Provider Manager (Lagos Island and Southwest) at AXA Mansard

• To build and contract a network of Providers for the Company. To implement the provider network management strategy in Lagos and the South-West region. To manage the relationship between the Company and its Providers to ensure a seamless enrolee experience.

Role Qualification:

Academic/Professional:

• MBBS/Degree from a reputable Tertiary Institution.
• Relevant postgraduate (MPH, MSc, MBA) and/or professional qualification would be an added advantage.

Work Experience: 3 to 5 years professional in related position.

Key Responsibilities:

• Receive requests and recommendations for provider sign-up based on certain criteria.
• Signing up high-quality providers who deliver healthcare services at a reasonable cost.
• Regular physical visits to providers weekly and monthly to foster good relationship.
• Analyse provider’s performance and share feedback with provider with recommendations
• Prepare monthly reports on medical operations, from all zones with recommendations for the Head of Operations.
• Ensure that Health Care Providers comply with the agreement reached With AXA Mansard Health plans concerning billing and quality of medical care.
• Synergy with the claims unit to ensure prompt payment of claims.
• Oversee the smooth running of the various providers within the states within the region
• Liaising regularly with the HMO coordinators and medical directors of the hospital to ensure good rapport and to gain trust.
• Bi-annual hospital quality assurance check (physical visits)

Required Skills and Competencies

• Knowledge of HMO Industry/Health Business.
• Customer Service, Writing, Problem Solving and Presentation Skills.
• Strong aptitude in decision-making, time management and problem solving.
• Good negotiation and analytical skill.
• Relationship management.
• Strong interpersonal skills
• Be detail oriented.
• Must be customer focused and fast-paced oriented.
• Intermediary level for excel database analysis.