Job Description:
Job Objective:
The Provider Officer will support 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.
Principal 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.
Technical Competencies:
Accountability
Communication
HMO Industry Knowledge
Solution-oriented
Clinical Reasoning
Health System Strengthening
Relationship-Oriented
Organization & Planning
Team Management.
Job Requirements:
Graduate in a Health-Related Field (Nurse preferably)
Minimum of 4 years' work experience.