Overview

Service Provider Manager/Supervisor (Medical Aid/Schemes) JB365

Benoni

R25 000 – R35 000 per month plus benefits

 

Kontak Recruitment is currently sourcing and recruiting within the Health and Insurance employment sector for a large client based in Benoni who is currently expanding their team and looking for a Service Provider Network Supervisor that has worked or is working in the Medical Aid/Medical Schemes Industry and has experience with managing call center staff, to employ as soon as possible.

 

The successful candidate should have experience in dealing with Medical Aid Schemes and Providers to be considered for this position. Must also have thorough knowledge of the Medical Schemes Act.

 

Salary offering– R25 000 – R35 000 per month plus benefits (medical insurance – company contribution is 50% if candidate does not have medical aid, group life cover – in case of death, disability and dread disease, & 5 cubed investment which is similar to a provident fund).

 

Purpose of the position:

Manage provider network department and Maintain service standards.

 

Requirements for the Service Provider Network Manager/Supervisor:

Grade 12

Degree in Business Management

5 years+ experience in similar role

5+ years Management experience managing a medium to large team

Knowledge of all products offered

Knowledge of medical insurance industry

Knowledge of contact centers and telephone systems

Demonstrable Managerial skills – must be able to supervise staff

Own vehicle

Valid driver’s license

Able and willing to travel nationally

 

Duties include, but are not limited to for the Service Provider Network Manager/Supervisor:

Maintain Divisional Business Performance

Perform ad hoc Administrative Duties

Build and Maintain relationships with all Designated Service Providers

Establish, develop, and maintain business relationships with prospective and existing service providers

Update and maintain the scheme and benefit rules, be the main point of contact for the managed care administrator.

Responsible for updates to and from the business with regards to the service providers and managed care administrators

Responsible for maintaining service provider agreements and maintain both service provider and organization compliance

Liaise and sign up with prospective service providers

Conduct off site visits with service providers

Ensure that call center staff are trained, informed, and updated on all products and benefits

Manage all call center staff day to day activities

Monitor and conduct performance management and performance appraisals on staff

Handle all escalated calls and mails

Oversee all training within department

Conduct and report on forensic investigations

Identify, report, and resolve any trends picked up within the department

Liaise with all departments to communicate business needs

Conduct general admin and analytical duties

Maintain a data base of available statistics

Check that providers are paid according to SLA

Update bank details

Daily, weekly, and monthly risk analysis

 

Please email CV to  l4wts7@apply.simplify.hr and quote Service Provider Manager JB365 in the subject line

For full spec and to apply online https://www.kontak.co.za/supplier-manager-jobs.php


    You can apply to this job and others using your online resume. Click the link below to submit your online resume and email your application to this employer.