• Application Deadline: Fri, 20 Sep 2024 00:00:00 GMT
• Position: Medical Manager


• Job Type Full Time


• Qualification BA/BSc/HND


• Experience 2 - 3 years


• Location Lagos


• Job Field Medical / Healthcare 
  

LOCATION: HEAD OFFICE, LAGOS.

Job Duties/ Responsibilities/ Accountabilities:

• Supervision of general medical operations activities


• Coordination of Provider payment mechanisms


• Provider profiling and audit


• Observation and compliance with use of quality assurance tools for Providers


• Supervision of guidance and observance of NHIS operational protocols


• Timely submission of NHIS statutory reports


• Build-up of Provider directory and excellence centers enhancing the Provider network optimally.


• Provider cluster reviews for geographical coverage for the regions.


• Approvals for provider contracting, registration & sign up.


• Provider categorization for optimal profitability.


• Medical operation process development and implementation.


• Organization of internal meetings to enhance productivity and profitability.


• Presentation of medical operations administrative reports, ensuring they are sent within allotted timeline.


• Provider education and organization of Provider forums.


• Oceanic Health staff education on provider idiosyncrasies, behavior & benefits


• Provider relations management, enhancing provider perception of OHML operations.


• Departmental document filing and record keeping.


• Escalation of departmental requirements to other relevant units.


• Complaint management and grievance resolution.


• Care coordination for enrollees at provider healthcare facility including co-management of cases with attending physicians at healthcare facility.


• Enrollee referrals within and outside the provider network, both locally and internationally.


• Review and filing of medical reports and specialist consultations.


• Assurance of care delivery with zero denial of access to care for covered benefits.


• Introduction & development of cost saving initiatives e.g., activation of pharmacy network etc.


• Utilization monitoring.


• Provision of cost management initiatives and implementation.


• Regular provider visitation and engagement.


• Provider allotment reviews.


• Provider profitability reviews and management reports.


• NHIS operations update and follow through on related directives.


• Supervision of compliance with use of quality assurance tools for providers.


• Supervising itinerary of visitation, actual visitation and reports for providers sent monthly.


• Management of exclusions.


• Management of referral cases.


• Management of onsite clinics for deserving clients.


• Preventative care management including but not limited pre-employment test for clients, content writing for newsletters, health talks and schedules as well as wellness programs.


• Monthly provider directory dissemination.


• Any other task and duty as assigned by the supervisor, HOD.

Education Qualification:

• MBBS


• At least 2 to 3 years’ experience in HMO is essential. 

Functional/ Technical:

• Good clinical skills.


• Apt administrative skills.


• Excellent handling of Microsoft Office tools.


• Good negotiation skills.


• Relationship management skills.

Managerial:

• Ability to multi-task.


• Problem solving.


• Analytical expertise.


• Innovative capability.


• Discreet.

Behavioral:

• Heightened interpersonal skills.


• Excellent communication skills.


• Time management skills.


• Organizational skills.

Salary Package:

Very Attractive and Negotiable