Summary
Date Posted: Monday, January 09, 2023 , Base Salary: Not Disclosed

JOB DETAILS:

They shall be responsible for:
• Developing wellness programs and customise wellness programs based on clients needs.
• Coordinating wellness health screenings, physical exams, and other diagnostic tests for patients at Equity Afia medical centres
• Coordinating health education/ health promotion for our clients on topics related to wellness such as stress management, nutrition, smoking cessation, exercise, healthy lifestyle changes, among others.
• Managing employee health plans on behalf of our clients to ensure that they meet all regulatory requirements
• Coordinating medical examinations at Equity Afia medical centers as recommended by insurance and corporates for life and medical covers
• Vetting and confirming validity of the service given by the service provider (Equity Afia) in relation to the benefits covered, treatment given, adherence to payer/insurance panel rules and cost of treatment.
• Obtaining additional required information on claims from providers, brokers, or clients, seeking medical clarifications including medical reports, copies of investigation reports, etc.
• Liaising with insurance providers on scope of cover for various schemes
• Assisting in conducting provider (Equity Afia medical centres) audits whenever necessary.
• Liaise with the insurance claims assessor(s) for outpatient claims from Equity Afia medical centres and coordinating on any information required to validate the claims.
• Interacting with clients, brokers, payers, and clinicians as needed, to resolve problems in a manner that is legal, ethical, and consistent with the principles and policies of Equity Afia
• Identify & leverage on opportunities for continuous quality improvement and process reengineering to optimize operational efficiency and patient care at the Equity Afia facilities

Key Deliverables for this position
• Support in business acquisition and renewal with corporates/insurance providers
• Delivering well administered Wellness/Medical examination programs for our clients
• Liaison for Equity Afia and insurance companies/ corporate clients, performing care management functions to ensure accurate and timely dissemination of information to insurances companies/ corporate client

Qualifications - External
• Diploma in Clinical Studies (Nursing/Clinical Medicine/Nutrition/Physiotherapy/Public health) or any other health related studies
• Course in Wellness/Health Education/Health promotion/ will be an added advantage.
• Minimum of 5 years’ relevant experience in a similar role.
• Basic Understanding of the Concepts of Insurance.
• Proficient in the use of Microsoft Office Suite and Packages.
• Excellent interpersonal skills
• Possess the ability to build personal relationships with key business stakeholders and have distinguished hands-on operational skills

Work Hours: 8

Experience in Months: 60

Level of Education: Postgraduate Degree

Job application procedure

Interested and qualified? Go to Equity Afia Medical Centre - KISERIAN on equitybank.taleo.net to apply

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