BrighterMonday Consulting

Provider Network Negotiator – French and Portuguese Speaking

BrighterMonday Consulting

Health & Safety

1 month ago

Job Summary

Provider Negotiator will be responsible for developing and executing negotiation strategies working directly with contracted providers such as clinics, outpatient facilities, pharmacies, among others, in order to deliver best in class service to CGHB’s providers, customers and clients and act as the Subject Matter Expert regarding the local market’s environment, healthcare delivery practices and pricing for the Africa region.

  • Minimum Qualification:Bachelor
  • Experience Level:Mid level
  • Experience Length:6 years

Job Description/Requirements

Location: Nairobi, Kenya Or Mozambique

Key requirements:
•    Must have experience with negotiations with providers within Health Insurance.
•    Travel will be to countries in West Africa – must be OK with regular travel

Job Description
Provider Negotiator will be responsible for developing and executing negotiation strategies working directly with contracted providers such as clinics, outpatient facilities, pharmacies, among others, in order to deliver best in class service to CGHB’s providers, customers and clients and act as the Subject Matter Expert regarding the local market’s environment, healthcare delivery practices and pricing for the Africa region.

Key Responsibilities:
•    Manages the contracting and relations with medical facilities, including but not limited to: Hospitals, clinics, pharmacies and physicians.
•    Analyses and determines in which countries, regions and cities our network of providers must grow.
•    Works with Network Leads in performing service area analysis and cost analysis to identify network development and network renegotiation opportunities.
•    Negotiate with clients and client managers the most appropriate network extension efforts in the allocated region.
•    Negotiates and discuss agreements (direct payment agreements and/or discounts fees and price agreements).
•    Visits clients and manages the relationship with the providers under agreement in allocated regions and monitor the quality of their services and execution of the agreements in conjunction with a more Senior Provider Negotiator or Network Lead
•    Acts as an expert with regards to the medical landscape in the countries within your region and continuously monitor evolutions in that respect
•    Ensures the correct handling of all administrative aspects of the agreements with the providers,
•    Maintains the Provider Data Base (PIMS) and make overviews of provider networks for all providers within the assigned region.
•    Analyses price lists and data, write clear conclusions and identify cost containment opportunities.
•    Act as the internal key person for all other Units and departments for issues relating to the providers in the allocated regions. Especially intensive communication with Clinical, Service OPS and Sales and Client Management.
•    Act as representative in the Outpatient Direct Payment project (OPDP)
•    Effectively communicates and interacts with other business units to achieve goals; e.g. Medical Management, CGHB Service Operations (NA, UK and Antwerp), Sales and Client Management (NA, UK, and Antwerp), and CGHB Strategy & Operations.

Qualifications:
•    University degree or equivalent experience
•    At least 6 years of relevant experience.
•    Working knowledge of the Provider Network is required.
•    Good communication skills.
•    Good negotiation and convincing skills.
•    Analytical and critical mind.
•    Proficiency with MS Office programs including: Word, PowerPoint, Excel, and Project required.

Experience/Knowledge Requirements:
• Knowledge of high priority healthcare providers, third party administrators, CGHB competitor capabilities within the region of responsibility - Africa.
• Excellent interpersonal, communication and motivational skills, including negotiation and presentation skills
• Strong influencing skills and ability to work in a complex, highly matrixed, environment, including balancing priorities of multiple organizations to deliver end results.

Personal Competencies Required:
• Fluent in written and spoken English, French is a must. Any other language skills (particularly Portuguese) are a plus
• Results orientation – ability to define goals, establish plans and manage work to achieve desired outcomes. Creates meaningful business-related metrics and tracks progress/results.  
• Excellent interpersonal, verbal, and written communication skills
• Ability to communicate own and/or company visions clearly while performing active listening to the message from the provider.
• Comfortable working in a fast-paced environment with shifting priorities
• Energetic and enthusiastic
• A team player
• Willing to travel regularly (up to 20%)

Important Safety Tips

1. Do not make any payment without confirming with the BrighterMonday Customer Support Team. 2. If you think this advert is not genuine, please report it via the Report Job link below.
Report Job

Get Insured through mTek Services

You can explore medical and personal accident insurance covers conveniently. Compare pricing from various insurance companies, save, and budget

Share Job Post

Stay Updated

Join our newsletter and get the latest job listings and career insights delivered straight to your inbox.

We care about the protection of your data. Read our privacy policy.

ICAP

Nairobi | Full Time | KSh Confidential

Job Function: Health & Safety

2 days ago

National Council of Churches of Kenya

Nairobi | Full Time | KSh Confidential

Job Function: Health & Safety

6 days ago

Omnicare Medical Limited

Nairobi | Full Time | KSh 30,000 - 45,000 | Negotiable

Job Function: Health & Safety

6 days ago

Omnicare Medical Limited

We are looking for a qualified Lab Technician to undertake a variety of laboratory procedures of technical nature. You will be handling sensitive equipment to analyze samples or substances and conduct tests reporting findings to a laboratory manager.

Neema Livestock And Slaughtering Investment Limited

Nairobi | Full Time | KSh Confidential

Job Function: Health & Safety

2 weeks ago

Neema Livestock And Slaughtering Investment Limited

The Microbiologist’s primary responsibility is collecting samples from production, preparing samples, and conducting specified tests according to standard protocols. This person would maintain sample traceability from production through final product result, report testing results, and request additional samples as needed while maintaining a cl ...

Stay Updated

Join our newsletter and get the latest job listings and career insights delivered straight to your inbox.

We care about the protection of your data. Read our privacy policy.

This action will pause all job alerts. Are you sure?

Cancel Proceed
Follow us On:
Follow us on FacebookFollow us on InstagramFollow us on LinkedInFollow us on TwitterFollow us on YouTube
Get it on Google Play
2022 BrighterMonday