Summary Plan and oversee health services, coordination of health workers, manage NHIS/HMO quality initiatives, coordination of meetings and presentations for all departments and units within the hospital. Supervising daily administrative operations, monitoring expenses and suggesting cost-effective solutions, creating quarterly and annual budgetsWork with established teams to develop new health insurance services and concepts, carry out HMO registration and mapping, carry out Hospital registration renewal and accreditation with HMO and relevant government agency, vetting of fee for service bills, and resolve grievances arising in the course of care, the medical/quality assurance reports and other duties that is assigned from time to time by the Chief Medical Director.Key Responsibilities
Interact with HMO community.
Explain benefits, eligibility status, enrollment processing procedures and status of authorizations and referrals to patients/clients.
Conduct outreach calls as assigned to proactively educate associations, unions and members of the public on services available
Process complaints, following established guidelines.
Maintain knowledge of National guidelines, regulations, and departmental policies and practices and maintain accurate documentation for compliance.
Develop and implement effective policies for all operational procedures
Prepare work schedules
Maintain organized medical and employee records
Monitor administrative staff’s performance
Train new employees
Ensure prompt ordering and stocking of medical and office supplies.
Resolve potential issues with patients.
Requirements
Minimum of First Degree (HND/B.Sc) or its equivalent in Health or Science related field.
Certification in or professional membership of health, management or related bodies
Knowledge of statistical/epidemiological tools such as SPSS, Ms Power point
Minimum of 5 years experience post NYSC in relevant and related position.
Attendance of related Courses/ workshops/seminars etc
HMO Experience is required
Knowledge of the operations of the National Health Insurance Scheme (NHIS)
Excellent customer relationship skills
Good communication/presentation skills (both oral and written)
Must be a team player, able to build and maintain effective and collaborative network
Must be able to take responsibility and demonstrate high level of integrity in dealing with all stakeholders.
Required Skills:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills and/or ability required.
Attention to detail
Professional development through participation in continuing education and professional Organizations.
Conversant with the HMO processes and Maintenance
Must also be good in Coordination, Listening, Scheduling and Teamwork
Must possess good administrative skills
Superior problem solving skills
Ability to explain detailed instructions articulately and clearly
Ability to analyze Information promptly
Exceptional customer services skills
Proficient in relevant computer applications
Knowledge of customer service principles and practices
Qualified and interested candidates should send their application and Curriculum Vitae via Email, as an attachment to oladipoea@yahoo.com OR submit in person to: Ona Ara Hospital,Plot 29, Olorungbeja Street,Olorunsogo – Olunloyo Road,Off Lagos Ibadan Express road, Ibadan.Oyo State.Use Job Title as subject of your email/letter.Only shortlisted applicants would be invited for test/interview
Apply via :
oladipoea@yahoo.com
