Provider Relations Officer

5 days ago

Nairobi, Nairobi Area, Kenya Old Mutual South Africa Full time 900,000 - 1,200,000 per year

Lets Write Africa's Story Together
Old Mutual is a firm believer in the African opportunity and our diverse talent reflects this.

Job Description
The job holder will be responsible for Strategic Purchasing, managing the Old Mutual Health

Provider Network in Kenya and act as the liaison between Old Mutual and the service providers.

Key Tasks And Responsibilities

  • Strategic Purchasing – continuous engagement with providers to ensure provision of
  • high-quality, cost-effective care
  • Patient Experience monitoring – ongoing monitoring of patient feedback from the
  • providers to guarantee great patient experience
  • Provider network management - maintain an updated provider panel, monitor
  • adequacy of providers in all key regions and conduct provider audits
  • Provider relationship management – organize service meetings, training on UAPOM
  • processes, obtain provider feedback and share relevant reports on providers
  • Provider contracting – coordinate contracting of providers and managing the
  • provider contract lifecycle.
  • Customer service support - attend client service meetings to ensure delivery of superior customer experience.

Skills, Knowledge & Competencies

  • Excellent communication and negotiation skills.
  • Excellent interpersonal relationship skills.
  • Extensive networking with SP and other medical insurers.
  • Excellent analytical and monitoring skills
  • Good decision-making skills.
  • High level of integrity and honesty.

Qualifications & Experience

  • Diploma/Bachelor's in nursing or clinical medicine
  • At least 2 years' experience in a busy hospital setting
  • Prior relevant experience in health insurance is preferred
  • Extensive knowledge of public and private healthcare providers in Kenya
  • Any insurance certification will be an added advantage.

ANTI-MONEY LAUNDERING (AML) EXPECTATION
The incumbent will be responsible for ensuring adherence to, implementation of, and adoption of Compliance, Anti-Money Laundering (AML), and Sanctions-related policies, procedures, and process requirements within Old Mutual and its subsidiaries. This includes execution of customer due diligence processes, ensuring compliance with Know-Your-Customer (KYC) standards, conducting ongoing and enhanced due diligence, and maintaining data quality. Additionally, the role involves identifying and monitoring potential AML, Sanctions, or Compliance breaches and unusual activities, and escalating these concerns to the Risk and Compliance Office for further action.

Skills
Consultative Selling, Customer Complaint Management, Customer Feedback Management, Customer-Focused, Customer Relationship Management (CRM) Software, Customer Service, Customer Service Operations, Customer Understanding, Data Management, Digital Consumer Engagement, Identifying Sales Opportunities, Probing Questions, Sales Data Management, Strengthening Customer Relationships, Upselling

Competencies
Action Oriented

Communicates Effectively

Customer Focus

Decision Quality

Ensures Accountability

Interpersonal Savvy

Manages Ambiguity

Manages Complexity

Education
Bachelor of Science in Nursing (BScN)

Closing Date
09 September 2025 , 23:59

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