Provider Relations Officer - Health

Lets Write Africa's Story Together!

Old Mutual is a firm believer in the African opportunity and our diverse talent reflects this.

Job Description

The job holder will be responsible for Strategic Purchasing, managing the Old Mutual Health Provider Network in Kenya and act as the liaison between Old Mutual and the service providers

KEY TASKS AND RESPONSIBILITIES

• Strategic Purchasing – continuous engagement with providers to ensure provision of high-quality, cost-effective care
• Patient Experience monitoring – ongoing monitoring of patient feedback from the providers to guarantee great patient experience
• Provider network management - maintain an updated provider panel, monitor adequacy of providers in all key regions and conduct provider audits
• Provider relationship management – organize service meetings, training on Old Mutual processes, obtain provider feedback and share relevant reports on providers
• Provider contracting – coordinate contracting of providers and managing the provider contract lifecycle.
• Customer service support - attend client service meetings to ensure delivery of superior customer experience.
• Any other duty assigned by management.

SKILLS AND COMPETENCIES

• Excellent communication and negotiation skills.
• Excellent interpersonal relationship skills.
• Extensive networking with SP and other medical insurers.
• Excellent analytical and monitoring skills
• Good decision-making skills
• High level of integrity and honesty

QUALIFICATIONS, KNOWLEDGE & EXPERIENCE

• Bachelor of Science in Nursing
• At least 2 years’ experience in a busy hospital setting
• Prior relevant experience in health insurance is preferred
• Extensive knowledge of public and private healthcare providers in Kenya
• Any insurance certification will be an added advantage

ANTI-MONEY LAUNDERING (AML) EXPECTATION

The incumbent will be responsible for ensuring adherence to, implementation of, and adoption of Compliance, Anti-Money Laundering (AML), and Sanctions-related policies, procedures, and process requirements within Old Mutual and its subsidiaries. This includes execution of customer due diligence processes, ensuring compliance with Know-Your-Customer (KYC) standards, conducting ongoing and enhanced due diligence, and maintaining data quality. Additionally, the role involves identifying and monitoring potential AML, Sanctions, or Compliance breaches and unusual activities, and escalating these concerns to the Risk and Compliance Office for further action.

Skills

Consultative Selling, Customer Complaint Management, Customer Feedback Management, Customer-Focused, Customer Relationship Management (CRM) Software, Customer Service, Customer Service Operations, Customer Understanding, Data Management, Digital Consumer Engagement, Identifying Sales Opportunities, Probing Questions, Sales Data Management, Strengthening Customer Relationships, Upselling

Competencies

Action Oriented

Communicates Effectively

Customer Focus

Decision Quality

Ensures Accountability

Interpersonal Savvy

Manages Ambiguity

Manages Complexity

Education

NQF Level 3 & NQF Level 2 - Below school leaving

Closing Date

02 June 2026 , 23:59

The Old Mutual Story!