HMO Provider Management Officer Job at Fort Knox Outsourcing
Fort Knox Outsourcing is poised to serve the growing need of businesses in Nigeria. By helping them to reap the economic, strategic and operational benefits offered by outsourcing. We act as a “Third Party Service Provider” that Source, Select, and Second employment ready workforce in line with client specifications to meet their talent needs as quickly as possible!.
We are recruiting to fill the position below:
Job Position: HMO Provider Management Officer
Job Location: Ojota, Lagos
Employment Type: Full-time
Key Responsibilities
- Manage and maintain relationships with healthcare providers within the HMO network.
- Conduct provider onboarding, credentialing, and periodic re-credentialing.
- Monitor provider performance, service quality, and adherence to HMO policies and SLAs.
- Handle provider complaints, escalations, and resolution of service-related issues.
- Negotiate provider contracts, tariffs, and service agreements in line with company policies.
- Carry out regular provider visits, audits, and assessments across Lagos.
- Review and validate provider bills, utilization reports, and service delivery records.
- Collaborate with internal teams (Claims, Medical, Customer Service) to ensure seamless service delivery.
- Maintain accurate provider records and generate periodic management reports.
- Ensure compliance with NHIA (formerly NHIS) and other regulatory requirements.
Qualifications & Requirements
- Bachelor’s degree in Health Administration, Medical Sciences, Nursing, Public Health, or a related field.
- Minimum of 2 - 4 years of experience in an HMO, healthcare facility, or provider management role.
- Strong understanding of HMO operations and healthcare provider networks.
- Excellent negotiation, communication, and relationship management skills.
- Ability to analyze data, prepare reports, and manage multiple providers effectively.
- Proficiency in Microsoft Office and healthcare management systems.
- Knowledge of healthcare regulations and standards in Nigeria is an added advantage.
Salary
N300,000 Monthly.
Method of Application
Interested and qualified candidates should send their CV to: recruitment@fortknoxoutsourcing.com using “HMO Provider Management Officer – Lagos” as the subject of the mail.
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