Provider Network Manager at Teclab Management Services Limited
Employment Nigeria
17-Jun-2016
LAGOS ,
Health
Teclab Management Services Limited - Our Client, a leader in the Health Industry, requires he Services of:
POSITION : Provider Network Manager
Job Description
Task Complexity:
- You are expected to work directly and give direct support services to your business unit as it relates to all assignments you may be given.
- Design and implement programs that help us build and nurture positive relationships between the health plan, providers and practice managers
- Implement strategies for the development of provider networks, identify gaps in network composition and services, and assist the network staff to prioritize contracting needs.
- Develop the provider network (physicians, hospitals, pharmacies, ancillary groups & facilities, etc.)
- Yield a geographically competitive, broad access, stable network that achieves objectives for unit cost performance and trend management, and produces an affordable and predictable product for customers and business partners.
- Evaluate and negotiate contracts in compliance with company contract templates, reimbursement structure standards, and other key process controls
- Establish and maintain strong business relationships with Hospital, Physician, Pharmacy, or Ancillary providers, and ensuring the network composition includes an appropriate distribution of provider specialties.
- Manages the development of a healthcare network.
- Oversees the negotiation of managed care or other payer contracts
- Responsible for daily activities, provider relations, and credentialing
- Anticipate customer needs and proactively develop solutions to meet them
- Solve complex problems and develop innovative solutions
- Review work performed by others and provide recommendations for improvement
- Forecast and plan resource requirements
Competencies
Job Specific Competencies (Skills/ Knowledge/ Attributes):
- Entrepreneurial and Numerical Competence
- Business Consulting and Development
- Competency Management
- Complaint & Conflict Management (Emergency/ Crisis Management)
- Customer Focus
- Information Management
- Learning and Self Development
- Negotiation
- Planning and Organizing
- Result Orientation / Strategic Thinking
- Personnel & Quality Standards
Qualification (s)
- First Degree in Humanities, Master's Degree in Business, Health Care Management or related field.
Job Specification (Experience & Training) Academic and Professional
- First Degree in Humanities or Social Sciences and MBA will be an added advantage. Minimum of 7 Years’ Experience, with 5 Years’ Experience in a Network Management Role.
- Key performance Objectives and Indicators To ensure that volume and value target is achieved through effective business development
- Volume and value of sales target achieved
- Relevance towards the overall success of the organisation
- Effective administration and cost effective Resource Management
- Achievement of all set targets
- Work Guide and References Company Handbook
- Divisional processes and Procedures
Competencies Required Strong Negotiation Skills and Experience
- Excellent problem solving skills, including the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action
- Excellent verbal and written communication and relationship skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others
Technical:
- Ability to develop and manage network strategies in a start-up environment
- Knowledge and experience in deployment of various reimbursement and risk-based methodologies
- Ability to utilize financial modelling and analysis in decision making
- In-depth knowledge of the network strategy and contracting process
Attitude:
- Must be Friendly, honest, transparent and diligent in all dealings.
How To Apply
Interested and qualified candidates should send their applications and CV's to:hr@teclab-ng.com
Sorry the application deadline for this job has elapsed
