• Application Deadline:
• Position: Provider Network Manager


• Job Type Full Time


• Qualification BA/BSc/HND


• Experience


• Location Lagos


• Job Field ICT / Computer 
  

Key Responsibilities and Accountabilities

• Sign up of providers across the region.


• Provider selection and management: enlisting, negotiation, delisting, rewarding, training, and enlightenment of providers on the network


• Working with other provider network managers in the region to develop the provider network


• Tariff negotiation and review


• Contract and SLA management


• Scheduling major and highly specialized patient procedures


• Referral and monitoring of complex cases


• Utilization Review Management


• Encounter data analysis


• Providers audit and quality assurance: this involves infrastructure audit, compliance and service quality


• Review of care delivery protocols


• Analysis of hospitals’ tiers and capability


• Quality assurance reports on providers to ensure compliance without compromising quality


• Provider complaint escalation and resolution.


• Cost control and cost containment.


• Ensuring healthy and mutually beneficial relationships between Bastion Health and providers


• Coordination of emergency cases

Key Performance Indicators

• Hospital spread – Lagos and southwest OR Abuja and North.


• Provider satisfaction index


• Customer satisfaction index


• Average encounter per member per provider


• Average length of stay in the hospital


• Average cost per encounter


• Claims ratio