About the Role
Afritpa Limited is a premier Third-Party Administrator (TPA) delivering full-service healthcare administration solutions for insurers, employers, and their members across Africa. Through a structured, clinically driven model, AfriTPA connects insurers, providers, and patients, simplifying every step of the healthcare journey. We are currently looking for a strategic and results-driven Network Manager to lead the expansion, optimization, and management of our comprehensive healthcare provider network.
Key Responsibilities- Develop and implement strategies to expand and optimize the healthcare provider network in line with organizational goals.
- Oversee provider network expansion, contract management, negotiations, onboarding, renewals, and agreement amendments.
- Build and manage strong provider relationships to enhance service delivery, collaboration, and adherence to SLAs.
- Maintain an accurate provider directory, ensuring completeness of provider information and geographic specialty coverage.
- Drive provider accountability by tracking performance metrics against established service standards and quality indicators.
- Resolve provider-related issues and escalations promptly while collaborating with Claims, Medical, Customer Service, and Finance teams.
- Analyze provider utilization, network adequacy, and cost trends to identify opportunities for improvement and cost optimization.
- Ensure compliance with regulatory, accreditation, and organizational standards across all provider records.
- Foster a high-performance culture within the Provider Network team through active leadership, mentorship, and professional guidance.
- Bachelor's degree in Healthcare Management, Business Administration, Insurance, or a related field.
- Professional certifications in Healthcare Management or Insurance represent a strong added advantage.
- Minimum of 6 years of relevant experience in healthcare administration, health insurance, HMO, or TPA operations.
- At least 3 years of proven experience in a managerial or supervisory role within the healthcare sector.
- Deep knowledge of healthcare administration, service delivery operations, and provider reimbursement models.
- Exceptional stakeholder engagement, negotiation, contract execution, and data-driven decision-making skills.
- Proficiency in Microsoft 365 office tools and provider management software.
- Competitive salary package commensurate with experience and industry standards.
- Comprehensive health insurance coverage for employee and dependents.
- Opportunities for professional development, continuous learning, and career advancement.
- Collaborative, fast-paced, and inclusive work environment making a tangible impact on African healthcare.
Skills
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