Vice Principal (VP), Case Management and Care Coordination at Reliance Health

Reliance Health is a healthcare company using technology to make healthcare more affordable and accessible. Through an integrated approach that includes affordable health insurance, telemedicine and a combination of partner and proprietary healthcare facilities, Reliance Health offers innovative healthcare solutions that meet the needs of emerging markets. We are also backed by some of the world’s most prominent investors including Partech, Y Combinator, and Tencent. 

We are recruiting to fill the position below:

Job Title: Vice Principal (VP), Case Management and Care Coordination

Ref: 6EJFT5SH4S
Location: Lagos
Job Engagement: Full Time
Job Type: Permanent

Responsibilities

• Data-driven analysis of enrollee feedback to understand trends
• Develop and execute a structured process to investigate claims associated with mortality, morbidity, fraud, waste, and abuse
• Managing full time and freelance case management staff to carry out investigations and maintain significant on-ground presence in facilities on our network to ensure compliance with care standards 
• Develop and execute structured standards for inclusion or exclusion of medical providers on Reliance Health’s network
• Develop and execute policies and procedures to support enrollees and quantifiably improve outcomes for those requiring emergency or prolonged care and those experiencing critical illness 
• Develop policies and practices to improve safety for enrollees seeking care within our provider network
• Develop policies and practices to improve medical quality within our provider network
• Own key performance indicators around provider quality feedback from stakeholders and reduction of claims paid for low-value, dangerous or negligent care

Ideal Profile
Skills Required:

• Minimum of Bachelor of Medicine and Bachelor of Surgery (MBBS) or Bachelor of Dental Surgery (BDS)
• Minimum of 5 years of clinical experience caring for patients
• Minimumof  2 years of proven experience leading and managing of team of more than 3 people
• Additional training or experience in medical quality improvement and/or population health, data analysis skillsets is required
• Excellent analytical, problem solving, communication, data analysis and numeracy skills are a must have for this role
• Highly organized, detail-oriented, self-directed, and goal-driven with strong leadership and managerial skills 
• Strong crisis management and relationship management skills
• Must be physically present in Lagos
• Willingness to travel when required.

What's on Offer?

• Leadership Role
• Fantastic work culture
• Join a well known brand within Healthcare.

Application Closing Date
Not Specified.