Health Plan Management Course
Gain expertise in managing health plans for insurance professionals in Kenya. Master plan design, cost control strategies, clinical programmes, data analytics, and vendor negotiations to reduce medical expenses, enhance member results, and handle employer-sponsored health coverage effectively. This course equips you with practical tools to navigate regulations and optimise plans for better access and satisfaction.

from 4 to 360h flexible workload
valid certificate in your country
What will I learn?
This Health Plan Management Course builds essential skills for designing, analysing, and improving employer health plans. You will study various plan types, cost-sharing models, provider networks, and key regulations. Delve into factors driving costs, utilisation data analysis, and financial modelling techniques. Learn about contracting with vendors, pharmacy benefit manager strategies, clinical initiatives, and effective communication methods to manage expenses while ensuring member access and high satisfaction levels.
Elevify advantages
Develop skills
- Design cost-efficient health plans by optimising networks, tiers, and cost-sharing.
- Analyse claims and utilisation to identify cost drivers, trends, and savings opportunities quickly.
- Manage clinical and wellness programmes to improve outcomes while controlling costs.
- Negotiate vendor and PBM contracts to secure guarantees, data access, and savings.
- Lead plan implementation by aligning stakeholders, ensuring compliance, and communicating clearly.
Suggested summary
Before starting, you can change the chapters and workload. Choose which chapter to start with. Add or remove chapters. Increase or decrease the course workload.What our students say
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