Head, Medical & Quality Assurance Department at Ultimate Health Management Services Limited

Ultimate Health Management Services Limited, a duly registered Company in Nigeria with RC Number: 723347, is a National Health Maintenance Organisation (HMO) established in December, 2007, with a strong commitment to delivering qualitative and excellent preventive/curative medical services to all strata of the society at very reasonable and affordable rates.

We are recruiting to fill the position of:

Job Title: Head, Medical & Quality Assurance Department

Location: Abuja (FCT)
Employment Type: Full-time

Job Description

• We are looking for an experienced Medical Doctor with strong administrative skills to Manage and run our Medical and Quality Assurance Department.
• To be successful in this role, you should have a deep understanding of all administrative process and procedure relating to the role, from developing work schedules and actively engaging/ coordinating the establishment of robust working relationship with providers and enrollees.
• He or She would coordinate the budgeting, stocking and maintaining supplies of medications for our managed first aid and emergency programme.
• The candidate is expected to possess considerable knowledge of Managed Care and Health Insurance Programme. The candidate is expected to deploy outstanding organizational and leadership skills to drive the process and supervise/coordinate the workforce in the Department at the Head Office and across the branches for measurable performance and compliance with policies and regulations.

Duties and Responsibilities

• Coordinate and supervise the activities of the Department to ensure optimal performance;
• Ensure the smooth operation of the organization’s Telemedicine Platform.
• Monitor the activities of the Claims Unit, Providers Network Administration Unit, the Medical and Quality Assurance Department across the branches as well as the Utilization Management Unit for quality vetting and time management in the Claims vetting process and elimination of fraud.
• Oversee the supplies and management of medications for our first aid / emergency services across the nation.
• Maintains a cordial working relationship among team members through effective dissemination of information, timely response to issues from critical stakeholders, building bridges and participating in team crisis management.
• Coordinate and oversee standard filing process and records keeping as it relates to all the activities in the Department.
• Review all pre-authorization approvals given by the Utilization Management Officers in the Call Center to ensure the genuineness of all approvals.
• Ensures quality health care delivery to enrollees by continuous monitoring and evaluation of healthcare facilities activities.

Qualifications and Experience
Education:

• Applicant must possess a Medical Degree (MBBS)
• Up-to-date registration and license from the MDCN
• Post-Graduate Medical and Dental qualification, Certification by WACP or equivalent body or Specialist training in a chosen area of medicine are added advantages.

Experience:

• Applicant must have minimum of between 5-7 years Post NYSC experience.
• Minimum of 3 years’ experience working in a similar role.
• Experience in the usage of computers and other relevant software packages is desirable.

Language Requirements:

• Fluency in Oral and written English is a requirement.

Application Closing Date
26th August, 2021.

Method of Application
Interested and qualified candidates should forward their Application and Resume in one document to: [email protected] using the Job Title as the subject of the mail.

Note: Only shortlisted candidates will be contacted and advance to the next stage of the selection process.