Job Description:
To own and facilitate the onboarding process to ultimately ensure that the member understand the Managed care cover
To resolve all queries and escalations due to the onboarding process in the agreed SLA to ensure a high level of customer service to the members
To educate all stakeholders (Employer groups) on the products and benefits of the scheme
To continuously collate all feedback on the scheme service levels and to offer immediate resolution and to report back to the relevant employer group
To design wellness value and solutions that can be rolled out to members and employer groups to ensure that Total Health Trust managed care clients are well informed on general medical issues and scheme products
To represent the company at client functions and fora in order to keep key relationships with Employer groups
To conduct a periodic client clinical risk report
To own the renewals process, this includes new rates, amendments, SLA’s etc to ultimately ensure that the premiums are paid
To ensure that reports are received, analyzed, distributed and explained to the company and employer groups within the agreed timeline and relevant to the specific business area and need
To adhere to and live the organizational value.
Requirements:
Candidate must be a Medical Doctor.
Additional medical qualification will be an added advantage
Candidate must have minimum of 5 years Health Maintenance Organization (HMO) experience in similar role.
Candidate must also have minimum of 2 years clinical experience
Candidate must have advanced knowledge of NHIS regulatory guidelines, Medical Global Best Practices, Health Insurance, Products and Processes.
Excellent organizational, communication (verbal and written) skills and attention to detail
Other requirements:
Effective communication skills
Innovative and quick thinking capabilities
Innovativeness
Listening skills
Problem solving skills
Leadership skill
Integrity and transparent honesty
Negotiation skill
Relationship skill
Working with people
Planning and organizing skills
Apply via :
totalhealthtrustlimited.has-jobs.com
