovation and development of new ideas in problem solving
Professionalism in dealing with both internal and external stakeholders
Extensive networking with service providers and other medical insurers
Excellent analytical and monitoring skills
Integrity and honesty
Ability to multitask and handle pressure
Academic and Professional Qualifications required
Bachelor’s Degree in any Medical related field
Health Insurance certification will be an added advantage
Work Experience
Minimum 3 years working experience in a busy Health facility post internship.
Previous Health insurance experience is an added advantage