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Medical Tariff Officer at Old Mutual Kenya

3 months ago

Nairobi, Kenya Old Mutual Kenya Full time

Old Mutual Kenya is based in Nairobi and is part of a larger group that offers solutions in long-term savings, asset management and investment. We offer solutions to individuals and corporates underpinned by our core values which are: Respect, Integrity, Accountability and Pushing beyond boundaries.
SUMMARY


The job holder will be responsible for maintaining, compiling and uploading negotiated medical service provider pricelists in the system.

KEY ROLES AND RESPONSIBILITIES

Maintain accurate pricing schedules as per contract terms and negotiation outcomes.
Analyse pricing schedules from service providers to identify opportunities for negotiation.
Assist in negotiating pricing agreements with medical service providers by preparing counter proposals.
Assist to review and analyse service provider contracts to ensure compliance with pricing and contractual terms.
Compile and upload negotiated tariffs in the system
Assist in preparing tariff upload reports for compliance audits.
Assist in contract renewal and compliance processes

REQUIREMENTS
SKILLS AND COMPETENCIES

Good communication, negotiation and interpersonal skills
Good analytical and monitoring skills
High level of integrity and honesty
Team player, commitment and ownership
Basic understanding of health insurance
Basic understanding of computer skills

QUALIFICATIONS, KNOWLEDGE & EXPERIENCE

Diploma in Clinical medicine or its equivalent
At least 1 year experience in a busy private hospital or clinic setting
Prior experience in a health insurance company is not required