Tariff Management Associate at Reliance HMO

We are seeking a Tariff Management Associate (Contract) to be responsible for executing price control strategy via tariffs including, market price research, managing provider tariffs to be standardized and up-to-date in pricing, negotiating tariffs, entering tariff and pricing data, and tiering providers. 

• Manage all provider tariffs via the provider management portal ·  
• Maintain the tariff reference to be up to date in pricing and comprehensive ·  
• Promptly and efficiently upload new tariffs for providers ·  
• Handle tariff negotiation requests using the standard operating procedure ·  
• Assign provider tier using the standard operating procedure ·  
• Execute price control strategies via tariff management 

Requirements

• Minimum of a first degree, with an advantage if the degree is medical as in nursing, pharmacy, medical laboratory science, etc,  
• At least 2 years of experience in hospital billing, health insurance claims/approvals or a tariff-related role. 
• Excellent data analysis, numeracy, analytical and problem-solving skills. 
• Excellent interpersonal and communication skills. ·  
• Experience and high level of proficiency in the use of Microsoft Suite or Google Suite of products, especially Excel. 
• Skills for fast and efficient data entry and cleaning. 
• Medical knowledge and experience are an added advantage. ·  
• Experience with ICD-10 and CPT coding is an added advantage. 
• Adhere to the standard operating procedure for executing tasks ·  
• Audit and update the standard procedure for tariff management and other related SOPs for improved performance 
• Work with technology team on any update on the processes or products for claims or provider management. 
• Efficiently manage multiple stakeholders to reach shared goals in a fast-paced and dynamic work environment