The Ugandan Jobline

• Undertake contracting of providers
  (hospitals and clinics)as per company protocols.
• Administer the company’s accounts at
  providers.
• Monitor and stock medical service providers
  with scheme documents and forms.
• Manage processes to do with members’
  direct access to specialists.
• Conduct provider audits to ensure
  conformance with business requirements.
• Undertake claims reconciliation with
  service providers and negotiate discounts.
• Undertake provider training.

• Coordinate the integration of care
  management functions into patient care
• Undertake pre-authorization and care
  management for scheme members for service access within and outside
  Uganda;
• Manage hospitalizations as per RIL care
  management protocol.
• In liaison with the physician maintain an
  appropriate cost, case and desired patient outcome
• Evaluate patient satisfaction and quality
  of care provided
• Manage rescue and evacuations of members.
• Assist members with chronic diseases on
  best practice disease management as per the RIL disease management
  protocol.
• Maintain good relationships between
  providers and the company for the good of the scheme.
• Coordinate International Emergency and
  Planned Admissions.
• Undertake any third party recoveries as
  applicable.
• Maintain all client pre-authorization
  records and hospitalization case notes records and provide weekly,
  quarterly & annual reports regarding care and provider operations as
  required.

• The applicant should
  possess a Diploma in Nursing
  or Clinical Medicine and / or Diploma or degree in a business field
• Comprehensive
   knowledge of care and health management
• Three
  years’ experience in care management in a large modern hospital
• Experience
  in a HMO/MIP an added advantage.
• Accounting
  knowledge an added advantage
• Knowledge
  of Microsoft Office with excellent skills in Excel
• Proficiency
  in driving with a valid driving License
• Good
  oral and written communication skills
• Exceptional
  commitment to customer service
• Good
  analytical and problem solving skills
• Organized,
  able to prioritize work
• Outstanding
  communication skills – both verbal and written
• Exceptional
  commitment to customer service
• Good
  analytical and problem solving skills

• Click here to register your application
• Email your application to jobs@iaa-resolution.co.ug consisting
  of your application letter and updated CV listing three references,
  quoting the position in the email subject.

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