Head, Provider Management

Posted by Jobgurus Services - VERIFIED EMPLOYER VERIFIED27 Jan 5:21 pmIkeja, Lagos

Total Health Trust Limited - Our organization is a leading and largest health maintenance organization (“HMO”) in Nigeria with over 270,000 members and over 270 private corporations representing some of the country’s top local and international multinationals, as well as public sector institutions under our management. We were the first HMO to be registered in Nigeria and 17 years later, we are still number one in the market. We are one of the very few HMOs that can boast the financial and technical backing of a world class company - Liberty Health (a member of the Liberty Group). The organization further prides itself with its rich culture of Respect, Compassion, Pride and Expertise.

We are recruiting to fill the position of:

Job Title: Head, Provider Management

Location: Lagos

Job Descriptions

To take responsibility of the health services department.
To supervise, monitor and discharge daily inspection upon staff with the view to ensure the set goals of efficiency and effectiveness in the discharge of health insurance project.
To effectively manage the relationship with providers
To manage the process of hospital inspection, accreditation and re-accreditation
To formulate and implement provider management strategies for organizational growth, competitiveness and leadership
To ensure quality assurance with all Health Care Providers across the country
To negotiate with Doctors and other health care providers about health care for clients
Liaison with NHIS
Represent organization in the health care events
Provision of assessments and treatments for members of staff
Hospital inspection/accreditation
Supervise fraud investigation process
Follow-up on complaints of staffs and providers.
Payment Reconciliation
To manage Providers training and provide advisory services.

Candidate must be a Medical Doctor.
Additional medical qualification will be an added advantage
Candidate must have minimum of 10 years Health Maintenance Organization (HMO) experience.
Candidate must have minimum of 5 years Clinical experience
Candidate must have advanced knowledge of NHIS regulatory guidelines, Medical Global Best Practices, Health Insurance, Products and Processes.
Excellent organizational, communication (verbal and written) skills and attention to detail.
Other Requirements:

Good organizational and planning capabilities
Innovative and quick thinking capabilities
Analytical Skills
Decision Making skills
Leadership Skill
Integrity and Transparent honesty
Negotiation Skill
Adaptive, expertise, Result-Oriented, Relationship Skill
Working with people
Must be a good collaborator/Team player
Deadline Date:
8th February, 2016

I do not want to be contacted by telemarketers.

Medical / Biotech
Company website:
Job type:
Full Time
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