Job Positions in a Nationwide Well being Upkeep Group

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A good dynamic and main NHIS accredited Nationwide Well being Upkeep Group with its Headquarters located in Abuja is in want of the providers of a end result oriented, proactive, educated and diligent particular person to fill the place under:

 

 

Job Title: Head, Medical & High quality Assurance Division

Location: Abuja

Background

  • We’re on the lookout for an skilled Medical Physician with robust administrative expertise to Handle and run our Medical and High quality Assurance Division.
  • To be successfulin this position, you need to have a deep understanding of all administrative course of and process regarding the position, from growing work schedules and actively engaged/ coordinating the institution of strong working relationship with suppliers and enrollees.
  • He or She coordinate the budgeting, stocking and sustaining provides of medicines for our managed first assist and emergency programme.  The candidate is anticipated to own   appreciable data of Managed Care and Well being Insurance coverage Programme.
  • The candidate is anticipated to deploy excellent organizational and management expertise to drive the method and supervise/coordinate the workforce within the Division on the Head Workplace and throughout the branches for measurable efficiency and compliance with insurance policies and laws.

Duties and Obligations

  • Coordinate and supervise the actions of the Division to make sure optimum efficiency;
  • Guarantee the graceful operation of the group’s Telemedicine Platform.
  • Monitor the actions of the Claims Unit, Suppliers Community Administration Unit, the Medical and High quality Assurance Division throughout the branches in addition to the Utilization Administration Unitfor high quality vetting and time administration within the Claims vetting course of and elimination of fraud.
  • Oversee thesupplies and administration of medicines for our first assist / emergency providers throughout the nation.
  • Maintains a cordial working relationship amongst staff members by way of impact disseminationof data, well timed response to points from crucial stakeholders, buildingbridges and taking part in staff disaster administration strategies.
  • Coordinate and oversee commonplace submitting processand recordskeeping because it pertains to all of the actions within the Division.
  • Evaluate all pre-authorization approvals given by the Utilization Administration Officers within the Name Middle to make sure the genuineness of all approvals.
  • Ensuresquality well being care supply to enrolees by steady monitoring and analysis of healthcare services actions.

and Expertise
Training:

  • Applicant should possess a Medical Diploma (MBBS)
  • Up-to-date registration and license from the MDCN
  • Submit-Graduate Medical and Dental qualification, Certification by WACP or equal physique or Specialist coaching in a selected space of drugs are added benefits.

Expertise:

  • Applicant will need to have minimal of between 10 to 12-years Submit NYSC expertise.
  • Minimal of 5 years’ expertise working in the same position.
  • Expertise within the utilization of computer systems and different related software program packages is fascinating.

Language Necessities:

  • Fluency in Oral and written English is a requirement.

 

 

 

Job Title: Head, Claims Administration Unit

Location: Abuja

Background

  • The Head of Claims Unit will oversee the dealing with of all claims in keeping with the accredited NHIS Drug and Service tariffs for cost to secondary/tertiary healthcare suppliers that render providers on referrals from different accredited healthcare suppliers.
  • These capabilities are carried out below the rapid supervision of the Head, Medical & High quality Assurance Division and would even be required to serve in an performing capability when the Head of Medical Division isn’t out there.

Duties and Obligations

  • Coordinate and supervise the actions of the Unit to make sure optimum efficiency;
  • Coordinate and deal with the collation, entry and evaluation/reporting of encounter returns from hospitals
  • Analyze knowledge for invoice presentation based mostly on necessities and evaluate claims for high quality and elimination of fraud
  • Maintains provides stock for our practice operations by checking inventory to find out stock degree; anticipating wanted provides; inserting and expediting orders for provides; verifying receipt of provides; utilizing gear and provides as wanted to perform outcomes
  • Maintains a cooperative relationship amongst staff members by speaking data, responding to requests, constructing rapport and taking part in staff problem-solving strategies
  • Coordinate and oversee sustaining of data because it pertains to all of the actions within the Unit.
  • Stays updated on laws, and implements adjustments relating to claims and billing necessities
  • Ensures high quality well being care supply to enrollees by steady monitoring and analysis of healthcare services.
  • All different duties that could be assigned by motive of the place.


Training:

  • Registered Skilled Nurse and a first-level diploma from an accredited Baccalaureate Nursing Programme (College) or equal.
  • Nationwide registration and licensing are required.
  • Acknowledged further coaching in major well being care and midwifery is fascinating;

Expertise:

  • Minimal three years of steady Claims Administration expertise;
  • Expertise within the utilization of computer systems and different related software program packages is fascinating.

Language Necessities:

  • Fluency in oral and written English is a requirement.

Competencies:
Professionalism:

  • Information and expertise in Claims Administration.

Communication:

  • Potential to put in writing in a transparent and concise method and to speak successfully orally.

Teamwork:

  • Good interpersonal expertise; skill to work in a multi-cultural, multi-ethnic atmosphere with sensitivity and respect for range.
  • Establishes, construct and maintain efficient relationships inside the work unit.

Planning and Organizing:

  • Develops clear targets which can be per agreed methods;
  • Potential to determine priorities and to plan and coordinate personal work plan;
  • Allocates acceptable period of time and assets for finishing work;
  • Foresees dangers and permits for contingencies when planning;
  • Displays and adjusts plans and actions as mandatory; makes use of time effectively.
  • Organizes and prioritizes work schedule to fulfill deadlines.

Technological Consciousness:

  • Proficiency in related medical software program packages.

Dedication to Steady Studying:

  • Initiative and willingness to maintain abreast of latest expertise within the subject.

 

 

 

Job Title: Operations Officer

Location: Plateau

Duties and Obligations

  • The operations officer’s major accountability is to make sure that the group’s (department workplace) day by day actions run easily.
  • Develop new well being plans when mandatory to fulfill the necessity of potential shoppers with truthful and aggressive premium at state degree.
  • Act as level – particular person, supervisor and coordinator of all Enterprise Growth/Advertising actions at state department degree.
  • Open and shut all offers in accordance with the corporate coverage at State degree.
  • Put together and ship a weekly/month-to-month report on all department actions to the Head workplace

Job Necessities
Instructional qualification:

  • Bachelor’s Diploma in a associated subject

Work Expertise:

  • No less than 2 years working expertise in the same position

Demonstrated Expertise And Competencies:

  • A self-starter with the curiosity and talent to imagine new roles on a frequent foundation.
  • A great communicator (verbal & written)
  • Potential to work with little or no supervision
  • Pc literate with robust phrase processing expertise
  • Interpersonal and time administration expertise with a demonstrated skill to multitask and course of data and directions into motion as to not delay actions.
  • Good Information of the Well being Insurance coverage Business.

 

 

 

Methods to Apply
and certified candidates ought to ahead their Utility Letter and Resume in a single doc to: ourrecruitment017@gmail.com utilizing the “Job Title” as the topic of the e-mail

 

Essential Notes

  • The above statements are meant to explain the final nature and degree of labor to be carried out by folks assigned to this job.
    They aren’t to be construed as an exhaustive listing of all tasks, duties and expertise required of personnel so categorized.
    All personnel could also be required to carry out different tasks along with these specified every so often, as wanted
    • We don’t cost any software, processing, coaching, interviewing, testing or different payment in reference to the applying or recruitment course of. Do you have to obtain a solicitation for the cost of a payment, please disregard it. Moreover, please word that emblems, logos, names and addresses are simply copied and reproduced. Subsequently, you might be suggested to use specific care when submitting private data on the internet
    • We’re an equal alternative employer and worth range inclusion. We don’t discriminate on grounds of color, race, nationality, faith, age, ethnic origin, incapacity, gender, marital standing, or sexual orientation in our employment practices
    • Our individuals are all equally gifted in distinctive methods: we come from various traditions, private experiences and factors of view. And we need to embrace yours, Are you able to encourage us together with your concepts?
    • We encourage all candidates to use and doesn’t follow any discrimination in any recruitment course of.
    • Functions submitted after the deadline is not going to be thought-about.
    • As a result of urgency of the place, we now have the appropriate to recruit a candidate who matches the required profile earlier than the above deadline
    • Solely certified candidates will probably be invited for interview

 

Utility Deadline  27th November, 2020.

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