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Posted 79 months ago

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HMO Operations Manager

LagosOn-siteFull-time

AI Summary

The HMO Operations Manager leads and oversees the end-to-end operations of a health maintenance organization, managing the provider network, member services, and client relationships while driving business development and risk management.

About this role

HMO Operations Manager

Healthpoint offers hugely discounted health managements plan that save up on spontaneous and recurrent medical expenses. We have a nationwide network of selected hospitals and healthcare providers, from which you may choose one based on you personal preferences.

  • Adept knowledge of insurance and underwriting.
  • Liaise with the Management team to initiate procedures, regulations and programme to benefit the patients and support health care providers in line with best practices.
  • Liaise with customers and negotiate deals.
  • Oversee healthcare provider network development and management
  • Oversee member services activities and client relationship management
  • Assist in the marketing of health plans to private and public organizations.
  • Ability to make decisions to resolve problems quickly.
  • Ability to strategically plan and maintain the stability of HealthPoint.
  • Ability must to predict future logistical needs.
  • Formulation and implementation of major functional policies and plans;
  • Overseeing the core business of the company in such areas as product design and business development
  • Formulation and implementation of risk management policy, procedures and guidelines with a view to safeguarding company’s assets and resources;
  • Judgment and initiative in dealing with problems especially where there are no guidelines and precedents.
  • Meeting contacts at highest level; ability to negotiate deals.
  • The work is multidisciplinary and involves making a broad range of highly diverse decisions.

Qualifications

  • Understand HMO Operations. Prior experience working with a health insurance organization is an added advantage.
  • Minimum 8 years in relevant and related field.
  • Must be Tech Savvy.
  • High level of professional and managerial competence required in directing and controlling activities.
  • Knowledge of risk assessment and risk management.
  • Ability to carry out cost/benefit analysis of high-tech medical systems, processes and procedures.
  • Excellent communication, leadership, planning and organization, people management and negotiation skills.

Skills

Cost/Benefit AnalysisHealthcare ComplianceHealthcare RegulationsHealth InsuranceHMO OperationsMember ServicesProvider Network ManagementRisk AssessmentRisk ManagementUnderwriting

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