Funder Relations Manager

6 months ago


Sandton, South Africa Careforce Recruitment Full time

The Funder Relations Manager is responsible for heading up the funder engagements including

contracting, annual negotiations and oversees the business relationship between Medical schemes, medical scheme administrators and Health Insurers for the Health Group.

The purpose of this job involves
- Assist with the management and investigation of hospital conditional risk adverse events and complaints of funders and members from a perspective of engaging with funders on queries received and the resolution thereof.
- Act as a coordinator between funders, case management, hospital management and public liability legal representatives where appropriate.
- Financial and statistical analysis on funders, costs, and changes in cost of services.
- Review the cost efficiency per event as published and shared by funders.
- Create and maintain a positive environment where the differences of others are recognized, understood, and valued, so that all can reach their full potential and maximize their contributions.
- Build and maintain effective relationships with both internal and external customers.

**Requirements**:

- Relevant Degree or a Diploma at a NQF Level 7 in Commerce, Legal or healthcare related.
- A minimum of 10 years medical scheme or scheme administrator experience operational and
- Strong commercial nous, Negotiation, and contract experience
- In-depth knowledge of hospital billing methods advantageous
- Strong knowledge of ICD and CPT coding.
- Ability to work and communicate with various stakeholders at different levels.

On offer:



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