Service Provider Relations Officer

Description

Strategically manage and optimize Old Mutual’s medical service provider network by ensuring cost-effective contracting, high-quality healthcare delivery, and strong provider relationships, while driving clinical governance, operational efficiency, and an excellent customer experience for Old Mutual clients.

Key Outputs and Deliverables

Manage provider contracting frameworks, including negotiated tariffs and reimbursement rates, annual tariff reviews, cost benchmarking against market rates, and the administration of capitation and fee-for-service (FFS) models.

Build and sustain strong, strategic relationships with medical service providers through structured and ongoing engagements to enhance customer loyalty, service quality, and network performance.

Design, implement, and continuously improve a quality assurance framework to ensure high standards of healthcare service delivery to Old Mutual clients.

Gather, analy...