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Manager: Provider Networks

Vacancy Details

Reference No.

SP3-6011

Synopsis

An exciting opportunity for an analytical and contracting Manager: Provider Networks exists in the managed care team. The successful candidate will utilise their relationship management experience to represent business at stakeholder engagements and promote network participation by healthcare providers. The position reports directly to the Executive: Managed HealthCare.

Description

  • Providing secretarial, administrative, logistical and research support in order to facilitate an efficient and organised environment supporting the providers,
  • Responsible for the distribution of communication to other departments and business areas, fielding, follow-up, and feedback on all strategic queries relevant to the management of our network providers.
  • Represent the business at Stakeholder Engagements and promote network participation by healthcare providers.
  • Provide substantiated commentary on the quality of network services and provider compliance with Scheme network agreements.
  • Support other areas with strategic requirements that support managed care activities.
  • Fulfil various stakeholder engagements as mandated by the head of providers to ensure strategic objectives as agreed with the clients are managed and executed timeously.

Requirements

  • Grade 12
  • 8- 10 years Medical Scheme Administration Experience (Funding)
  • 8- 10 years Successful track record in Provider Network Management
  • Must have experience in provider relationship management.
  • Experience in case / claims management will be advantageous.
  • Must have experience in the development and presentation of management reports.
  • Computer literacy and MS Office skills.
  • Sound Quantitative and qualitative analysis skills with ability to manage priorities.
  • Have ability to work well as part of a team.
  • Be responsible and reliable.
  • Have diligent work ethics with attention to detail.
  • Excellent communication and writing skills.

Position Type

Permanent

Work Level

Management

Salary

Market Related

Industry

Pharmaceutical And Medical/Healthcare

Salary Type

Annually

Package

Cost To Company

Affirmative Action

No

Geographic Location

Gauteng - Centurion