Job Description:1 Implementation and management of overall operational effectiveness2 Provide contribution and operational support to the strategic direction of the business3 To ensure that all processes are in line with the organization’s objectives to ensure effective and efficient service to clients4 Consistently manage and lead teams in order to ensure operational service levels are met and ideally exceeded within the given service level agreement.5 To ensure the achievement of operational targets6 Identify and implement opportunities and strategies to improve quality and outputs7 Build and maintain strong relationships with internal and external stakeholders8 Understand and contribute to the overall financial performance of THT and Blue9 Track and manage staff performance and co-ordination within the enrolment and underwriting team10 To take responsibility of the health services department.11 To formulate and implement provider management strategies for organizational growth, competitiveness and leadership12 To continuously drive innovation and automation in order to enhance processes and customer experience13 To take end-to-end responsibility and accountability for dealing with escalation14 To ensure optimal utilization and compliance with available tools, policies and processes15 To ensure engagement with unit heads and zonal offices on different aspect of operations16 To adhere to and live the organizational valuesRequirements:• Candidate must be a Medical Doctor.• Additional medical qualification will be an added advantage• Candidate must have minimum of 10 years medical services experience in a Health Maintenance Organization (HMO)• Candidate must have minimum of 3 years Clinical experience• Candidate must have advanced knowledge of Government Rules operational guideline, Medical Professional guidelines, Regulatory Requirements, Operational Processes and procedures, Claims Processes, Case Management, Provider Management and call Centre, Administration and Enrolment• Excellent organizational, communication (verbal and written) skills and attention to detailOther requirements:• Innovative and quick thinking capabilities• Team Work• Analytical Skills• Decision Making skills• Leadership Skill• Integrity and Transparent honesty• Negotiation Skill• Persuading and influencing• Multi-Tasking• Strategic Management Skills• Conflict Resolution and Change Management• Presenting and Communicating Information• Coping with Pressure and Setbacks• Delivering Results and Meeting Customer Expectations
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