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  • Posted: Jun 16, 2025
    Deadline: Aug 12, 2025
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  • We are a National Health Insurance Agency (NHIA)-accredited Health Maintenance Organization (HMO) that has been providing 24/7/365 quality affordable healthcare service to the public and private sector nationally since 2007.
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    Provider Administrator

    • Provider Network Liaison: Act as the primary point of contact and operational bridge between Sterling Health MCS Ltd. and our network healthcare providers, fostering strong, collaborative relationships.
    • Operational Connectivity: Ensure seamless operational flow by facilitating communication and coordination between the HMO and hospitals regarding patient care, service delivery, and administrative processes.
    • Claims Facilitation & Support: Guide providers through claims submission processes, address inquiries, troubleshoot payment status, and resolve any claims-related discrepancies or issues efficiently.
    • Data Accuracy & Management: Maintain precise and comprehensive provider information, including contact details, service capabilities, and accreditation status, within our internal systems.
    • Compliance Assurance: Monitor provider adherence to Sterling Health MCS Ltd.\'s policies, procedures, and service level agreements, ensuring quality and regulatory compliance.
    • Provider Education & Training: Educate and train providers on our health plans, benefit packages, pre-authorization procedures, and digital platforms to enhance their partnership with Sterling Health.
    • Issue Resolution: Proactively identify and resolve operational and service delivery challenges faced by providers, collaborating with internal teams (e.g., Medical, Claims, IT) for swift solutions.
    • Performance Reporting: Prepare regular reports on provider engagement, operational efficiency, and key issues for management review, contributing to continuous improvement.

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    Method of Application

    Interested and qualified candidates should forward their CV to: Sterlinghmo@gmail.com using the position as subject of email.

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