Provider Network Manager

Doheney Services

Full time

Lagos, Nigeria

Feb 11

Job Title: Officer 2, Provider Management (Medical Operations )

Reports To: Head, Medical Operations

Job Objective:

Involves all the activities and procedures adopted by the HMO to ensure an effective and efficient oversight on the provider-enrollee relationship, build a mutually beneficial relationship with healthcare providers and ensure that the business remains profitable.

  • Sign up of providers across the country
  • Provider selection and management: enlisting, negotiation, delisting, rewarding, training, enlightening
  • Tariff negotiation and review
  • International Providers selection and management
  • Scheduling major and highly specialized patient procedure
  • Utilization Review Management (total review of all enrollees that receive care within the period)
  • Case Management – concurrent and post-management review with managing physicians
  • Providers audit and quality assurance: this involves infrastructure audit, treatment protocol compliance, service quality
  • Care review for admitted and complex cases in a secondary and tertiary care
  • Review of care delivery protocols
  • Analysis of hospitals tiers and capability
  • Bachelor of medicine, bachelor of surgery
  • Minimum 0 - 3 years total work experience
  • Knowledge of the function
  • Knowledge of the Business
  • Analysis and development of solutions
  • Decision-making autonomy

Apply for this position


Your application has been successfully submitted.

Please fix the errors below and resubmit.

Something went wrong. Please try again later or contact us.

Personal Information