Provider Relations Officer Job at Old Mutual
Provider Relations Officer Job at Old Mutual…See Details on how to apply for the vacancies available at Tanroads.
Old Mutual Limited is a pan-African investment, savings, insurance, and banking group. It is listed on the Johannesburg Stock Exchange, Zimbabwe, Namibia, and Botswana Stock Exchanges.
- Provider Relations Officer
Responsiblities:
- Provider contracting – contract medical service providers in Tanzania and manage the contract lifecycle.
- Provider network management – maintain an up to date provider panel, monitor adequacy of providers in all key regions.
- Conduct provider audits and Quality Assurance.
- Provider relationship management – organize service meetings, training on UAPOM processes, obtain provider feedback and share relevant reports on providers.
- Provider engagement and negotiation of rates for contracted services.
- Attend client service meetings and ensure delivery of superior customer experience.
- Support in business prospecting and business acquisition.
- Support business processing in tracking membership and card distribution issues.
- Support case management and assist in claims verification prior to settlement.
- Assist in claims processing and reconciliation with providers.
- Promptly respond to queries from providers, clients and intermediaries.
- Proactively escalate any identified risks or risk events.
- Any other duty assigned by management.
Qualifications;
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- Diploma/Bachelor in a Clinical or Business field.
- At least 2 years’ relevant experience in health insurance in Tanzania.
- Extensive knowledge of public and private healthcare providers in Tanzania.
- Experience in a busy hospital setting in Tanzania will be preferred.
- Any insurance certification will be an added advantage.
How to Apply
Interested applicants should CLICK HERE to apply.
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Applcation Deadline: 5th July, 2021.
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