Medical Doctor at Wellness Health Management Services

JOB DUTIES

• Validating of Claims sent in by Providers.
• Co-ordinate pre-employments for clients
•  Work hand in hand with the medical team for tariff negotiation
• Perform quality assurance for providers
• Liaise with medical services providers to ensure prompt delivery of care to clients to avert service failure
• Work hand in hand with the call centre executives to ensure authorization are given to in line with diagnosis
• Ensure proper case management of all admission to ensure adequate cost effective treatment for diagnosis
• Ensure client engagement session through provision of periodic health talks
• Co-ordinate activities at Wellness hub
• Ensure prompt resolution of clients complaint
• Ensure weekly and monthly report are sent at due date.

Qualifications

• Bachelor of Medicine and Surgery (MBBS).
• Minimum of one (1) year post NYSC experience in a health industry or other related health institution with current practicing license.
• MUST be registered with MDCN.
• A Postgraduate Degree in Public Health, Health Management, Health Financing or related field will be an added advantage.
• Must have 2-4 years cognate experience in a reputable organization, preferably Health Management Organization
• Proficient in MS Word, MS PowerPoint and MS Excel.

SKILLS SET

• Experience in planning and facilitation of training sessions.
• Must have good oral, analytical, interpretive and written comprehension skills, strong management skills and willingness to train.
• Must have strong customer orientation and loyalty for long term sustainability.
• Self-motivated, good organizational skills, detail-oriented, ability to prioritize, multi-task and meet deadlines

Problem Solving Skill

Self-motivated and strong desired to take on new challenges and learn as much as possible