Provider Manager (Lagos Island and Southwest) at AXA Mansard

Job Overview

Location
Lagos, Lagos
Job Type
Full Time
Date Posted
1 year ago

Additional Details

Job ID
107375
Job Views
91

Job Description







  • To build and contract a network of Providers for the Company. To implement the provider network management strategy in Lagos and the South-West region. To manage the relationship between the Company and its Providers to ensure a seamless enrolee experience.



Role Qualification:



Academic/Professional:




  • MBBS/Degree from a reputable Tertiary Institution.

  • Relevant postgraduate (MPH, MSc, MBA) and/or professional qualification would be an added advantage.



Work Experience: 3 to 5 years professional in related position.



Key Responsibilities:




  • Receive requests and recommendations for provider sign-up based on certain criteria.

  • Signing up high-quality providers who deliver healthcare services at a reasonable cost.

  • Regular physical visits to providers weekly and monthly to foster good relationship.

  • Analyse provider’s performance and share feedback with provider with recommendations

  • Prepare monthly reports on medical operations, from all zones with recommendations for the Head of Operations.

  • Ensure that Health Care Providers comply with the agreement reached With AXA Mansard Health plans concerning billing and quality of medical care.

  • Synergy with the claims unit to ensure prompt payment of claims.

  • Oversee the smooth running of the various providers within the states within the region

  • Liaising regularly with the HMO coordinators and medical directors of the hospital to ensure good rapport and to gain trust.

  • Bi-annual hospital quality assurance check (physical visits)



Required Skills and Competencies




  • Knowledge of HMO Industry/Health Business.

  • Customer Service, Writing, Problem Solving and Presentation Skills.

  • Strong aptitude in decision-making, time management and problem solving.

  • Good negotiation and analytical skill.

  • Relationship management.

  • Strong interpersonal skills

  • Be detail oriented.

  • Must be customer focused and fast-paced oriented.

  • Intermediary level for excel database analysis.



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