Core purpose of the Job
You’ll design and implement programs that help build and nurture positive relationships between the health plan, providers and practice managers.
Task Complexity
You are expected to work directly and give direct support services to your business unit as it relates to all assignments you may be given.
Design and implement programs that help us build and nurture positive relationships between the health plan, providers and practice managers
Implement strategies for the development of provider networks, identify gaps in network composition and services, and assist the network staff to prioritize contracting needs.
Develop the provider network (physicians, hospitals, pharmacies, ancillary groups & facilities, etc.)
Yield a geographically competitive, broad access, stable network that achieves objectives for unit cost performance and trend management, and produces an affordable and predictable product for customers and business partners.
Evaluate and negotiate contracts in compliance with company contract templates, reimbursement structure standards, and other key process controls
Establish and maintain strong business relationships with Hospital, Physician, Pharmacy, or Ancillary providers, and ensuring the network composition includes an appropriate distribution of provider specialties.
Manage the development of a healthcare network.
Oversees the negotiation of managed care or other payer contracts
Responsible for daily activities, provider relations, and credentialing
Anticipate customer needs and proactively develop solutions to meet them.
Qualification (s)
First Degree in Humanities, Master’s degree in business, health care management or related field
Job Specification (Experience & Training) Academic and Professional: First Degree in Humanities or Social Sciences and MBA will be an added advantage.
Minimum of 7 Years’ Experience, with 5 Years’ Experience in a Network Management Role.
Job Specific Competencies (Skills/ Knowledge/ Attributes):
Entrepreneurial and Numerical Competence
Business Consulting and Development
Competency Management
Complaint & Conflict Management (Emergency/ Crisis Management)
Customer Focus
Information Management
Learning and Self Development
Negotiation
Key performance Objectives and Indicators:
To ensure that volume and value target is achieved through effective business development
Volume and value of sales target achieved
Relevance towards the overall success of the organization
Effective administration and cost effective Resource Management
Achievement of all set targets
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Applicants should forward their CV’s to: hr@teclab-ng.com
Apply via :
hr@teclab-ng.com
