Provider Management Officer

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 Heritag...