KRA Supervisor- Medical Management Jobs in Kenya

KRA Supervisor- Medical Management Jobs in Kenya

Job purpose
  • This role is responsible for supporting the medical management function in the Authority

    Key Responsibilities/ Duties / Tasks

    Managerial / Supervisory Responsibilities

  • Supervise day to day operations in the unit
  • Supervise, Coach and Mentor Staff
  • Operational Responsibilities / Tasks
  • Ensure proper and accurate verification of invoices related to outpatient and inpatient medical claims and submit for data capturing in the iSupport system – Medical Module
  • Ensure effective medical card management
  • Pre-authorization and benefits adjustments in relation to medical benefits management
  • Verify payments and deductions
  • Ensures regulatory compliance with WIBA, labor laws
  • Ensure relevant and related HR policies are understood and implemented consistently across the organization
  • Facilitate identification and recommendation of medical service providers in the medical scheme
  • Facilitate medical approvals in line with the medical policy
  • Liaise with Finance division on payment matters
  • Manage and implement medical management programs
  • Communicate with Internal and External stakeholders
  • Provide information, data, statistics and internal reports on medical issues for senior management considerations
  • Implement medical management programs
  • Day-to-day operations and supervision of staff in the unit
  • Facilitate implementation of the work
    plans for the following corporate initiatives in the unit: Audit, Integrity, QMS and Risk Management.
  • Drive initiatives to improve ethics, culture and facilitate change management in the unit

    Job Dimensions:

    Financial Responsibility

  • N/A
    Responsibility for Physical Assets
  • Responsible for physical assets assigned by the institution.
    Decision Making / Job Influence
  • Make strategic, operational and financial decisions
  • Plans the work of subordinates
  • Assigns work to subordinates
  • Monitors subordinates work performance
  • Appraises/evaluates subordinates performance
    Working Conditions
  • Works predominantly in a comfortable environment/Office Setting

    Job Competencies (Knowledge, Experience and Attributes / Skills).

    Academic qualifications

  • A degree in Human Resource Management or related field from a recognized institution.
  • Professional Qualifications / Membership to professional bodies
  • Diploma in HR/Post graduate Diploma in HR/ Certified Human Resource Professional (CHRP)
  • Membership to a Professional Body – IHRM
  • Previous relevant work experience required.
  • Minimum of 3 years work experience in a similar

    Functional Skills, Behavioral

  • People management skills.
  • Risk management and analysis.
  • Results driven and analytical.
  • Strong decision-making skills.
  • Excellent communication skills.
  • Good interpersonal skills.
  • Technological ability.
  • Tax business understanding.

    For More Information and Job Application Details, See;KRA Supervisor- Medical Management Jobs in Kenya

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