Medical Service Provider Networks Business Development Consultant, Cape Town

* Development of integrated medical service provider networks within the Western Cape 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 Experience & Qualification * Matric and Commercial Diploma a minimum * RE 5 * Minimum 2 years experience in a similar role * Health industry, insurance options and benefits knowledge * Proven track record of meeting targets * Understanding of medical providers claims administration systems and business operations in order to solve issues * Claims risk profiling * MS Office (Word and Excel) a MUST * Extensive provincial travelling to all medical service providers within the network (home office set up advantageous)