Healthcare Analyst Jobs

PURPOSE: Responsible for vetting both in/ outpatient medical claims for payment. PRIMARY RESPONSIBILITIES: Vet and audit inpatient and outpatient medical bills/invoices in order to pay service providers promptly. Process reimbursement claims within the stipulated TAT. Batch outpatient invoices on the system and adjust amount payable as per the vetting findings; Check and reject incomplete invoice...

Role Purpose Responsible to review and approve medical services requested by providers or customers according to medical necessity review guidelines. Will ensure customers receive the best quality care, diagnostics and treatment and avoid over or under-utilization of clinical services. Ability to review, investigate and respond to external and internal inquiries/complaints. Provide guidance to ot...

EY is a global leader in assurance, tax, transaction and advisory services. Worldwide, our 230,000 people are united by our shared values and an unwavering commitment to quality. EY, has been in East Africa for over 87 years and with over 600 professionals, is today one of the largest professional services firms in the region. Summary For the right candidate there is potential for excellent caree...

The opportunity : Our focus is to recruit and develop a talented team through investment in technical and commercial training and knowledge transfer. Within the team you'd have the opportunity to work on complex valuation issues and work directly with management. Within the team you'd have the opportunity to manage smaller projects and be an integral part of large projects, often involving multi-...

Old Mutual Kenya is based in Nairobi and is part of a larger group that offers solutions in long-term savings, asset management and investment. We offer solutions to individuals and corporates underpinned by our core values which are: Respect, Integrity, Accountability and Pushing beyond boundaries. SUMMARY Responsible for ensuring claims processes and services meets the established standards to ...

NGO Jobs In Kenya. Technical support In consultation with the Supervisor:Strengthen the capacity of County departments of health (CDoHs) on health care financing, particularly on primary health care financing, supplies financing and UHC implementation.Support the CDoHs to optimize Own Source Revenue (OSR) and other funding sources to increase fiscal space to purchase PHC services (particularly un...

Haleon plc is a British multinational consumer healthcare company with headquarters in Weybridge, Surrey. It is the largest consumer healthcare business in the world, with brands including Sensodyne toothpaste, Panadol and Advil painkillers and Centrum vitamins In this position you will: Carry out continuous in process inspection for the product during production processes, and ensure all paramet...

ThinkWell is dedicated to improving the health and well-being of society as a means to achieve global prosperity. Since 2011, ThinkWell has helped over 30 countries to achieve long-lasting improvements to their health systems. We have staff and offices in the U.S., Switzerland, Philippines, Bangladesh, Indonesia, Burkina Faso, Mozambique, Kenya, and Uganda. In addition, we are working in more tha...

Brites Management Services Limited is one of the best leading Recruitment and HR consultancy companies in Nairobi, Kenya. We are registered and incorporated under Companies Act (Cap. 486) and we provide a complete range of HR Solutions. Our sole focus is to simplify the complexities of the HR department and help companies concentrate on the core business as we handle HR tasks more efficiently and...

Cigna is a global health service company, dedicated to helping the people we serve improve their health, well-being and sense of security. Cigna has almost 40,000 employees who service over 80 million customer relationships around the world. Within its international division, a dedicated unit headquartered in Belgium focuses on the needs of International Organisations. This unit is specialised in...

CIC Insurance Group Limited, commonly referred to as CIC Group, is an insurance and investment group that operates mainly in Kenya, Uganda, South Sudan and Malawi PURPOSE: Responsible for vetting both in/ outpatient medical claims for payment. PRIMARY RESPONSIBILITIES: Vet and audit inpatient and outpatient medical bills/invoices in order to pay service providers promptly. Process reimbursement c...

InSupply Health, an affiliate of JSI Research & Training Institute, Inc. (JSI), is an independent, supply chain advisory firm based in East Africa that provides our clients with customized guidance on supply chain management and design Summary The candidate will play a technical and analytical role in the project activities, implement projects, help to generate new business for the organization a...

RTI International is a nonprofit organization headquartered in the Research Triangle Park in North Carolina that provides research and technical services. Responsibilities Business Development and Growth Support the conceptualization and development of proposals, concept notes, and expressions of interest for global health opportunities. Assist with capture, partner identification and development...

Job Summary The role holder will be responsible for ensuring that Heritage customers receive a ordable, accessible, cost e ective and high-quality healthcare services. Key Responsibilities Maintain constant contact with hospitals to ensure continuous well-being of all the stakeholders and handling of medical claims with effciency and accuracy. Pre-authorise scheduled and non-scheduled admissions ...

At Heritage where we provide short term insurance products, we pride ourselves on our history of claims payment. This was recently recognized when we won the award for Outstanding Insurance Underwriter in Claims Settlement as nominated by members of the Association of Insurance Brokers of Kenya. We are also rated AA- by Global Rating Company (GRC), for amongst other reasons, our high claims payin...

Kenyatta University, is a multi-campus public university in Kenya. As of October 2014, it was one of twenty three public universities in the country ROLE PURPOSE: The grants and compliance officer will report to the Finance and Administration Manager and will be responsible for providing the day to-day supervision, guidance, and monitoring of all USAID HERO sub grants. Key Areas of Accountability...

Tezza Business Solutions Ltd is a niche service provider of Software Development, Quality Assurance and Software Testing services. Tezza began its operations as Web Development company in 2000 in Overland Park, Kansas. Since then, we ve evolved into a Services-oriented company who only engage in Product development as a value-add service to our customers who continue to appreciate our Customer Fi...

InSupply Health, an affiliate of JSI Research & Training Institute, Inc. (JSI), is an independent, supply chain advisory firm based in East Africa that provides our clients with customized guidance on supply chain management and design. inSupply Health has an established track record of collaborating with partners in government, public health, and the private sector and excel at designing resilie...

The Nairobi Women s Hospital has successfully grown into one of Kenya s largest chain of hospital. In slightly over 10 years the hospital has expanded to meet the growing demand for its services to the women and their families. From just one branch at Hurligham, it now has other branches at Adams along Ngong road, Ongata Rongai along Magadi road and the latest a 24 hour outpatient centre within K...

Kenya Medical Research Institute (KEMRI) is a State Corporation established through the Science and Technology (Amendment) Act of 1979, which has since been amended to Science, Technology and Innovation Act 2013. The 1979 Act established KEMRI as a National body responsible for carrying out health research in Kenya. Key Responsibilities: Oversee a quality control program appropriate for tests per...

The Nairobi Women s Hospital has successfully grown into one of Kenya s largest chain of hospital. In slightly over 10 years the hospital has expanded to meet the growing demand for its services to the women and their families. From just one branch at Hurligham, it now has other branches at Adams along Ngong road, Ongata Rongai along Magadi road and the latest a 24 hour outpatient centre within K...

The Nairobi Women s Hospital has successfully grown into one of Kenya s largest chain of hospital. In slightly over 10 years the hospital has expanded to meet the growing demand for its services to the women and their families. From just one branch at Hurligham, it now has other branches at Adams along Ngong road, Ongata Rongai along Magadi road and the latest a 24 hour outpatient centre within K...

Cigna is a global health service company, dedicated to helping the people we serve improve their health, well-being and sense of security. Cigna has almost 40,000 employees who service over 80 million customer relationships around the world. Within its international division, a dedicated unit headquartered in Belgium focuses on the needs of International Organisations. This unit is specialised in...

The Nairobi Women s Hospital has successfully grown into one of Kenya s largest chain of hospital. In slightly over 10 years the hospital has expanded to meet the growing demand for its services to the women and their families. From just one branch at Hurligham, it now has other branches at Adams along Ngong road, Ongata Rongai along Magadi road and the latest a 24 hour outpatient centre within K...