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Vacancy For Medical Doctor In Abuja. / Single Female Doctor: 'A Driver Refused To Work For Me' / How Much Do Doctor's Assistant And A Hospital Receptionist Earn? (2) (3) (4)
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Medical Doctor by Yoyobravo: 12:57pm On Mar 01, 2021 |
Job role: Medical Doctor Location: Lagos Monthly Salary: 200,000 Job Description • Case management of enrollee complaints, diagnosis and treatment at the provider to ensure cost-quality of care balance is maintained • Checking vetted claims for accuracy and correctness in line with diagnosis • Evaluate the performance and reliability of Health Care Providers (HCP) by carrying out random spot checks on enrollees to corroborate claims by HCPs – ratio of 1:10 spot checks monthly • Periodic checks on activities and processes of HCPs, by QA calls, visits or surveys to HCPS • Analyze Provider reports for management information • Provide managed care services • Recognize and fix weaknesses in the system • Manage all HMOs units to deliver on their deliverables daily • Provide leadership and ensure that HCP meets quality checklist for onboarding • Develop and implement necessary quality policy as guidelines for Provider manager department • Implement quality checklist to follow to approve HCP into our network • HCP/Enrollee Complaint escalations • Courtesy calls on existing and prospective customers Key Results Areas 1. Quality Assurance 2. Providers Management 3. Case Management 4. Client Relationship Management Qualification and Attributes 1. Qualification: MBBS degree from a recognized university in Nigeria 2. Experience: 3-5 years’ experience in a recognized HMO. Experience in Providers Management, Claims Management or Client Relationship Management are key requirements for this role 3. Attributes: Leadership skill, very organized & pay attention to details, He must be proficient in the use of computer, strong analytical & problem-solving skills Interested candidate should send their CV to recruitment@fortknoxoutsourcing.com using Job role as Subject |
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