Job Description
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.
Manages 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
Solve complex problems and develop innovative solutions
Review work performed by others and provide recommendations for improvement
Forecast and plan resource requirements
Competencies

Job Specific Competencies (Skills/ Knowledge/ Attributes):
Entrepreneurial and Numerical Competence
Business Consulting and Development
Competency Management
Complaint & Conflict Management (Emergency/ Crisis Management)
Customer Focus
Information Management
Learning and Self Development
Negotiation
Planning and Organizing
Result Orientation / Strategic Thinking
Personnel & Quality Standards

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.
Key performance Objectives and Indicators To ensure that volume and value target is achieved through effective business development
Volume and value of sales target achieved
Relevance towards the overall success of the organisation
Effective administration and cost effective Resource Management
Achievement of all set targets
Work Guide and References Company Handbook
Divisional processes and Procedures
Competencies Required Strong Negotiation Skills and Experience
Excellent problem solving skills, including the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action
Excellent verbal and written communication and relationship skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others

Technical:
Ability to develop and manage network strategies in a start-up environment
Knowledge and experience in deployment of various reimbursement and risk-based methodologies
Ability to utilize financial modelling and analysis in decision making
In-depth knowledge of the network strategy and contracting process
Attitude:
Must be Friendly, honest, transparent and diligent in all dealings.

Application Closing Date
17th June, 2016.

Method of Application
Interested and qualified candidates should send their applications and CV’s to: hr@teclab-ng.com