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Teclab is a specialist consulting firm dedicated to human resource services and management. Founded on a philosophy and style that has positioned her to consistently provide a reliable and effective work force as well as manage total overhaul, re-engineering and training services to her numerous clients since 2006.
You'll design and implement programs that help build and nurture positive relationships between the health plan, providers and practice managers.
Task Complexity
You are expected to work directly and give direct support services to your business unit as it relates to all assignments you may be given.
Design and implement programs that help us build and nurture positive relationships between the health plan, providers and practice managers
Implement strategies for the development of provider networks, identify gaps in network composition and services, and assist the network staff to prioritize contracting needs.
Develop the provider network (physicians, hospitals, pharmacies, ancillary groups & facilities, etc.)
Yield a geographically competitive, broad access, stable network that achieves objectives for unit cost performance and trend management, and produces an affordable and predictable product for customers and business partners.
Evaluate and negotiate contracts in compliance with company contract templates, reimbursement structure standards, and other key process controls
Establish and maintain strong business relationships with Hospital, Physician, Pharmacy, or Ancillary providers, and ensuring the network composition includes an appropriate distribution of provider specialties.
Manage the development of a healthcare network.
Oversees the negotiation of managed care or other payer contracts
Responsible for daily activities, provider relations, and credentialing
Anticipate customer needs and proactively develop solutions to meet them.
Qualification (s)
First Degree in Humanities, Master’s degree in business, health care management or related field
Job Specification (Experience & Training) Academic and Professional: First Degree in Humanities or Social Sciences and MBA will be an added advantage.
Minimum of 7 Years’ Experience, with 5 Years’ Experience in a Network Management Role.
Job Specific Competencies (Skills/ Knowledge/ Attributes):
Responsible for the delivery and overall success of each program, supervise managers and inform management on progress and performance, ensure every program will be delivered successfully and add the highest possible value to the organization.
Task Complexity:
Initiating and setting goals for programs according to the strategic objectives of the organization
Planning the programs from start to completion involving deadlines, milestones and processes
Developing or approving budgets and operations.
Devise evaluation strategies to monitor performance and determine the need for improvements
Supervise all program and project managers involved to provide feedback and resolve complex problems
Discover ways to enhance efficiency and productivity of procedures and people
Apply change, risk and resource management principles when needed
Job Specific Competencies (Skills/ Knowledge/ Attributes):
Good listening skills
Good people skills
Strong customer service and interpersonal communication skills.
Solid verbal and written communication skills.
Time Management.
Detail oriented.
Qualifications
Minimum of BSc in management or a relevant field. A Master's Degree would be and added advantage
Job Specification (Experience & Training) Academic and Professional: Bachelor’s degree in related field,
Three to five years’ related experience.
Experience
Competencies Required
Proven experience as program director or other managerial position
Thorough understanding of project/program management techniques and methods
Excellent Knowledge of performance evaluation techniques and key metrics
Outstanding knowledge of data analysis, reporting and budgeting.
Method of Application
Applicants should forward their CV's to: hr@teclab-ng.com