Wellness
& Medical Examinations Coordinator
Description
Equity Afia (EQA) was
established in 2015 under the umbrella of the Equity Group Foundation in
response to the growing need for affordable and accessible quality healthcare
for Kenyans.
The Equity Afia clinic
network has over 73 medical centres in 25 counties across the country operated
in a franchise model. The facilities are run by qualified and experienced
doctors who are alumni of the Equity Leaders Program to offer affordable, high
quality integrated & standardized health services.
The Wellness Coordinator
will coordinate Wellness programs and Medical examinations for the Equity Afia
medical centres, as well as care management.
They shall be
responsible for:
Developing wellness programs and customise wellness
programs based on clients needs.
Coordinating wellness health
screenings, physical exams, and other diagnostic tests for patients at Equity
Afia medical centres
Coordinating health education/
health promotion for our clients on topics related to wellness such as stress
management, nutrition, smoking cessation, exercise, healthy lifestyle changes,
among others.
Managing employee health plans
on behalf of our clients to ensure that they meet all regulatory requirements
Coordinating medical
examinations at Equity Afia medical centers as recommended by insurance and
corporates for life and medical covers
Vetting and confirming validity
of the service given by the service provider (Equity Afia) in relation to the
benefits covered, treatment given, adherence to payer/insurance panel rules and
cost of treatment.
Obtaining additional required
information on claims from providers, brokers, or clients, seeking medical
clarifications including medical reports, copies of investigation reports, etc.
Liaising with insurance
providers on scope of cover for various schemes
Assisting in conducting provider
(Equity Afia medical centres) audits whenever necessary.
Liaise with the insurance claims
assessor(s) for outpatient claims from Equity Afia medical centres and
coordinating on any information required to validate the claims.
Interacting with clients,
brokers, payers, and clinicians as needed, to resolve problems in a manner that
is legal, ethical, and consistent with the principles and policies of Equity
Afia
Identify & leverage on
opportunities for continuous quality improvement and process reengineering to
optimize operational efficiency and patient care at the Equity Afia facilities
Key Deliverables for this
position
Support in
business acquisition and renewal with corporates/insurance providers
Delivering well administered
Wellness/Medical examination programs for our clients
Liaison for Equity Afia and
insurance companies/ corporate clients, performing care management functions to
ensure accurate and timely dissemination of information to insurances
companies/ corporate clients
Qualifications
Qualifications
– External Diploma in
Clinical Studies (Nursing/Clinical Medicine/Nutrition/Physiotherapy/Public
health) or any other health related studies
Course in Wellness/Health
Education/Health promotion/ will be an added advantage.
Minimum of 5 years’ relevant
experience in a similar role.
Basic Understanding of the
Concepts of Insurance.
Proficient in the use of
Microsoft Office Suite and Packages.
Excellent interpersonal skills
Possess the ability to build
personal relationships with key business stakeholders and have distinguished
hands-on operational skills
How to Apply
Closing Date
Jan 16, 2023
