Provider Network Manager

Application deadline date has been passed for this Job.
This job has been Expired

Provider Network Manager

  • Post Date:March 7, 2023
  • Views 57
0 Applications
  • Career Level Manager
    Qualification Degree
    Experience 5-10 Years
  • Industry Health Care
Job Description

The Group wishes to invite applications from suitably qualified & experienced individuals to fill in the Provider network manager role that has arisen in our organisation.

Main Job Purpose

To develop and maintain relationships with Service Providers in line with Cimas Health Group Strategic goals and objectives, and to develop, maintain, and ensure implementation of Cimas medical aid tariffs after research, comparisons and data analytics.

The Role

  • Develops the Annual Operating Plan for the Department.
  • Oversees the identification and development of relationships with Service Providers in collaboration with the Medical Advisor and Head of Clinics in line with the Group’s goals and objectives.
  • Analyses trends in service provider behaviours and aligns with service providers whose practices are beneficial to Cimas members.
  • Engages with Service Providers on matters arising from the use of the tariffs and interaction with Cimas members.
  • Informs internal and external members, stakeholders, regulators and similar regarding Cimas relevant communications and business conditions.
  • Updates and improves the framework for the preferred service provider network to ensure correct registration, accreditation, good outcomes and informs the Managed Care staff accordingly.
  • Ensures that the Risk and Compliance requirements are followed in line with the relevant SOP’s.
  • Ensure there are systems in place to co-ordinate monitoring and follow-up of recommendations from internal and external audits.

The Person

  • Bachelor’s degree of Medicine and Surgery.
  • Master’s degree in Communications & Public Relations or Master’s degree in Business Administration an added advantage.
  • 5-8 years’ experience in healthcare service organization with knowledge of healthcare financing, management and implementation.
  • Holder of a valid Practicing Certificate with MDPCZ
  • Member of either ZIMA, CPCPZ or relevant specialist body
  • Ability to identify, communicate and ensure implementation of the agreed business objectives for the relevant unit.
  • Excellent verbal and written communication and able to clearly present complex situations | | Ability to plan and organise medium to long term objectives.

If you are interested and you meet the stipulated requirements, please submit your letter of motivation and CV to this email [email protected] no later than Tuesday the 14th of March 2023.

Clearly highlight the position applied for in the email subject.