Job Objective: 

The Provider Manager will manage the contracting, developing, and maintaining of relationships with healthcare providers. The position requires daily liaison with a Provider Network and collaboration with internal departments to ensure service quality.

Principal Responsibilities: 

• Hospital Visitation
• Conducting medical outreach programs when requested
• Reaccreditation/quality assurance check on hospital providers
• Reconciliation of hospital claims
• Provider Sensitization
• Execution of Medical Case Management/Disease Management activities.

Technical Competencies:  

•  Accountability
•  Communication
•  HMO Industry Knowledge
•  Solution-oriented
•  Clinical Reasoning
•  Health System Strengthening
•  Relationship-Oriented
•  Organization & Planning
•  Team Management

Job Requirements: 

• Graduate in a Health-Related Field (Nurse preferably)
• Minimum of 4 years’ managerial experience.