Job Description
To take responsibility of the health services department.
To supervise, monitor and discharge daily inspection upon staff with the view to ensure the set goals of efficiency and effectiveness in the discharge of health insurance project.
To effectively manage the relationship with providers
To manage the process of hospital inspection, accreditation and re-accreditation
To formulate and implement provider management strategies for organizational growth, competitiveness and leadership
To ensure quality assurance with all Health Care Providers across the country
To negotiate with Doctors and other health care providers about health care for clients
Liaison with NHIS
Represent organization in the health care events
Provision of assessments and treatments for members of staff
Hospital inspection/accreditation
Supervise fraud investigation process
Follow-up on complaints of staffs and providers.
Payment Reconciliation
To manage Providers training and provide advisory services.
Requirements
Candidate must be a Medical Doctor.
Additional medical qualification will be an added advantage
Candidate must have minimum of 7 years Health Maintenance Organization (HMO) experience.
Candidate must have minimum of 3 years Clinical experience
Candidate must have advanced knowledge of NHIS regulatory guidelines, Medical Global Best Practices, Health Insurance, Products and Processes.
Excellent organizational, communication (verbal and written) skills and attention to detail.
Other requirements:
Good organizational and planning capabilities
Innovative and quick thinking capabilities
Innovativeness
Analytical Skills
Decision Making skills
Leadership Skill
Integrity and Transparent honesty
Negotiation Skill
Adaptive, expertise, Result-Oriented, Relationship Skill
Working with people
Strategic
Must be a good collaborator/Team player
To apply, visit Total Health Career Page
Apply via :
