Jobs
New Jobs at Total Health Trust Limited
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.
Job Title: Provider Management Executive
Job Description:•
To conduct hospital visit, inspection, accreditation, re-accreditation,
education, claims audit, fraud detection, clinical audit, investigation
of member’s related queries, resolve issues of short-payments as the
need arise
• Implement provider management strategies for organizational growth, competitiveness and leadership
• Represent organization in the health care events
• Update providers register under schemes and share updates with concerned departments
• Provide detailed provider management report
•
Ensure that all critical areas that require improvement that contribute
to the success of the strategy are identified and communicated to the
team lead.
• Ensure prompt registration and processing of providers’ contracts on Medware.
• To reconcile provider account received from the geographical regions assigned as well as any other delegated by the team lead.
•
Organize and carry-out product, policies and processes training
in-house for group of providers in assigned geographical areas.
• To negotiate with doctors and other health care providers about health care for clients
• Liaison with NHIS
Requirements:• Candidate must be a registered nurse, midwife and possess B.Sc. Nursing
• Additional medical qualification will be an added advantage
•
Candidate must have minimum of 5 years post-nursing qualification
experience including 3 years in similar role in a Health Maintenance
Organization (HMO).
• Candidate must have 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
• Innovativeness
• Adaptive
• Decision Making skills
• Integrity
• Negotiation Skill
• Adaptive, expertise, Result-Oriented, Relationship Skill
• Working with people
• Strategic
• Must be a good collaborator/Team player
Job Title: Head, Provider Management
Job Description:• 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
• 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.
• 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
Requirements:• 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
• Negotiation Skill
• Adaptive, expertise, Result-Oriented, Relationship Skill
• Working with people
• Strategic
• Must be a good collaborator/Team player
• Innovativeness
• Analytical Skills
• Decision Making skills
• Leadership Skill
• Integrity and Transparent honesty
How to Apply
Interested and qualified candidates
Click Here to Apply
