Provider Relations Officer – Health

Position Overview

An exciting opportunity has arisen for a motivated professional to join our team. The job holder will develop, manage, and sustain relationships with healthcare provider networks to secure high-quality and cost-effective health care services. The main goal is to shape a comprehensive and integrated health care system by fostering a seamless and efficient service network.

Duties and Responsibilities

• Strategic Partnerships – Maintain continuous engagement with providers to ensure provision of high-quality, cost-effective care
• Provider Network Management – Maintain an updated provider panel, monitor adequacy of providers in all key regions, and conduct provider audits. Ensure the provider list and contacts are current and up to date
• Provider Relationship Management – Develop and maintain strong provider relationships to enhance provider and customer experience. Ensure that providers adhere to contract terms. Organize service meetings, conduct training on company processes, obtain provider feedback, and share relevant reports
• Provider Contracting – Assist in contracting of providers and managing the provider contract lifecycle. Ensure all current and upcoming providers have signed contracts and submitted all relevant documentation. Carry out system updates and filing of all relevant provider KYC documents and maintain reports
• Customer Service Support – Support the business development and underwriting team by attending client service meetings to ensure delivery of superior customer experience
• Compliance – Participate in collection and system updates of provider KYC and licenses to ensure compliance with regulatory or health sector changes, including changes in health legislation affecting the business. Provide compliance reports promptly and as required
• Cost Containment – Negotiate costs, analyze provider costs and claims, and provide prompt reports and data to inform decision making