Provider Manager - Nurse at International Health Management Services Limited

Job Overview

Location
Lagos, Anambra
Job Type
Full Time
Date Posted
9 days ago

Additional Details

Job ID
144097
Job Views
33

Job Description






About the Role




  • We are seeking a dedicated and experienced Nurseto join our dynamic team.

  • The ideal candidate will have a strong background in provider network management and will collaborate closely with our Claims Department and Call Center teams to ensure seamless healthcare service delivery and provider coordination.



Key Responsibilities




  • Manage and maintain relationships with healthcare providers in the network.

  • Monitor provider performance and ensure compliance with healthcare standards and regulatory requirements.

  • Work closely with the Claims Department to review and validate medical claims.

  • Support the Call Center team in resolving provider-related inquiries and complaints.

  • Ensure adherence to healthcare regulations and internal policy guidelines.

  • Participate in the onboarding and credentialing of new providers.



Requirements




  • Interested candidates should possess a Bachelor's Degree with 2-5 years experience.

  • Strong knowledge of healthcare regulations, policies, and clinical best practices.

  • Excellent communication and interpersonal skills.

  • Strong analytical and problem-solving abilities.

  • Ability to work collaboratively across departments.



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