Job Vacancy For Medical Services Manager
A reputable Private Health Insurance company seeks the services of a Medical Services Manager.
Job Description
• Effectively implement policies formulated by the GM and board in order to enhance the company's performance
• Implement the company's policies, procedures, processes and strategy, particularly in the area of claims, operations provider network management and customer servicing
• Establish good working relationships with policy holders, brokers, health service providers
• Negotiating and ensuring preferential prices for the company from all the targeted health service providers
• Support and monitor claims processing including authorization, adjudication, problem resolution and payment of providers claims, members claims and third party administration
• Analysis of claims and implement effective loss control measures so as to reduce the claim cost periodically.
• Ensure customer service delivery by meeting cut-off dates and ensure that targets for claims adjudication and settlement are met
• Co-ordinate and collate operations reports from various departmental heads for the Board's use and preparation of monthly reports and analysis of operating activities
• Evaluate performance appraisal of all employees under your supervision for higher productivity
• Formulation of a comprehensive training plan and conduct training of the employees after assessing their training needs
• Monitor the operations of the medical insurance software run by the company
• Any other duties that may be assigned by the GM from time to time
Qualification Required & Experience
• Must be a Medical Doctor
• At least 5 - 10 years working experience in a related field
Location: Accra
How To Apply For The Job
Interested candidates must submit their applications together with detailed CVs to:-
kaydelconsult@live.com
The position being applied for must be clearly stated in the subject line.
Closing Date: 17 November, 2014