HMO Officer at Wellness Healthcare Group

Wellness Healthcare Limited was incorporated in 2008 (RC7440945). Wellness Pharmacy & Mart currently runs as retail chain business on all kinds of pharmaceutical products and has 4 outlets in Lagos serving numerous clients within and beyond the shores of the Metropolis.

We are recruiting to fill the position below:

Job Title: HMO Officer

Location: Gbagada, Lagos

Key Responsibilities

• Interact with HMO community.
• Explain benefits, eligibility status, enrollment processing procedures and status of authorizations and referrals to enrollees and Providers.
• Conduct outreach calls as assigned to proactively educate associations, unions and members of the public on services available
• Process complaints, following established guidelines.
• Maintain knowledge of National guidelines, regulations, and departmental policies and practices and maintain accurate documentation for compliance.
• Develop and implement effective policies for all operational procedures
• Prepare work schedules
• Maintain organized medical and employee records
• Monitor administrative staff’s performance
• Resolve potential issues with patients.

Requirements

• Minimum of First Degree (HND/B.Sc) or its equivalent in Health or Science related field.
• HMO Experience is required
• Knowledge of the operations of the National Health Insurance Scheme (NHIS)
• Excellent customer relationship skills
• Good communication/presentation skills (both oral and written)
• Must be a team player, able to build and maintain effective and collaborative network
• Must be able to take responsibility and demonstrate high level of integrity in dealing with all stakeholders.

Required Skills:

• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills and/or ability required.
• Conversant with the HMO processes and Maintenance
• Must also be good in Coordination, Listening, Scheduling and Teamwork
• Superior problem solving skills
• Ability to explain detailed instructions articulately and clearly
• Ability to analyze Information promptly
• Exceptional customer services skills
• Knowledge of customer service principles and practices

Application Closing Date
Not Specified.

Method of Application
Interested and qualified candidates should send their Applications and CV to: [email protected] using the Job Title as the subject of the mail.