HMO Doctor And Quality Assurance Manager | Jobs
full time 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 Dec 21, 2019

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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.



Company Name / Industry
Work Type
Work Type: full time
Industry: Security
Job Function
Function: Other Services
Work Experience
Years of Experience: 2
Job Level
Job level: 3
Monthly Salary
Deadline of Application
Deadline: December 21, 2019


Contact Personnel

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

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