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Odhiambo Marshall

Odhiambo Marshall

Results-driven healthcare professional with over five years of progressive experience in healthcare coordination, case management, provider relations, and clinical care

Talent
NairobiMember since June 27, 2024
Healthcare CoordinationCase ManagementMedical ApprovalsPatient Services Managerhealth economicsPatient Support SpecialistProvider Relations SpecialistPopulation Health CoordinatorMedical Affairs CoordinatorPatient Access Specialist
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Healthcare CoordinationCase ManagementMedical ApprovalsPatient Services Managerhealth economics

About

Results-driven healthcare professional with over five years of progressive experience in healthcare coordination, case management, provider relations, and clinical care. Proven ability to coordinate patient care across multidisciplinary teams, build strong relationships with healthcare providers, manage complex medical cases, and deliver exceptional patient experiences while optimizing healthcare costs. Recognized for outstanding performance in care management, achieving significant cost savings, improving service quality, and leading high-performing teams.

Experience

Care Manager & Provider Relations Officer at APA Insurance (2025-07 – Present)

  • Coordinate inpatient and outpatient care approvals according to policy guidelines.
  • Manage referrals, admissions, transfers and medical evacuations, including overseas treatment
  • Maintain accurate case records and care plans.
  • Build relationships with hospitals and healthcare providers.
  • Analyse patient feedback and improve customer experience.
  • Build and maintain strong relationships with hospitals, physicians, and healthcare providers.
  • Conduct provider performance monitoring and quality assessments.
  • Coordinate provider contracting and manage the provider lifecycle.
  • Perform provider audits to ensure compliance with quality and operational standards.
  • Gather and analyse patient feedback to improve provider performance and patient satisfaction.
  • Participate in client service meetings to enhance healthcare service delivery.

Care Manager at Jubilee Health Insurance (2023-07 – 2025-07)

  • Managed complex inpatient and outpatient cases.
  • Issued medical approvals and ensured policy compliance.
  • Negotiated treatment costs and coordinated referrals.
  • Monitored quality of care and identified improvement opportunities.
  • Achieved annual cost savings exceeding KES 12 million.
  • Awarded Best Care Manager of the Year (2024).

Care Manager at Madison Insurance (2022-02 – 2023-07)

  • Managed pre-authorizations and inpatient monitoring.
  • Negotiated treatment costs and coordinated referrals.
  • Conducted hospital visits and coordinated emergency support.

Clinical Officer at PCEA Kikuyu Mission Hospital (2020-11 – 2022-01)

  • Diagnosed and managed acute and chronic illnesses.
  • Coordinated multidisciplinary patient care and quality improvement.

Clinical Officer at Murang'a Level 5 Hospital (2019-07 – 2020-08)

  • Provided outpatient and inpatient clinical services.
  • Led preventive health and community outreach initiatives.

Education

Master of Science in Health Economics and Policy – University of Nairobi (2022 – 2025)

BSc in Clinical Medicine and Community Health – JKUAT (2015 – 2020)

KCSE in A Plain – Sawagongo High School (2011 – 2014)

Skills

case managementprovider relationsand clinical care

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