Network Administrator

1 week ago

Centurion, South Africa Health Solutions Full time

**Introduction**
- Momentum Health Solutions, an entity of Momentum Metropolitan Holdings delivers sustainable, integrated health solutions that meet the needs of clients in the different segments and maximise lifetime client value. We build and maintain a culture of innovation, and create value through unique insights of how to achieve specific outcomes by using a defined set of Health capabilities.**Role Purpose**
- To provide an office based administrative support to providers and to the provider team in order to ensure an effective and efficient escalation process as well as corresponding system support.**Requirements**:

- Matric.
- At least 2 - 3 years’ experience, preferably in medical scheme industry.
- At least 2 - 3 years Client services or call centre experience.
- Proficient in MS Office (Excel, Word, Outlook).

**Duties & Responsibilities**
- Maintaining and updating of medical practice information
- Capturing and loading of provider and/or clinical data
- Administering the contracting of service providers on systems for networks
- Participate in Provider Engagement projects on an ad-hoc basis
- Communicate verbally and in writing with medical practices in a professional manner
- Deliver on service level agreements made with clients and internal and external stakeholders in order to ensure that client expectations are managed
- Communicate verbally and in writing with dental providers and pharmacies to resolve enquiries and queries received in all platforms.
- Investigate and resolve claims queries
- Handle incoming telephonic queries from call centre for network providers
- Educating and supporting the healthcare providers on the dental and pharmacy network to remain compliant.
- Assist external stakeholders with network related enquiries
- Support to ensure adequate network coverage for members
- Building and maintaining positive relationships with dental and pharmacy providers
- Contribute to continuous innovation through the development, sharing and implementation of new ideas
- Take ownership for driving career development
- Contribute to the financial planning process within area
- Identify opportunities to enhance cost effectiveness and increase operational efficiency

**Competencies**
- Business Acumen
- Client/ Stakeholder Commitment
- Drive for Results
- Impact and Influence
- Self-Awareness and Insight
- Collaboration

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