Lead Healthcare Provider Network Specialist

1 month ago


Johannesburg, Gauteng, South Africa Kaelo Full time

About the Role:



Kaelo seeks a seasoned professional to fill the position of Lead Healthcare Provider Network Specialist. The ideal candidate will possess extensive experience in managing healthcare provider networks, ensuring seamless delivery of services to clients.



The successful applicant will be responsible for developing and maintaining strong relationships with healthcare providers, negotiating contracts, and implementing quality assurance measures to optimize network performance.



Key Responsibilities:




  • Manage and maintain a diverse network of healthcare providers, including general practitioners, specialists, hospitals, and other medical facilities.
  • Negotiate and administer contracts with healthcare providers, ensuring compliance with regulatory requirements.
  • Develop and implement quality assurance programs to monitor and improve network performance.
  • Collaborate with internal stakeholders to ensure effective communication and coordination.
  • Analyze data to identify trends and areas for improvement, making recommendations to enhance network efficiency.


Requirements:



To be considered for this role, you must have:




  • A minimum of 6 years' experience in healthcare provider network management.
  • Proven track record of building and maintaining strong relationships with healthcare providers.
  • Excellent negotiation and contract administration skills.
  • Ability to analyze data and make informed decisions to drive business growth.
  • Degree in a related field, such as healthcare administration or business.


Preferred Qualifications:



The following qualifications are desirable:




  • FAIS Compliant certification.
  • MIP and Putty system knowledge.
  • Strong understanding of the South African healthcare industry.


About Kaelo:



Kaelo is a leading company in the healthcare sector, committed to delivering exceptional services to our clients. We offer a dynamic work environment, competitive salary, and opportunities for career growth.



Salary:



The estimated annual salary for this position is R800,000 - R1,200,000, depending on experience.



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