Summary
Date Posted: Tuesday, April 30 2024, Base Salary: Not Disclosed

JOB DETAILS:
CIC Insurance Group Limited, commonly referred to as CIC Group, is an insurance and investment group that operates mainly in Kenya, Uganda, South Sudan and Malawi

PURPOSE:
Responsible for management of service provider in relation to contracting, accreditation and rationalization of existing service providers.

PRIMARY RESPONSIBILITIES:
• Maintain a cordial working relationship with providers within CIC provider network.
• Perform provider audit to ensure quality services is accessed by CIC clients and enforce compliance to CIC rules and procedures regarding member access and policy exclusions.
• Accredit new service providers to meet the client’s needs/demands.
• Prepare monthly utilization report on performance of service providers and develop appropriate measures to contain cost.
• Negotiate service fees upon contracting of new service providers, guided by the CIC rates and standard customary fees.
• Proper documentation of all service provider contracts and ensure timely renewal as per the set guidelines.
• Train Service providers on CIC service access procedure/processes, update on any changes at CIC in term of health products, existing processes, new schemes on board, terminated schemes and other related claim policies.
• Engage service providers in negotiation for discounts and follow up to ensure it’s earned.
• Liaise internally with other sections to ensure resolution of service provider related issues.
• Regular update of the CIC provider panel and timely sharing with relevant stakeholders.

Academic and Professional Requirements
Education
• Bachelor’s degree in Nursing(KRCHN), Health Management or in a related field E
• Computer literate in MS Office and other office applications E
Experience Required:
• 2 years Relevant experience in Provider Relations Section

Work Hours: 8

Experience in Months: 24

Level of Education: Bachelor Degree

Job application procedure

Method of Application
Interested and qualified? Go to CIC Insurance on ke.cicinsurancegroup.com to apply



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