Medical Doctor Needed in a Foremost Health Maintenance Organization

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SDIL - Our client, a foremost Health Maintenance Organization in Nigeria to carry on the business of providing healthcare services to corporate organizations and members of the public. We are recruiting to fill the position below:     Job Title: Medical Doctor Location: Lagos Specific Duties & Responsibilities

• Assessment, Credentialing of healthcare providers and Tariff negotiations under the directive of the Regional Manager.
• Supervise the record keeping and regular update of all Providers’ documentations.
• Vetting of Providers claim and verification of claims
• Identifying specialties in Providers for members’ specific needs
• Conduct frequent and timely provider education for the providers on the health plans and individual benefit cover.
• Supervision of Payment Advices issuances and the claims register records
• Maintain an updated provider directory including provider accounts details.
• Quality control of provider services and Medical Audit of Provider Healthcare Facility

Member Servicing and Enrollee Management:

• Resolution/ reconciliation of difficult issues with providers and enrollees.
• Effective case management.
• Continuous Education of Enrollees/ Clients.
• Seek and secure approvals for requests on excluded client benefits from the relevant quarters.
• Periodic Health Presentations to Client on some health related topics.
• Coordination of clients education on ‘how the scheme works’ and close relationship management with principal persons in the companies.
• Resolution of difficult enrollee grievances
• Organise annual medical examination for entitled clients as directed by the Regional Manager.

Requirements

• Experience:Minimum of 2-3 years post NYSC experience.
• Age:Must be between 23 – 29 years of age.
• Have worked in Health insurance (An advantage)
• Qualification:MBBS

Other skills:

• Good knowledge of Microsoft Office Suite with emphasis on Excel and Access and other
• software capability.
• Must have a very good working knowledge of Microsoft Excel,word to mention a few
• Attention to details
• Ability to work under pressure
• Problem solver .

Remuneration

• Salary: Highly competitive based on experience.

    How to Apply Interested and qualified candidates should send their Applications and CV's to: [email protected]     Application Deadline   19th December, 2017.

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