Provider Management Officer Job Liberty Life
Looking for an insurance job in Kenya? Liberty Life is hiring a Provider Management Officer skilled in healthcare network management, medical provider relations, cost optimization, and contract negotiation.
Job Summary
- The role holder will be responsible for service providers management, contracting, accreditation and audits.
Key Responsibilities
- Maintain a cordial working relationship with providers within the Heritage Insurance provider network
- Accredit new service providers to meet the client’s needs/demands
- Negotiate service fees upon contracting of new service providers, guided by the Heritage Insurance rates and customary fees
- Coordinate provider audits to ensure quality services are accessed by Heritage Insurance clients
- Enforce compliance to Heritage rules and procedures regarding member access, policy exclusions and panel rates
- Coordinate with Underwriting/Actuarial & prepare monthly utilization report on performance of service providers and develop appropriate measures to contain cost
- Proper documentation of all service provider contracts and ensure timely renewal and KYC updates as per the set guidelines
- Train Service providers on Heritage Insurance service access procedure/processes, update on any changes at Heritage Insurance in term of health products, existing processes and other related claim policies
- Engage service providers in negotiation for discounts and close finance reconciliations
- Liaise internally with other sections to ensure resolution of service provider related issues
- Regular update of the Heritage Insurance provider panel and timely sharing with relevant stakeholders
Qualifications
- Bachelor’s degree/Diploma in Nursing, Clinical Medicine, Pharmacy, or medical – related discipline
Experience
- At least 3 years’ experience in provider relations in medical insurance, hospital or related industry
Competencies
- Excellent communication and negotiation skills
- Good analytical skills
- Computer literate in MS Office and excel applications
- Good knowledge of provider dynamics and landscape
- Cost Optimization strategies
How to Apply
If you meet the above requirements, you are encouraged to forward your application and updated CV to vacancies@heritage.co.ke by 13 July 2026. Clearly state the job title on the subject heading.
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