Provider Liaison Officer - Eastern Cape, South Africa - Ditshaba

Ditshaba
Ditshaba
Verified Company
Eastern Cape, South Africa

1 week ago

Thabo Mthembu

Posted by:

Thabo Mthembu

beBee Recruiter
Description
Fulfil various stakeholder engagements as directed by the Chief Healthcare Officer.

  • Support the Manager: Provider Liaison Office in maintaining the "THE CLIENT" relationship with healthcare providers within the assigned region.
  • Participate in the review and submission of "THE CLIENT" networks reports.
  • Support the Manager: Provider Liaison Office in the management of the Managed Care Organizations that are contracted by the Scheme.
  • Participate in the review of the providers efficiency reports.
  • Provide substantiated commentary on the quality of network services and provider compliance to the Scheme network agreements.
  • Represent the Healthcare Management Division at SPN and Stakeholder Engagements and promote network participation by healthcare providers.
  • Provide substantiated commentary on the quality of network services and provider compliance with Scheme network agreements.
  • Provide periodic reports relating all stakeholder engagements to the

Senior Manager:
Networks and Provider Relations.

  • Ensure continuous education on "THE CLIENT" strategy, systems, processes, and product to the providers within the assigned region.
  • Serve as a single point of contact for escalations related to claims and authorizations issues from the providers within the assigned region.
  • Perform a secretariat function for the provider relations engagement.
  • Support other Scheme Division's in managed care activities.

Job Type:
Permanent


Salary:
R883 240,00 per year


Application Question(s):

  • Do you own a mode of transportation?

Ability to Commute:

  • Eastern Cape, Eastern Cape (required)
Application Deadline: 2024/02/19
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