Health Risk Advisory & Consulting

• Provide strategic health consulting services to private and public sector schemes.
• Offer client-specific health risk advisory services, including wellness and preventive health solutions.
• Deliver OSHA advisory services and support enterprise-wide health risk management initiatives.

Medical Claims & Provider Management

• Oversee the preauthorization and claims adjudication teams to ensure client advocacy in medical claims, promoting efficiency and compliance.
• Manage accreditation, contracting, and performance of medical service providers.
• Negotiate healthcare costs and implement cost control measures while maintaining quality standards.

Case Management & Emergency Coordination

• Coordinate care and case management, including both local and international medical evacuations.
• Monitor complex cases and guide clients through healthcare decision-making processes.

Product & Capability Development

• Drive the development of innovative health/medical insurance products.
• Support capability building for Minet Health teams, including training and sales enablement.

Health Economics & Thought Leadership

• Provide health economics advisory services to support data-driven decision-making.
• Promote thought leadership in areas such as health financing and cost-effectiveness analysis.

Key Competencies

Knowledge And Skills Required

• Minimum of 5 years of relevant experience.
• Excellent communication / Interpersonal skills.
• Strong Analytical Skills.
• Exceptional Negotiation and conflict resolution skills.

Professional and Academic Qualifications

• Bachelor of Medicine or Bachelor of Surgery.
• Registration with Kenya Medical Practitioners and Dentists Council.
• A master’s degree in health economics & health financing is preferred.
• Certificate of proficiency (COP) in Insurance (added advantage).