Company – Mediplan Healthcare Limited(HMO)
Location – Lagos
Job Title – Zonal Medical Manager
Role/ Job Description
~ Develop and execute a 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 examinations for entitled clients
~ Conduct tariff negotiations for provider services
~ Monitor provider network to ensure quality assurance etc.
~ A degree in Medicine and Surgery (MBBS/MD).
~ A valid practicing license with 2-5 years of post-accreditation experience, preferably within the Health Insurance/Managed Care environment
~ Knowledge of the workings of the National Health Insurance Authority (NHIA) will be an added advantage.
~ Strong interpersonal, communication, and leadership skills
~ Excellent analytical and problem-solving skills
~ Proficiency in Microsoft Office tools (Word, Excel, and PowerPoint)
Interested & qualified applicants should send their CVs to email@example.com using the job title as the subject of the mail.
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