Job Summary
The Provider Manager will manage the contracting, developing, and maintaining of relationships with healthcare providers. The position requires daily liaison with a Provider Network and collaboration with internal departments to ensure service quality.
- Minimum Qualification: Degree
- Experience Level: Mid level
- Experience Length: 4 years
Job Description/Requirements
Responsibilities:
- Hospital Visitation
- Conducting medical outreach programs when requested
- Reaccreditation/quality assurance check on hospital providers
- Reconciliation of hospital claims
- Provider Sensitization
- Execution of Medical Case Management/Disease Management activities.
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Technical Competencies:Â Â
- Accountability
- Communication
- HMO Industry Knowledg
- Solution-oriented
- Clinical Reasoning
- Health System Strengthening
- Relationship-Oriented
- Organization & Planning
- Team Management.
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 Requirements:
- Graduate in a Health-Related Field (Nurse preferably)
- Minimum of 4 years’ managerial experience.Â
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