Key Responsibilities
Develop and coordinate the wellness program for all
our clients including regular e-shots, health talks and wellness check up
Develop a chronic disease management program for all
the major chronic diseases that will assist clients in management of their
benefit for best outcomes
Prepare a drug formulary that is cost effective and
ensure quality outcomes for our clients
Negotiate with providers and come up with different
panels to take care of different products including wellness panel, low cost
panel e.t.c
Negotiate for discounts and prices with all service
providers in the panel with an inclination towards value based reimbursement
model
Onboarding and accreditation of new service providers
to ensure adequacy of the panel
Conduct regular Provider audits as per internal
guidelines
Contracting of all service providers and ensure they
are all compliant as per the internal policies
Relationship and partnership building with all our
providers
Any other role that might be assigned
Skills and Competencies Required
Excellent communication and negotiation skills.
Ability to work independently and build effective
interpersonal relations
Bias towards innovation and development of new ideas
in problem solving
Professionalism in dealing with both internal and
external stakeholders
Extensive networking with service providers and other
medical insurers
Excellent analytical and monitoring skills
Integrity and honesty
Ability to multitask and handle pressure
Academic and Professional Qualifications required
Bachelor’s Degree in any Medical related field
Health Insurance certification will be an added
advantage
Work Experience
Minimum 3 years working experience in a busy Health
facility post internship.
Previous Health insurance experience is an added
advantage
How To Apply
Applications should be addressed to the Group Human
Resources Manager, Madison Group Limited, Email: hr_recruitment@madison.co.ke clearly
indicating the preferred branch, so as to be received by Friday
7th June, 2024.
