Medical Tariff Officer at Old Mutual Kenya

Job Description

• The job holder will be responsible for maintaining, compiling and uploading negotiated medical service provider pricelists in the system.

KEY ROLES AND RESPONSIBILITIES

• Maintain accurate pricing schedules as per contract terms and negotiation outcomes.
• Analyse pricing schedules from service providers to identify opportunities for negotiation.
• Assist in negotiating pricing agreements with medical service providers by preparing counter proposals.
• Assist to review and analyse service provider contracts to ensure compliance with pricing and contractual terms.
• Compile and upload negotiated tariffs in the system
• Assist in preparing tariff upload reports for compliance audits.
• Assist in contract renewal and compliance processes

SKILLS AND COMPETENCIES

• Good communication, negotiation and interpersonal skills
• Good analytical and monitoring skills
• High level of integrity and honesty
• Team player, commitment and ownership
• Basic understanding of health insurance
• Basic understanding of computer skills

QUALIFICATIONS, KNOWLEDGE & EXPERIENCE

• Diploma in Clinical medicine or its equivalent
• At least 1 year experience in a busy private hospital or clinic setting
• Prior experience in a health insurance company is not required