INSURANCE
Lagos
Posted 11 months ago

To build and contract a network of Providers for the Company. To implement the provider network management strategy in Lagos and the South-West region. To manage the relationship between the Company and its Providers to ensure a seamless enrolee experience.

Role Qualification:

Academic/Professional:

  • MBBS/Degree from a reputable Tertiary Institution.
  • Relevant postgraduate (MPH, MSc, MBA) and/or professional qualification would be an added advantage.

Work Experience: 3 to 5 years professional in related position.

Key Responsibilities:

  • Receive requests and recommendations for provider sign-up based on certain criteria.
  • Signing up high-quality providers who deliver healthcare services at a reasonable cost.
  • Regular physical visits to providers weekly and monthly to foster good relationship.
  • Analyse provider’s performance and share feedback with provider with recommendations
  • Prepare monthly reports on medical operations, from all zones with recommendations for the Head of Operations.
  • Ensure that Health Care Providers comply with the agreement reached With AXA Mansard Health plans concerning billing and quality of medical care.
  • Synergy with the claims unit to ensure prompt payment of claims.
  • Oversee the smooth running of the various providers within the states within the region
  • Liaising regularly with the HMO coordinators and medical directors of the hospital to ensure good rapport and to gain trust.
  • Bi-annual hospital quality assurance check (physical visits)

Required Skills and Competencies

  • Knowledge of HMO Industry/Health Business.
  • Customer Service, Writing, Problem Solving and Presentation Skills.
  • Strong aptitude in decision-making, time management and problem solving.
  • Good negotiation and analytical skill.
  • Relationship management.
  • Strong interpersonal skills
  • Be detail oriented.
  • Must be customer focused and fast-paced oriented.
  • Intermediary level for excel database analysis.

Job Features

Job CategoryFull-time

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