Programs Officer, NHIA/Public Sector Operations at AXA Mansard Pensions

Job Overview

Location
Lagos, Lagos
Job Type
Full Time
Date Posted
2 hours ago

Additional Details

Job ID
161630
Job Views
27

Job Description






Job Objective




  • To manage the administrative, operational, and programme delivery functions of the NHIA/Public Sector Operations Unit, ensuring all payment processes, provider management activities, regulatory submissions, and programme reporting are executed accurately and on time.



Responsibilities



Payment & Claims Administration




  • Coordinate monthly NHIA capitation payments for FSSHIP to over 1,300 healthcare facilities

  • Coordinate monthly NHIA FFS (Fee for Service) payments to healthcare facilities

  • Manage end-to-end CEMONC claims processing, portal uploads, payment evidence documentation, and reimbursement letters to the Director General, NHIA

  • Oversee claims reconciliation exercises for CEMONC and FSSHIP programmes



Provider Management




  • Manage the onboarding and training of new NHIA FSSHIP facilities in coordination with the Provider Liaison Officer

  • Oversee adoption, execution, and retrieval of contracts with partner healthcare providers

  • Supervise the Provider Liaison Officer and CEMONC Claims Verifiers on day-to-day operations

  • Monitor facility performance and escalate issues to the Clinical Officer as required



Reporting & Regulatory Submissions




  • Prepare and submit weekly CEMONC programme reports to NHIA and all relevant stakeholders

  • Ensure FSSHIP and CEMONC records and data meet NHIA regulatory accuracy standards

  • Coordinate the organisation’s representation at NHIA and stakeholder events, logistics and documentation

  • Maintain a regulatory submissions calendar and ensure all deadlines are met



Contract Staff Coordination




  • Coordinate and supervise all contract staff within the unit, task allocation, quality review, and performance monitoring

  • Manage the scheduling, training, and retraining of CEMONC claims verifiers and FSSHIP claims officers

  • Escalate capacity issues and recommend contract staff adjustments to the Group Head



Other Public Sector Programs




  • Serve as clinical lead on public health programme design, quality metrics, and clinical governance frameworks within the McKinsey partnership workstream

  • Contribute clinical expertise to programme evaluation and outcome measurement



People & Team Management




  • Own programme reporting templates, stakeholder communications, and documentation for the McKinsey partnership workstream

  • Coordinate data submissions and milestone tracking for the programme



Education/ Professional  Qualification




  • Bachelor’s degree in Health Sciences, Public Health, Business Administration, or related field



Experience




  • Experience in public health programme management

  • Experience in health insurance operations, HMO administration is an advantage



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