Minet is a trusted pan-African advisor that meets the uncertainties of tomorrow by delivering risk and human capital solutions today. As the largest Aon Global Network Correspondent, Minet has access to a network of over 50,000 colleagues in 120 countries as well as proprietary data, research and analytics which enable us to manage and secure the risks of tomorrow and provide clients with an unrivalled advantage.

Purpose for the Job

To head the regional unit composed of several counties clustered together, linking Minet and all members covered under the Managed Medical Care medical schemes, ensuring that Service Providers in the region provide adequate service, to the satisfaction of both the member and the client.

Duties and Responsibilities

Managerial Roles and Responsibilities

• Leadership and management support to the regional staff
• Effective management of county scheme operations
• Build strong working relationships with key regional stakeholders
• Develop strong partnerships with medical service providers in the region

Operational Roles and Responsibilities

• Manage the regional office administration function through the administrative assistant
• Coach, train and mentor regional staff on scheme operations, case management and customer service
• Ensure case management compliance via care managers
• Case management for high-cost service providers in the region with an aim of managing costs
• Resolve issues escalated by the care managers, training coordinators and customer service representatives in their counties
• Proactively identify cost saving measures as well as analyze high-cost claims in conformance with the authorization and verify and identify possible overcharging, unnecessary expenditure and errors and to rectify such occurrences
• Communicate relevant information to the member, including but not limited to scheme rules, benefit structure and alternative treatment options
• Prepare monthly management reports on activities within the region; customer service, service provider relations, case management, training, communication, personnel issues, positive highlights and challenges faced.
• Any other duty as may be assigned by the supervisor

Key Result Areas

• Customer Service
• Policy guidance
• Care options information
• Discount negotiations/Cost Control
• The ability to motivate and inspire the team to action
• Medical guideline orientation

Requirements

Key Competencies

• Stakeholder Management
• Case management
• Benefit coordination
• Conflict resolution

Knowledge And Skills Required

• At least 3 years’ experience in relevant field
• Communication skills
• Detail oriented
• Interpersonal skills
• Negotiations skills
• Leadership skills

Professional and Academic Qualifications

• Diploma in Clinical Medicine or Nursing
• 2 years experience in current role
• A Bachelor’s Degree in any field will be an added advantage