• Application Deadline:
• Position: Healthcare Provider Management Executive (Medical Operations)


• Job Type Full Time


• Qualification BA/BSc/HND , MBA/MSc/MA


• Experience 3 years


• Location Lagos


• Job Field Medical / Healthcare 
  

Key Responsibilities And Accountabilities

 

• Sign up of providers across the country


• Provider selection and management: enlisting, negotiation, delisting, rewarding, training, enlightening


• Tariff negotiation and review


• International Providers selection and management


• Scheduling major and highly specialized patient procedure


• Utilization Review Management (total review of all enrollees that receive care within the period)


• Case Management – concurrent and post management review with managing physicians


• Providers audit and quality assurance: this involves infrastructure audit, treatment protocol compliance, service quality


• Care review for admitted and complex cases in secondary and tertiary care


• Review of care delivery protocols


• Analysis of hospitals tiers and capability
  
   

Required Competencies

 

• Knowledge of the function


• Knowledge of the Business


• Analysis and development of solutions


• Decision-making autonomy

Requirements

• Bachelor of Medicine, Bachelor of Surgery (MBBS)


• At least 3 years of Experience working as in provider management in a Healthcare Maintenance Organization


• An MBA would be an added advantage