45 No Experience A' Level Field Representative Job Opportunities - Marketing Arina (U) Ltd

Job Title:     Field Representative (45 No Experience Job Opportunities) Organization:  Marketing Arina (U) Ltd Duty Station:  Kampala...

Health Care Manager Job Opportunity - People Performance Group (PPG)

Organisation: People Performance Group (PPG)
Duty Station: Kampala, Uganda
Reports to: Employee Benefits Manager and Chief Operations Officer

About US:
The People Performance Group (PPG) is a Human Resource (HR) consultancy firm which is highly committed to the provision of expert advice in Recruitment, Search and Selection, Team Building, Training, HR systems and Outsourcing of Staff since 2005. Our client a brocker in the insurance industry.

Key Duties and Responsibilities: 
·         Review and audit claims documents from the Service providers and clients, credit facility reports for the TPA schemes, account replenishment status and handle all related issues to eliminate/ avoid delays in claims settlement.
·         Responsible for Service provider accreditation and issuance of appointment letters to service providers as a prerequisite for joining the service provider panel of our TPA schemes.
·         Provide scheme care management that includes patient hospital visits, client utilization, technical/clinical advice to clients, call Centre management and issuance of patient’s admissions preauthorization letter/instructions.
·         Supervise the day to day claims management for the Medical Department including internal review and Analysis of all Client medical utilisation reports and data prior to dispatch to the clients.
·         Provide the highest standard of service on a day to day basis. All queries should be handled promptly and ensure there are no complaints from clients, medical service providers, insurers, and medical department team.
·         Assist the medical team in respect of the proposals/initiatives and implementation/rollout of the client’s employee wellness/wellbeing programs or any Health & safety initiatives. Ensure that risk management/wellbeing initiatives/insurance programmes are properly geared to address the client’s exposure.
·         Ensure timeliness of work processing, including claim settlement to clients and Service providers.
·         Accompany the Employee Benefits Manager/ Handlers on visits to clients (incl sensitization meetings, health talks etc.) and visits to Insurers as may be requested.
·         Tasked with the issuance of monthly Health Nuggets to our clients vide email. Responsible for the dissemination of any other health related information to clients.
·         Responsible for the sales and Business Development of the Wellness Services/solutions including monitoring of the client wellness programs to ensure they are fully implemented.
·         Responsible for the development of Capitation models for our clients for the management of their onsite clinics/medical facilities. You will also be in charge of the supervision/monitoring of the capitation contract to ensure that the deliverables are achieved or implemented. Regular reports should be submitted to track performance of the capitation contract.
·         Supervise the claims team and ensure that the claims team fully complies with the claim processes as per the Operations manual/procedures. Also ensure that claims/utilization reports as requested by medical department team or client are submitted timeously.
·         Responsible for Minet Limited Health Management System(HMS) and data base including the SMART system and data base. Ensure management of systems and data bases as per guidelines including integrity & security of the data and maintaining confidentiality of all medical/healthcare information in the system.
·         Monitor and report on local and international markets, Insurance products, market developments and Insurer activities.
·         Handle the client’s portfolio in accordance with the Minimum Standards set in the Minet Limited Medical/healthcare operations procedures/manual and the Service Level Agreement with the client. A copy of the agreement must be obtained from the Employee Benefits Manager.
·         Provide relevant reports and information to the executive as may be requested.
·         Manage relationships with Service providers/Insurers in conjunction with Employee Benefits Manager and ensure full adherence to the SLA between Minet Limited and Service providers/Insurer and ensure all service deliverables are achieved. Quality Assurance for the Insurers and Service providers on the Minet Provider panel is included under this role.
·         Provide new ideas for improving the Company business e.g. ideas on efficiency, productivity, profitability, competition and ideas to obtain new business.
·         Support the Minet Limited staff who may have healthcare issues/challenges including first Aid treatment and OHS related interventions.
·         Attend/ participate in the Medical Insurance and Healthcare Forums/ Associations in Uganda.
·         Any other roles as may be allocated by your Supervisor.

Qualifications, Skills and Experience: 
·         The applicant must possess adequate medical knowledge /qualification (nurse/doctor/clinical knowledge)
·         A minimum of five years of experience in relevant field
·         Leadership skills
·         Experience in handling hospitals
·         Computer knowledge
·         Good Communication skills
·         Interpersonal skills

How to Apply:
All candidates are encouraged to send their applications as soon as possible to application@ppg.co.ug. E-mails that exceed 2MB will not be considered.

Deadline: 20th July 2018

NB: While we thank all applicants for your interest, only those selected for interviews will be contacted.

For more of the latest jobs, please visit http://www.theugandanjobline.com or find us on our facebook page https://www.facebook.com/UgandanJobline

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