Medical Manager at Secom Limited

Secom Limited was established as a financial services company. It began as a financial service company with steadfast commitment to exceptional customer service, and overtime, has grown into a leading professional Company in Nigerian. Secom is a diverse and innovative company able to handle large scale transactions and also manage such operations seamlessly.

We are recruiting to fill the position below:

Job Title: Medical Manager

Location: Ojodu, Ikeja - Lagos
Employment Type: Full-time

Responsibilities

• Oversee, identify, accredit, contract, train, and manage the primary care providers and medical specialists who provide services to the enrollees (members) on HMO’s health insurance and third-party administration plans.
• Develop, coordinate, implement, and evaluate case management services to health plan enrollees/members and health care providers that contract with the HMO.
• Collaborate with other staff in evaluating placement of members in proper primary care locations, developing, and adapting forms and information systems, and mediating difficult member and provider situations.
• Oversight of timely medical management, utilization management, and discharge management interventions to meet clinical targets, and assure the provision of a continuum of care to enrollees.
• Maintain and support the primary care provider and specialist network to the health plans by developing and managing training materials, leading small and large groups, on-site initial training sessions on the policies and procedures of the health plan, problem-solving sessions on managing members in the health plan, writing memorandums, letters regarding clarification of covered benefits or procedure changes.
• The medical manager will also research, evaluate, and respond to individual health care provider requests for exceptions to covered services or pharmaceutical benefits, and resolve urgent or complicated individual situations raised by providers.
• Oversee the Provider Services unit by developing and updating resource materials and comparison grids for easy reference, specifically tailored to each of the health plans.
• Assist in the development and implementation of a quality assurance and utilization review program. Develop new policies and procedures and enforce existing standards. Construct, evaluate, and revise forms in consultation with the Managing Director.
• Evaluates and compiles complaints from providers, members, or other Health Plan Management Team members to determine a pattern of complaints and initiate a resolution. Initiate further training sessions, better or more frequent phone or written communications, or reassess current policies to control problems.
• Performs other duties as assigned by the MD/CEO.

Requirements

• Candidates should possess an MBBS Degree (Required).
• 2+ years’ experience in an administrative role at a healthcare practice.
• Able to handle sensitive patient information with confidentiality.
• Excellent customer service skills.
• Professional and courteous in tone and information delivery.
• Strong organization and leadership skills.

Application Closing Date
9th August, 2025.

How to Apply
Interested and qualified candidates should send their CV to: jobs@secomltd.com using the Job Title as the subject of the mail.