Provider Network Managers at Teclab Management Services Limited

Posted on Tue 17th Jan, 2017 - www.hotnigerianjobs.com --- (0 comments)

Teclab is a specialist consulting firm dedicated to human resource services and management. Founded on a philosophy and style that has positioned her to consistently provide a reliable and effective work force as well as manage total overhaul, re-engineering and training services to her numerous clients since 2006.

We are recruiting to fill the vacant position below:

Job Title: Provider Network Manager

Location:
Lagos

Core purpose of the Job
  • You'll design and implement programs that help build and nurture positive relationships between the health plan, providers and practice managers.
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.
  • Manage 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.
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.
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
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 organization
  • Effective administration and cost effective Resource Management
  • Achievement of all set targets
Application Closing Date
7th February, 2017.

How to Apply
Interested and qualified candidates should forward their CV's to: [email protected]