Employment Opportunity
\nPosition:\u00a0Head of Operations \u2013 Medical |\u00a0Division:\u00a0Medical Insurance\u00a0Expected appointment date:\u00a0Immediate |\u00a0Type of Contract:\u00a0Fixed Term Contract\u00a0Location:\u00a0Dar es Salaam
\nJob Purpose
\nHead of Operations \u2013 Medical will oversee the company\u2019s ongoing Medical Insurance operations and procedures as well as be as the budget. The Head of Operations Shall be responsible for ensuring set and agreed performance target be achieved. The head of operations is a key member of the senior management team reporting to the CEO-Medical Division.
\nKey Responsibilities<\/p>\n
Oversee the entire Operations of the relevant Division.
\nOversee the Company\u2019s Operations in negotiating with Healthcare providers including.
\nLead the Company in negotiating with Healthcare providers including Ambulance Service Providers and Health Education and Promotion Providers, prices for services rendered and contract terms that are favorable to the Company.
\nLead the Company by identifying and building relationships with Healthcare Providers in East Africa, Asia and Southern Africa to ensure Strategis customers receive affordable and seamless services when referred for foreign treatment.
\nEnsure accreditation of Healthcare Providers is professionally done as per the Company guidelines so that the interests of the Company in relation to Claims Management are protected.
\nLead the Company by identifying business opportunities in the market and negotiating and concluding deals and develop products and services that must result in the Company\u2019s increased market share and profitable growth.
\nLead employees to encourage maximum performance and dedication and foster a corporate culture that promotes ethical practices, customer focus and establish policies that promote company culture and vision.
\nEnsure retention of existing insured portfolio through thorough customer management and servicing.
\nMaintain close relationship with all intermediaries which would aid in retaining clients as well as securing new clients.
\nEvaluate Product designs and Service Providers\u2019 performance by analyzing and interpreting data and metrics and thereafter guide the Underwriting and Claims teams in terms of product structure, pricing and opportunities for negotiations with Clients and Claims teams in Hospitals.
\nDevelop in collaboration with the Executive Management SOPs and Guidelines for all operational processes including medical claims adjudication management and innovate and implement Medical Insurance saving strategies including fraud detection IT-driven processes and management and other case management intervention into every operational matter of the company.
\nOversee and ensure the core insurance system functionality and stability in relation to operations and claims.
\nKeep the CEO-Medical Division fully informed in a timely and candid manner of the conduct of the day-to-day operations of the Medical Insurance division towards the achievement of its established goals.
\nExplore and implement further innovative IT solutions to improve efficiencies and cost management.
\nEngage in medical claims management and innovate and implement Medical Insurance saving strategies including fraud detection and management and other case management interventions.<\/p>\n
Knowledge and Experience
\nQualifications:<\/p>\n
Bachelor\u2019s degree in a health-related field; insurance-related qualifications will be an added advantage.<\/p>\n
Work Experience:<\/p>\n
At least five (5) years of experience in a managerial role preferably in an insurance, healthcare sector or any other relevant sector.<\/p>\n
Attributes
\nKey Attributes required for the Job:<\/p>\n
Outstanding organizational and leadership abilities.
\nDemonstrable competency in strategic planning and business development.
\nExcellent interpersonal and public speaking skills.
\nWorking knowledge of data and performance metrics\/operation metrics.
\nAptitude in analytics, decision-making and problem-solving.
\nStrong communication and interpersonal skills, with the ability to effectively interact with stakeholders at all levels of the organization.
\nAbility to work independently, prioritize tasks, and meet deadlines.<\/p>\n
Other attributes required for the Job:<\/p>\n
Demonstrates proven integrity and ethical conduct.
\nHonest, transparent, trustworthy in all dealings.
\nPassionate and committed to social development initiatives.
\nForward-thinking and visionary in approach.
\nEmotionally intelligent and mature.
\nMaintains a positive, adaptable, and optimistic outlook.
\nProactive, adaptable, and open-minded.
\nEnergetic, enthusiastic, and highly driven.
\nPossesses strong judgment with tact and diplomacy.
\nExercises sound judgment with tact and leadership capabilities.
\nEffectively communicates ideas and perspectives consistent with the Company\u2019s vision, values, and brand.<\/p>\n
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