Job Ref. No. JHIL047
Position: Provider Partnerships Executive
Jubilee Insurance was established in August 1937, as the first locally incorporated Insurance Company based in Mombasa. Jubilee Insurance has spread its sphere of influence throughout the region to become the largest Composite insurer in East Africa, handling Life, Pensions, General and Medical Insurance. Today, Jubilee is the number one insurer in East Africa with over 450,000 clients. Jubilee Insurance has a network of offices in Kenya, Uganda, Tanzania, Burundi and Mauritius. It is the only ISO certified insurance group listed on the three East Africa stock exchanges – The Nairobi Securities Exchange (NSE), Dar es Salaam Stock Exchange and Uganda Securities Exchange. Its regional offices are highly rated on leadership, quality and risk management and have been awarded an AA-in Kenya and Uganda, and an A+ in Tanzania. For more information, visit www.JubileeInsurance.com
We currently have an
exciting career opportunity for Provider Partnerships Executive within Jubilee
Health Insurance Limited. The position holder will report
to the Assistant Manager – Strategic Purchasing & Provider
Partnerships will be based at Head Office in Nairobi.
Role Purpose
Develop, manage, and
sustain relationships with healthcare provider’s network to secure
high-quality, cost-effective health care services.
Main Responsibilities
- Relationship
Management with providers and ensuring providers are reasonably satisfied
with the company.
- Participate
in formation of strategic partnerships with service providers through
various incentives and initiatives that motivates the providers to be
advocates of the company.
- Regular
updating of the Jubilee Insurance Provider Panel and timely sharing with
clients.
- Provider
onboarding and accreditation of service providers within set timelines to
ensure that quality and affordable providers are contracted by the company.
- Participate
in collection and system updates of provider KYC and licenses to ensure
compliance to any regulatory or health sector changes e.g., changes in the
health legislation affecting the business
- Analysis
of provider costs, claims, and provide data to inform decision making in
scheme cost controls
- Ensuring
all newly on boarded and existing Jubilee Health insurance panel of
providers have duly executed contracts.
- Assist
in carrying out country-wide provider audits to ensure that quality, cost
effective medical services can be guaranteed for clients.
- Liaising
with providers where validity of services rendered does not conform with
policy provisions, provider panel rules and acceptable medical practice
- Client
presentation and member education on wise benefit utilization and risk
management.
- Provide
guidance to the care management team, claims team, and contact center
agents on provider issues.
- Support
the business development and underwriting team in client servicing.
Key Competencies
- Market
Awareness
- Customer
Focus
- Continuous
Innovation
- Ownership
& Commitment
- Team
Spirit
Functional Skills
- Excellent
data analytical skills
- Performance
reporting and management.
- Relationship
Building skills
- Negotiation
skills
Qualifications
- Diploma
or bachelor’s degree in Nursing or Clinical Medicine
- Good
understanding of the concepts of medical insurance
- Proficient
in the use of Microsoft office suite and packages
How to Apply
If you are qualified and
seeking an exciting new challenge, please apply via Recruitment@jubileekenya.com quoting the Job
Reference Number and Position by 2nd November
2022 Only shortlisted candidates will be contacted.
