Zonal Medical Manager at Mediplan Healthcare

Job Overview

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

Additional Details

Job ID
62601
Job Views
111

Job Description



Responsibilities 

Applicants should be able to carry out the following responsibilities:



  • Develop and execute strategic plan to acquire and manage HMO providers in Mediplan Healthcare's network.

  • Hospital assessment, accreditation and provider education.

  • Provide thorough assessment and credentialing of provider facilities.

  • Ensure prompt attention and resolution to provider issues.

  • Ensure effective case management/referral of enrollees on admission.

  • Organize and conduct annual medical examination for entitled clients.

  • Conduct staff negotiations for provider services.


Requirements



  • Possess an MBBS / MBChB

  • Must possess a valid practicing license with 2-5 years of post-accreditation experience, preferably within the Health Insurance / Managed Care environment.

  • Must have a good knowledge of the workings of the National Health Insurance Authority (NHIA).

  • Monitor provider network to ensure quality assurance, etc.


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