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Latest Job: Medical Doctor (HMO) at Mediplan Healthcare

348629609

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    MEDIPLAN Healthcare Limited is a Health Maintenance Organization incorporated in May 2000 in Nigeria to carry on the business of providing healthcare services to corporate organizations and members of the public, under a prepaid arrangement, utilizing a network of primary, secondary and specialist healthcare providers nationwide.
    MEDIPLAN Healthcare Ltd i…

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    Medical Doctor (HMO)

    • Job Type Full Time
    • Qualification BA/BSc/HND
    • Experience 2 – 5 years
    • Location Lagos
    • City Maryland
    • Job Field Medical / Healthcare&nbsp

    Job Description

    • Develop and execute strategic plan to acquire and manage HMO providers in Mediplan Healthcare’s network
    • Hospital assessment, accreditation and provider education
    • Provide thorough assessment and credentialing of provider facilities
    • Ensure prompt attention and resolution to provider issues
    • Ensure effective case management/referral of enrollees on admission
    • Organize and conduct annual medical examination for entitled clients
    • Conduct tariff negotiations for provider services
    • Monitor provider network to ensure quality assurance etc.

    Qualifications

    • A Degree in Medicine and Surgery (MBBS/MD).
    • A valid practicing license with 2 – 5 years of post-accreditation experience, preferably within the Health Insurance / Managed Care environment
    • Knowledge of the workings of the National Health Insurance Authority (NHIA) will be an added advantage.
    • Strong interpersonal, communication, and leadership skills
    • Excellent analytical and problem-solving skills
    • Proficiency in Microsoft Office tools (Word, Excel,andPowerPoint).

    Method of Application

    Interested and qualified applicants should send their CV to: [email protected] using the Job Title as the subject of the mail.

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