Title : Health Risk Advisor
Location : Nairobi
Division : Employee Benefits
Department : Managed Medical Care
Deadline : Friday, 06, Jun, 2025
Location : Nairobi
Division : Employee Benefits
Department : Managed Medical Care
Deadline : Friday, 06, Jun, 2025
Purpose for the Job
To grow the business by supporting all health insurance financing & administration within the company.
Duties and Responsiblities
a) 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.
b) 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.
c) 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.
d) Product & Capability Development
- Drive the development of innovative health/medical insurance products.
- Support capability building for Minet Health teams, including training and sales enablement.
e) 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).
Application Deadline
Friday, 06, Jun, 2025