HMO Doctor And Quality Assurance Manager | Jobs
full time 326 Views Posted about 2 years ago

HMO Doctor and Quality Assurance Manager

Employer : Fort Knox Guards Limited

Location: Ogudu, Lagos

17b Aroyewun St,
Other Services
Until December 21, 2019

Job Description:

Clients inquiry and complain managementBuilding Tariff templatesDetermining competitive tariff and rates to work with.Utilization trackingSupervision of Claims Management ProcessManagement of providers networkQuality monitoringSensitization and health talksUnderstanding step by step/full cycle on -boarding of both service provider( hospitals) and enrolleesGenerating Company documents for on-boarding and enrollee processes and managementEagle HMO and placing the company in a strategically competitive position I the HMO Space.On-boarding of Service ProvidersOn-boarding of EnrolleesApprove and disapprove vetted claimsSensitization of enrol-lees and providersUpdate network of providersMaintain and analyze quality assurance documents and records in an up to date manner.Represent the organization at relevant forums organized by NHIS clientsPresent health talks to organizationsLiaising with providers to ensure implementation of designated data management protocols including utilization and claims data collation and reporting.Weekly review of departmental records to ensure conformity to ISO standardsPrepare leaflets on health topics to promote wellness among enrolleesSome level of business development.




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Company Name : Fort Knox Guards Limited
Company Contact Email :
Company Contact No. : +234 902 000 0222

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