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Quality Assurance Manager and Network Co-ordinator at a Health Maintenance Organizations (HMO)

Posted on Wed 16th Jan, 2013 - hotnigerianjobs.com --- (1 comments)


One of the fastest growing Health Maintenance Organizations (HMO) in the country is seeking applications for employment into the following positions.

1.) Quality Assurance Manager

Job Description
  • Developing and implementing quality assurance strategies for the organization.
  • Develop protocols for vetting and monitoring claims (electrically)
  • Analysis of data to ensure that claims are paid at the stipulated time.
  • Maintain database of claims paid per business account to determine the profitability
  • Quality Control and innovations to control fraud and abuse.

2.) Network Co-ordinator
  • Develop provider list/database based on regions of the country
  • Recruit primary, secondary and tertiary providers
  • Building relationships with the Provider hospitals
  • Organize Provider forums and training
  • Accreditation and credentialing of hospitals
  • Negotiating tariffs with hospitals

Qualification
  • Both Positions require a BSc in any health related field with at least 1-2years HMO experience.
  • The preferred candidate for both positions should either be a medical doctor or a nurse.
  • Others with a health care background are encouraged to apply.

Application Closing Date
30th January, 2013

Method of Application
Qualified and Interested candidates should send resume to:
sipeudo@aol.com

  

Comments (1)

No. 1
Posted on Thu 17th Jan, 2013 22:17:16 GMT by Nura Musa Gusau

Hi. I like to apply for eny post suitable to my qualifications Diploma in environmental health.under DEPT of public heath and also a HND IN MICROBIOLOGY AND VIROLOGY


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