Provider Partnerships Executive Job in Kenya

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Provider Partnerships Executive Job in Kenya

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.