Jubilee Insurance Manager, Medical Outcomes & Care Management Jobs in Kenya

Jubilee Insurance Manager, Medical Outcomes & Care Management Jobs in Kenya


  • Jubilee Insurance was established in August 1937, as the first locally incorporated Insurance Company based in Mombasa. Jubilee Insurance has spread its sphere of influence throughout the region to become the largest Composite insurer in East Africa, handling Life, Pensions, General and Medical Insurance. Today, Jubilee is the number one insurer in East Africa with over 450,000 clients. Jubilee Insurance has a network of offices in Kenya, Uganda, Tanzania, Burundi and Mauritius.

  • It is the only ISO certified insurance group listed on the three East Africa stock exchanges – The Nairobi Securities Exchange (NSE), Dar es Salaam Stock Exchange and Uganda Securities Exchange. Its regional offices are highly rated on leadership, quality and risk management and have been awarded an AA- in Kenya and Uganda, and an
    A+ in Tanzania.

  • We currently have an exciting career opportunity for Helpdesk Support. The position holder will report to the Helpdesk Administrator and will be based at Head Office, Nairobi.

    Role Purpose

  • The job holder will manage collection and analysis of the company’s clinical outcomes data, in order to develop cost effective clinical process improvement initiatives.

    Main Responsibilities

  • In depth review of clinical outcomes data in view of developing strategic initiatives that will aim to ensure our clients receive cost effective and high-quality clinical care.

  • Sharing feedback with providers on their outcomes metrics and follow- through to develop cost effective and sustainable solutions.

  • Monitoring of providers’ clinical care practice and ensure it is aligned to the company’s standards and prevailing board regulations.

  • Develop a preferred provider panel based on outcomes metrics.

  • Develop algorithms of the top ailments and ensure coding in the
    core system.

  • Develop Jubilee Health Insurance Rate Card, Drug Formulary and ensure its coded in the Core system and disseminated to the relevant stakeholders.

  • Monitoring disease patterns at a country, continental, and a global level in view of giving recommendations on how to curb and control its spread.

  • Monitoring clients claiming patterns and recommending holistic solutions.

  • Participation in client’s service meeting in view of offering holistic promotive, preventative, curative and rehabilitative medical solutions.

  • Support care management team in their day-to-day service delivery.

  • Prepare statistical reports, narrative reports, or graphic presentations on Medical Outcomes such as maternity- C/S rate, diseases patterns, outbreaks for both internal and external clients for rebuttal action.

    Key Competencies

  • Entrepreneurial Spirit

  • Market Awareness

  • Customer Focus

  • Continuous Innovation

  • Ownership & Commitment

  • Team Spirit

  • Visionary Leadership

    Qualifications

  • Bachelor of Medicine & Bachelor of Surgery or any other related field.

  • Basic Understanding of the Concepts of Insurance

  • Proficient in the use of Microsoft office suite and packages

    Relevant Experience

  • Minimum of 2 years’ experience within the clinical practice. Experience in managing health plans and medical providers.

  • Knowledge and Experience in the insurance industry.

    How to Apply

  • For more information and job application details, see; Jubilee Insurance Manager, Medical Outcomes & Care Management Jobs in Kenya


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