AfyA Care is set up to actively invest in and operate healthcare assets with a vision to make healthcare accessible and affordable.

Job Position: Provider Network Manager

Job Location: Lagos, Nigeria

Job Responsibilities

  1. Sign up of providers across the region.
  2. Provider selection and management: enlisting, negotiating, delisting, rewarding, training, and enlightenment of providers on the network
  3. Working with other provider network managers in the region to develop the provider network
  4. Tariff negotiation and review
  5. Contract and SLA management
  6. Scheduling major and highly specialized patient procedures
  7. Referral and monitoring of complex cases
  8. Utilization Review Management
  9. Encounter data analysis
  10. Providers audit and quality assurance: this involves infrastructure audit, compliance and service quality
  11. Review of care delivery protocols
  12. Analysis of hospitals’ tiers and capability
  13. Quality assurance reports on providers to ensure compliance without compromising quality
  14. Provider complaint escalation and resolution.
  15. Cost control and cost containment.
  16. Ensuring healthy and mutually beneficial relationships between Bastion Health and providers
  17. Coordination of emergency cases

Key Performance Indicators

  1. Hospital spread – Lagos and southwest OR Abuja and North.
  2. Provider satisfaction index
  3. Customer satisfaction index
  4. Average encounter per member per provider
  5. Average length of stay in the hospital
  6. Average cost per encounter
  7. Claims ratio

How to Apply
Interested and qualified candidates should:
Click here to apply online

Tagged as: Technical