About MetroHealth HMO Limited
MetroHealth HMO Limited is a Health Maintenance Organization which has been established with the objective of becoming the HMO of choice for corporate entities and all subscribing enrolees, who want good quality healthcare accessed through a technology enabled platform that will enhance the whole customer experience. The platform has been configured towards administering efficient patient centred services. Our focus is on quality and service delivery, ensuring prompt, personalized and seamless quality healthcare support services to our clients, both young, middle age and old. Technology drives our operations as it undergirds our operational efficiencies and provides access to timely data which is beneficial to both providers and enrolees. Several technology portals are made available through controlled access for enrolees to view and manage their health data, and for providers to submit and receive payment for services delivered.
Job Description
- Responsible for the crafting and directing the strategic direction of the company to ensure that members have access to quality healthcare in a conducive provider environment at a reasonable cost that guarantees operational profitability
- Oversees Care coordination, Case management, Provider Administration, Call Centre and Quality Assurance units in the company
- Formulate policies and initiatives for effective provider network management, medical cost management, quality assurance and cordial relationship with providers that results in excellent service delivery
- Assist with product development, working in conjunction with Heads of underwriting and business development to periodically review plan benefits in line with historical utilization patterns to and the competition to mitigate risks and ensure operational profitability
- Ensure medical cost control through analyses and trending of utilization patterns and formulate and execute measures to minimize medical cost.
- Develop relationships with the leaders of healthcare providers to ensure service excellence and no disruption of service by healthcare providers.
Requirements
- First Degree in Medicine from a recognized Institution.
- Experience: 3 years and above with the HMO space.
Job Skills:
- Critical thinking
- Problem solving skills
- Time Management and Excellent communication skills
- Teamwork skills
- Knowledge of Health Insurance will be an advantage
- Excellent written and verbal communication skills.
Application Closing Date
28th February, 2024.
How to Apply
Interested and qualified candidates should send their CV to: aoseji@metrohealthhmo.com using the Job Title as the subject of the mail.
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