Job Title: Provider, Network Manager
Location: Lagos

Job Description

  • 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.

Responsibilities

  • 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.

Requirements

  • 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

Qualifications

  • First Degree in Humanities, Master’s degree in business, health care management or related field
  • Minimum of 7 Years’ Experience, with 5 Years’ Experience in a Network Management Role.

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 modeling 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.

Application Closing Date
7th February, 2017.

Method of Application

Interested and qualified candidates should send their CV’s to: hr@teclab-ng.com

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