Job Objective:

The Provider Officer will support 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’ work experience.