The Gurkha Welfare Trust
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Secondary Medical Care Liaison Manager
| Jobs Function: | Health/Pharma/Biotech/Medical | Jobs Availability: | Full Time |
|---|---|---|---|
| Jobs Level: | Manager Level | Offered Salary: | Negotiable |
| Jobs Location: | Pokhara | Min. Experience Year: | 2 Years |
| Education Degree: | Bachelor | No. of Openings: | 1 |
| Deadline: | Sunday, Dec 29, 2019 (Expired) | Preferred Gender: | Any |
job description
- The Secondary Care Liaison Manager is responsible for enrolling, registering and managing the relationships with strategically selected medical care providers (including providers of laboratory and imaging services) in Nepal.
- This involves providing support for participating providers to fulfil the requirements of GWT(N), ensuring they are satisfied with, understand and adhere to the agreed processes of GWT(N), and negotiating MOUs. It also involves liaising with hospitals where GWT (N) patients have been admitted and supporting decision making regarding their care, providing feedback as required in case of overtreatment of any inappropriate treatment.
- The SCLM will support communication between GWT(N) medical doctors and the secondary care doctors.
- This role also works closely with and supports the Medical Advice Cell (Claims) to advise on secondary medical claims process and decision making in line with GWT(N) requirements.
- This is a senior, front line, provider facing and customer advocate role responsible for engaging with providers pre, and post, agreement to participate in the GWT(N) network and ensuring adherence to GWT(N)rules and quality standards, including delivery of training to GWT(N) staff and provider representatives.
- This role requires strong leadership, a good process and operational understanding and the ability to work together with senior provider stakeholders to influence decisions.
- It also requires the individual to liaise effectively with provider representatives to detect, address and solve any quality or probity issues on behalf of GWT(N)
Job Specification
- Manage new and existing provider partnerships including collecting key provider file information for provider file set up (where applicable).
- Be responsible for recording and maintaining an up to date Referral Management database ensuring quality and accuracy of the information entered .
- Review existing provider relationships periodically, audit usage and claim volume, reaudit existing providers and revise list of approved providers accordingly.
- Establish relationship management plan to execute a cycle of visits to key providers.
- Deliver periodic status reports to the Medical Director.
- Educate providers on GWT(N) Scheme rules and expectations for pensioner treatment including overview on GWT claims management processes.
Education description
- Primary Medical Degree equivalent to MBBS.
- Postgraduate degree in Internal Medicine or General Practice an advantage.
- Primary or Postgraduate degree in management or hospital / health systems management is a strong advantage.
- At least 2 years experience in a senior (health service) management role.
- Previous exposure to healthcare provider management a plus.
Other Specific Requirement
For more information and to apply, please visit: https://www.gwt.org.uk/about-us/vacancies/
about company
- Industry: NGO/INGO/Development Project
- Ownership: NGO/INGO
- Address: Tallo Dip, Pokhara
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