HMO Officer at HRLeverage Africa

Job Description

• Supervise and manage daily case management activities, quality management activities as well as medical outreaches and programs
• Collate reports of medical audits and propose improvement plans-
• Co-ordinate and collate accreditation and re-accreditation reports for approval
• Co-ordinate and collate reports of claims reconciliation with providers and profer solutions
• Drive process for collection of LONI-
• Co-ordinate the Pharm Assist program/medical referral program to manage medical cost in line with standard medical practice
• Maintain high level relationship -with HCFs

Knowledge and Skill:

• Complex problem solving skills
• People management skills
• Critical thinking skills