Assistant Manager, Provider Relations & Wellness at Madison Group Limited

Key Responsibilities

• Develop and coordinate the wellness program for all our clients including regular e-shots, health talks and wellness check up
• Develop a chronic disease management program for all the major chronic diseases that will assist clients in management of their benefit for best outcomes
• Prepare a drug formulary that is cost effective and ensure quality outcomes for our clients
• Negotiate with providers and come up with different panels to take care of different products including wellness panel, low cost panel e.t.c
• Negotiate for discounts and prices with all service providers in the panel with an inclination towards value based reimbursement model
• Onboarding and accreditation of new service providers to ensure adequacy of the panel
• Conduct regular Provider audits as per internal guidelines
• Contracting of all service providers and ensure they are all compliant as per the internal policies
• Relationship and partnership building with all our providers
• Any other role that might be assigned

Skills and Competencies Required

• Excellent communication and negotiation skills.
• Ability to work independently and build effective interpersonal relations
• Bias towards innovation and development of new ideas in problem solving
• Professionalism in dealing with both internal and external stakeholders
• Extensive networking with service providers and other medical insurers
• Excellent analytical and monitoring skills
• Integrity and honesty
• Ability to multitask and handle pressure 

Academic and Professional Qualifications required

• Bachelor’s Degree in any Medical related field
•  Health Insurance certification will be an added advantage 

Work Experience

• Minimum 3 years working experience in a busy Health facility post internship.
• Previous Health insurance experience is an added advantage