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Provider Relations Manager at an Innovative Research and Development Company - First Excelsia Professional Services Limited

Posted on Fri 08th Oct, 2021 - hotnigerianjobs.com --- (0 comments)


First Excelsia Professional Services Limited - Our client, an Innovative Research and Development Company with trail blazing products in the education and health sectors, is recruiting to fill the position below:

Job Title: Provider Relations Manager

Location: Lagos
Employment Type: Full-time

Job Summary

  • The role manages provider interactions/ relationship, ensuring clean prompt claims reconciliation and processing through continuous provider education and management
  • The role holder will work with the Executive Management to establish processes, manage priorities, monitor progress and document status & progress regarding management of service providers.
  • He/ She will be responsible for ensuring the quality of service providers, enhancing the excellence of patient management, maximize satisfaction and promote cost effectiveness for the company.

Job Description

  • Timely Claims Coordination and Management.
  • Quality Assurance and Quality Control.
  • Provider Accreditation and Contracting.
  • Provider Administration and Management.
  • Provider Tariff Management.
  • Provider Directory Management.
  • Users’ Refunds Management.
  • Provider Education and Management.
  • Management and Resolution of Provider Claims Appeal & Litigations.

Personal Specification

  • Minimum of three (3) years experience as a Provider Administrator or similar role
  • Doctor of Medicine (MD) from a recognised institution.
  • Current license with the Medical and Dental Council of Nigeria (MDCN)
  • Tech savvy.
  • Excellent communication and presentation skills
  • Project and Product management skills
  • Sound medical knowledge.
  • Excellent analytical and problem-solving skills.
  • Detail-oriented.
  • Ability to build new and nurture existing relationships.

Application Closing Date
20th October, 2021.

Method of Application
Interested and qualified candidates should send their CV to: [email protected] using “Provider Relations Manager” as the subject of the mail.


  

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