Head, Medical Operations at MacTay Consulting

Job Summary

• The Head, Operations will oversee key functions (such as: Healthcare Provider Accreditation and Contracting, claims management, Complaint’s resolutions, Authorizations) which are aimed at providing quality healthcare services to members.

Duties and Responsibilities

• Management and implementation of organization brand strategies
• Management of Financial and performance targets for the Operations Division
• Executive Board advisory for organizational performance management
• Deployment of strategies for business development
• Implementation of quality assurance strategies for efficient service delivery to ensure return on investment.
• Implement an effective customer relationship management mechanism to enhance customer satisfaction.
• Management of an accurate and reliable database for organizational enrollees and services in line with NHIS guidelines.
• Preparation of periodic regulatory reports for Executive Management/ Board and remittance to regulatory stakeholders.
• Management of an effective compliance platform for the enforcement of all regulatory and organization guidelines/policies.
• Effective management of divisional participation in organizational strategic planning.
• Effective establishment and management of quality assurance systems for customer relations, brand, performance, and process management within and outside the organization.

Requirements

• Minimum of a Bachelor’s Degree or equivalent in Medicine, Pharmacy, or other health-related discipline.
• Post graduate degree in Public Health, Health Administration, & Management, Health Economics, or a related degree will be an added advantage.
• Minimum of 10 years experience with at least five years in managerial.
• Experience in handling the operations of a health insurance institution is mandatory.
• The candidate must have a medical practice license.