Medical Officer - Claims & Quality Assurance Manager at Ascentech Services Limited

Ascentech Services Limited - Our client, a leading Health Maintenance Organisation is currently recruiting to fill the position below:

Job Title: Medical Officer - Claims & Quality Assurance Manager

Location: Lagos

Job Description

• We are currently looking to hire a Medical Officer with HMO experience, who will function in the position as Medical Officer - Claims & Quality Assurance Manager.

Duties / Responsibilities

• Claims vetting and approval, preparation of payment claims and performing medical audit regularly
• Inspection of primary and secondary healthcare providers to guarantee they maintain set guidelines and standards as deemed acceptable.
• Inspection and register new providers, and ensuring providers adhere to respective agreements.
• Ensure best practices are adhered to in quality of care administrated to clients.
• Monitor mode and manner of medical care rendered by providers.
• Medical verification of bills to ensure adequate treatment.
• Ensure prompt and appropriate referrals; participation in medical outreach, wellness and health seminars.
• Develop and monitor quality assurance measures and preparation of regular utilization reports.
• Participate in provider forum and provision of prompt support to the Call Centre.

Essential Requirements
Qualification and Experience:

• Minimum of MBBS. Additional qualification(s) will be an added advantage.
• Minimum of 2 year experience in general medicine.
• Minimum of 3 years’ experience in similar position in an Health Maintenance Organisation (HMO).
• Must be conversant with NHIS policy guidelines.

Application Closing Date
15th February, 2020.

How to Apply
Interested and qualified candidates should send their CV to: [email protected] stating the position applied for in the subject of the mail.

Note: Only shortlisted candidates will be contacted.