Primary Healthcare Insurance: Medical Service Provider Networks Business Development Consultant (KZN)

* Development of integrated medical service provider networks within the KZN region identifying any access gaps

* Building relationships with various medical service providers through regular visits over an extensive area

* Meeting targets and regulatory requirements

* Development of action plans to support provider practices to ensure high quality services to members

* Provider education and evaluation of practices to ensure compliance to high levels of member care

* Contract compliance and resolving provider concerns/issues

* Negotiate contracts on an individual or group basis for provider network, casualty and hospital contracts

* Ensure a seamless provider experience within the organisation

* Handle all customer queries

* Take action regarding excessive costs charged by providers and continually assess and manage risk

* Monthly management reports