Provider Network Supervisor
Trinity
Johannesburg, Gauteng, ZA
4d ago
source : Work-Force

Purpose of the position : Manage provider network department and Maintain service standards. Minimum requirements :

  • Matric
  • Degree in Business Management
  • 5 years+ experience in similar role
  • Knowledge of all products offered
  • Knowledge of medical insurance industry
  • Knowledge of contact centres and telephone systems
  • Demonstrable Managerial skills
  • Own vehicle
  • Valid driver’s licence
  • Able and willing to travel nationally
  • Duties include, but are not limited to :

  • Maintain Divisional Business Performance
  • Perform ad hoc Administrative Duties
  • Build and Maintain relationships with all Designated Service Providers
  • Establish, develop, and maintain business relationships with prospective and existing service providers
  • Update and maintain the scheme and benefit rules, be the main point of contact for the managed care administrator.
  • Responsible for updates to and from the business with regards to the service providers and managed care administrators
  • Responsible for maintaining service provider agreements and maintain both service provider and organisation compliance
  • Liaise and sign up with prospective service providers
  • Conduct off site visits with service providers
  • Ensure that call centre staff are trained, informed, and updated on all products and benefits
  • Manage all call centre staff day to day activities
  • Monitor and conduct performance management and performance appraisals on staff
  • Handle all escalated calls and mails
  • Oversee all training within department
  • Conduct and report on forensic investigations
  • Identify, report, and resolve any trends picked up within the department
  • Liaise with all departments to communicate business needs
  • Conduct general admin and analytical duties
  • Maintain a data base of available statistics
  • Check that providers are paid according to SLA
  • Update bank details
  • Daily, weekly, and monthly risk analysis

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