Assistant Manager, Case Management at Minet Kenya

Job Description

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Minet is a trusted pan-African advisor that meets the uncertainties of tomorrow by delivering risk and human capital solutions today. As the largest Aon Global Network Correspondent, Minet has access to a network of over 50, colleagues in countries as well as proprietary data, research and analytics which enable us to manage and secure the risks of tomorrow and provide clients with an unrivalled advantage.

Purpose for the Job

The main purpose for the job is to ensure that Minet clients receive quality healthcare at the most reasonable cost, enhance customer experience and offer clinical support to the business.

Duties and  Responsibilities

Supervise and support pre-authorization and care management functions to ensure accurate decisions on levels of care and appropriate treatment to patients. Ensure timely adjudication and issuance of approval letters as per policy guidelinesEnsure that all admitted patients are visited and case management process is compliant to ISD protocolManagement of Special Cases & ArbitrationManagement of ACOS & ALOSManage local and abroad evacuations Cost containment Enforcement of ratesDiscount negotiationsClient advisoryStep down management,Discharge planning,Homecare management Call Centre Management – Effective management of the 24-hour call centre. Ensure seamless access to careProfessional, accurate and timely responses to clients.Attend to customer feedback/complaintsTimely escalation and reporting of any incidencesMaintain desired call drop rate Enhance Customer Experience Establish and maintain good relationships with internal and external stakeholders such as health care service providers, insurers, contracted providers etc. Referral to CDM Programs – process management Preparation of relevant management/ business reports Provide direction, coaching, mentorship and motivation to the direct reports and their team members Any other duty as may be assigned by the supervisor

Key Competencies

Knowledge And Skills Required

Clinical /medical background & knowledge Data analytics & computer literacy Time management Excellent verbal and written communication skills Solution oriented 5 years of experience in health insurance operations 3 of which must be in a managerial role

Professional and Academic Qualifications
The job holder must possess:

BSc. Nursing , Clinical Medicine, B.Sc. Health systems management Professional qualification in insurance will be an added advantage