Mediplan Healthcare Limited is a Health Maintenance Organization (HMO) with a national spread incorporated in May 2000 to carry on the business of providing qualitative healthcare Insurance services to discerning members of the public, under a prepaid arrangement utilizing a network of primary, on-site clinics, secondary and specialist healthcare providers nationwide. Mediplan Healthcare Ltd is a foremost HMO in the managed care industry and is duly accredited as a National Health Maintenance Organization by the National Health Insurance Authority (NHIA) to participate in the Health Insurance Scheme.
We are recruiting to fill the position below:
Job Title: Case Officer
Location: Maryland, Lagos
Employment Type: Full-time
Role 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
- Registered Nurse (R.N)/R.M/BNSC.
- 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, and PowerPoint).
Application Closing Date
29th January, 2024.
How to Apply
Interested and qualified candidates should send their CV to: career@mediplanhealthcare.com using the Job Title as the subject of the mail.