Latest Jobs at Avon HMO

Responsibilities

• Initiate the sales process, making sales presentations to sales prospects.
• Achieve the revenue target of the assigned business segment; selling the HMO’s products and services through a variety of sales activities (e.g., networking,  prospecting, seeking referrals, working marketing leads, etc.), providing and bringing sales activities to a close to meet established revenue targets.
• Achieve other targets as per budget including Average Premium, no of accounts, number of enrollees (members), the average size of deals, and other key Sales efficiency and productivity tracking ratios as communicated.
• Develop and execute plans/initiatives to grow the HMO’s business in the assigned market segments through specific strategies, goals and acquisition of pertinent segment-specific account information; research market conditions and competitors to remain responsive to clients’ needs.
• Establish an excellent ongoing working relationship with corporate partners; optimize each contact with new and existing clients, providing clients with the highest standard of customer service through the sales cycle to maintain existing clientele and gain new ones.
• Provide timely solutions to meet clients’ needs; provide timely information/ feedback to other departments to improve services and enhance IT system
• Maintain a database of prospective accounts with accurate and relevant records. This is developed from information gathered from own sales activity as well as the referral and activity reports of subordinates as well as other staff in the company and any other sources.
• Prepare and present weekly activity and performance reports, monthly sales forecasts and performance reviews, quarterly forecasts and performance reviews, quarterly strategic plans and analysis on the achievement of key strategic initiatives.
• Other related duties as directed by supervisor.

Minimum Requirements

• A university degree – BA or BSc is required and post-qualification work experience of at least 3 years
• 3 to 6  years of experience performing a similar function in a customer-centric culture
• Demonstrated track record of achieving assigned revenue objectives
• Minimum of three years overall experience in Sales/Business development
• Achievement of assigned revenue objectives
• Proven results in an early-stage, high-growth environment
• Result oriented
• Excellent written and verbal communication skills
• Excellent presentation and interpersonal skills

Additional Requirements

• Proactive
• Clear and persuasive communicator
• Ability to build rapport with potential new clients as well as strong relationships internally
• Build and promote strong, long-lasting customer relationships by partnering with them and understanding their needs
• Good pipeline management skills;
• Ability to work to strict deadlines;
• Experience in building and servicing a portfolio of commercial clients would be an advantage

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Responsibilities

• Meet or exceed territory sales goals.
• Cultivate customer relationships to advance business and sales objectives
• Identify and establish areas of growth and additional revenue opportunities while nurturing continuous growth in existing opportunities.
• Monitoring and reporting on territories’ sales revenues
• Partner with marketing, customer service and other functional departments to promote and manage the business in the assigned territory.
• Maintain and expand existing product sales; launch new products into the assigned territory.
• Support the recruitment, training and development of the sales team.
• Motivate and support the sales team to continuously build and maintain a strong presence with customers, while achieving and exceeding revenue targets.
• Leverage CRM pipeline tools and tracking systems that enable and drive the sales team to increase daily, monthly, and annual revenue targets.
• Additional duties as assigned.

Minimum Requirements

• BA/B.SC degree or equivalent
• Proven 5 – 10 years experience in sales, meeting or exceeding targets
• Demonstrable experience in territory sales, developing client-focused and achievable solutions
• Proven track record of achieving sales growth and delivery of results
• Entrepreneurial approach to business development
• Well-developed negotiation and project management skills
• Excellent written and verbal communication skills
• Displays a self-motivated and driven personality.

Additional Requirements

• Proactive
• Self-motivated
• Able to prioritise workload
• Strong commercial acumen
• Outstanding collaboration skills
• Good leadership and excellent interpersonal skills

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Objectives of the Role

• Oversee, identify, accredit, contract, train, and manage the primary care providers and medical specialists who provide services to the enrollees (members) on the company’s health insurance plans.
• Develops, coordinates, implements, and evaluates case management services to health plan enrollees/members and health care providers that contract with the HMO.
• Collaborates with other staff in evaluating the placement of members in proper primary care locations, developing and adapting forms and information systems, and mediating difficult member and provider situations.
• Oversight of timely medical management, utilization management, and discharge management interventions to meet clinical targets, assure the provision of a continuum of care to enrollees

Responsibilities

• Maintain and support the primary care provider and specialist network to the health plans by developing and maintaining training materials, leading small and large groups, on-site initial training sessions on the policies and procedures of the health plan, problem-solving sessions on managing members in the health plan, writing memorandums, letters, or health plan newsletter articles regarding clarification of covered benefits or procedure changes, researching, evaluating, and responding to individual health care provider requests for exceptions to covered services or pharmaceutical benefits, and resolving urgent or complicated individual situations raised by providers.
• Oversee, support, and assist the case management and other Provider services staff by developing and updating resource materials and comparison grids for easy reference specific to each of the health plans, delegating and assigning job duties, leading biweekly case management meetings to review complicated cases, discussing and revising case management procedures, and informing case management staff of policy changes, providing educational opportunities, and analyzing and determining outcomes for difficult member and/or provider situations.
• Assist in the development and implementation of a quality assurance and utilization review program. Develops new policies and procedures and enforce existing standards. Construct, evaluate, and revise forms in consultation with the Medical Services Director.
• Oversees the administration of the plan benefits and delivery of care by the Providers. Supervises determination of covered benefits for members and develops procedure lists for complex or detailed tasks related to case management.
• Collaborates with the Medical Services Director in developing, maintaining, and updating drug formulary and disease Management protocols for the Health Plans. Develops and implements case management plans and policies for Providers. Provides direct case management services by reviewing requests and authorizing speciality services or exceptions to the drug formulary and/or Protocols.
• Identifies target populations and health-related issues by collecting and analyzing utilization data. Researches standards of care and evidence-based medicine. Analyzes high-cost member reports and collaborates with the information systems analyst to develop and reassess a data information system to track medically complicated and high-cost medical interventions.
• Evaluate and compile complaints from providers, members, or other Health Plan Management Team members to determine a pattern of complaints and initiate a resolution. Initiates further training sessions, better or more frequent phone or written communications, or reassess current policies to control problems.
• Coordinates medical reviews, grievances and appeals. Develops review criteria and communicates with DMS to clarify coverage issues
• Ensures that client records are kept secure and confidential and maintained consistent with Health Department policies and procedures.
• Performs other duties as assigned.

Minimum Requirements

• A fully qualified Nurse with a minimum of 3 years of clinical experience.
• A minimum of 3-7 years experience inclusive of clinical experience, in a Managed Care/HMO variety of health care settings is required.
• Must be a Registered Nurse in Nigeria with a valid certification.
• Works in a standard office environment. Must attend meetings, seminars and speaking engagements throughout the Country.
• Proven experience organizing and directing multiple teams and departments
• Excellent & persuasive communicator – written and oral
• Extremely versatile, dedicated to efficient productivity
• Experience in planning and leading the implementation of strategic initiatives
• Strong data analysis and reporting skills
• Discretion, display of good judgment

Additional Requirements

• Nimble business mind with a focus on developing creative solutions
• Significant experience in conflict resolution and dealing with sensitive issues
• Significant experience working in a highly confidential environment
• High levels of personal resilience and persistence and a significant level of emotional intelligence
• Experience in budget management

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Responsibilities

• Build, develop and maintain data models, reporting systems, data automation systems, dashboards and performance metrics support that support key business decisions.
• Design and deliver reports and insights that analyze business functions, key operations, and performance metrics.
• Drive automation of reporting processes across functions.
• Examine, interpret, and report results of analytical initiatives to Executive management, Operations, Medical services, Sales, Marketing, and other departments of the company.
• Analyze data to assist in delivering optimal healthcare data management that aids decision-making.
• Support the penetration & adoption of data management initiatives across the organization.
• Update and maintain a clean record of historic claims and pre-authorization data.
• Understand healthcare business operations.
• Keep abreast of trends in Data management, analysis, and analytics.
• Communicate analytic insights to management.
• Understand healthcare business operations and leverage skillset to deliver the best solutions.
• Other related duties as assigned by the Head of the team.

Required Knowledge, Skills and Abilities

• Excellent communication skills, both written and verbal, with skills in interpreting for non-technical audiences.
• Strong Analytical mindset with a keen eye for details
• Strong organizational skills and ability to effectively prioritize multiple tasks.
• Proficiency in Excel (Power View, Power Query & Power Pivot, etc.)
• SQL scripting and knowledge of BI tools – Power BI, Microsoft BI stack and or Tableau, etc.
• Experience designing and implementing automated ETL processes.
• Proficiency in data management including data analytical capability.
• Proficiency with Python or any related Data science high programming language for data manipulation will be added advantage
• Problem-solving skills
• Team player
• Organizational skills for project coordination
• Excellent written, communication and presentation skills to report findings in a clear, concise, and effective manner.
• Excellent Reporting and data visualization skills with a strong analytical mind.
• Ability to take initiatives

Education and Experience

• Minimum of bachelor’s degree in Statistics, Mathematics, Data Science, Engineering, Computer Science, or any related field
• At least 4 years of hands-on experience in Business Intelligence, Data Warehousing, and overall Data Management.
• Additional Qualifications – MBA
• Training & certifications in Microsoft Azure architecture, Power BI, Excel, Data Warehousing, etc. will give an advantage.

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Responsibilities

• Drive automation of reporting processes across functions
• Design, build, test and maintain data analytics solutions, making sure they meet business requirements and user needs
• Assisting with ad hoc analytic projects using SQL, R, and/or Excel to identify opportunities and elevate customer experience and operational efficiency
• Design and develop dashboards and reports to visualize analysis results using BI tools
• Drive consolidation and clean-up of Historic Claims and Pre Authorization data.
• Develop and automate reports for departments as requested
• Keep abreast of trends in Data management, analysis and analytics
• Communicate analytic insights to management
• Other related duties as assigned by the supervisor

Minimum Requirements

• Excellent communication skills, both written and verbal with particular skill in interpreting to non-technical audiences.
• Strong Analytical mindset with a keen eye for details
• Strong organizational skills and ability to effectively prioritize multiple tasks.
• Proficiency in Excel (Power View, Power Query & Power Pivot, etc.)
• SQL scripting and knowledge of BI tools – Power BI, Microsoft BI stack, Tableau, etc.
• Experience designing and implementing automated ETL processes.
• Proficient in data management including data analytical capability.
• Proficiency with Python or any related Data science high programming language for data manipulation will be added advantage
• Excellent leadership, presentation and interpersonal skills
• Understanding of healthcare business operations
• Problem-solving skills

Additional Requirements

• A university degree – B.Sc. in Mathematics, Statistics, Computer science or any related course and post-qualification work experience of at least 3 years
• At least 2-4 years of experience performing a similar function.
• An open mind with a willingness to learn and grow with the organization.

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Responsibilities

• Conduct company, industry and consumer research and analysis, including competitor analysis and benchmarking
• Identify gaps in the market for new products/trends, presenting key trends, products, categories and ideas to the business; based on this, prepares and presents new product proposals for review and approval
• Ensure a clear and efficient product road mapping, product planning, prioritization, and an overall agile product development process that aligns with a pre-agreed Product Strategy
• Evaluate the potential and practicality of products in development and develops budgets/policies/procedures to support the successful identification, creation, launch and continued viability of launched products
• Provides information for management by preparing short-term and long-term product sales forecasts and special reports and analyses; answering questions and requests.
• Own the lifecycle management of product, whilst engaging, consulting and informing key stakeholders throughout the product development process.
• Manage customer opinion of a product, testing the product in focus groups and receiving feedback… working with teams to adjust the product’s design until confident they are market ready
• Manage interdependency across departments to ensure timely development and delivery of assigned tasks.
• Manage/engage and contract with external partners, suppliers and vendors associated with the successful deployment and continued delivery of the products
• Ensure compliance with relevant regulations and third-party requirements in product development.
• Work intimately with the marketing department to develop marketing strategies (positioning, route to market, etc), lead generation strategies, and sales strategies to achieve revenue and profitability targets

Minimum Requirements

• A University degree in a relevant field is required
• 5 years of progressive experience in product development/ product management
• Excellent communication, influencing and negotiating skills
• Demonstrable experience and track record in project management
• Excellent Analytical skills: – Requirements Analysis, Pricing, Planning, Competitive Analysis, Sales Planning etc
• Self-motivated with the ability to work both independently and as part of a team

Additional Requirements

• MBA or Masters or Professional certification in Marketing is an added advantage
• Strong data analysis and reporting skills
• People Management
• Financial planning and strategy

go to method of application »

Objectives of the Role

1. Oversee, identify, accredit, contract, train, and manage the primary care providers and medical specialists who provide services to the enrollees (members) on the company’s health insurance plans.
2. Develops, coordinates, implements, and evaluates case management services to health plan enrollees/members and health care providers that contract with the HMO.
3. Collaborates with other staff in evaluating the placement of members in proper primary care locations, developing and adapting forms and information systems, and mediating difficult member and provider situations.
4. Oversight of timely medical management, utilization management, and discharge management interventions to meet clinical targets, assure the provision of a continuum of care to enrollees

Responsibilities

• Maintain and support the primary care provider and specialist network to the health plans by developing and maintaining training materials, leading small and large groups, on-site initial training sessions on the policies and procedures of the health plan, problem-solving sessions on managing members in the health plan, writing memorandums, letters, or health plan newsletter articles regarding clarification of covered benefits or procedure changes, researching, evaluating, and responding to individual health care provider requests for exceptions to covered services or pharmaceutical benefits, and resolving urgent or complicated individual situations raised by providers.
• Oversee, support, and assist the case management and other Provider services staff by developing and updating resource materials and comparison grids for easy reference specific to each of the health plans, delegating and assigning job duties, leading biweekly case management meetings to review complicated cases, discussing and revising case management procedures, and informing case management staff of policy changes, providing educational opportunities, and analyzing and determining outcomes for difficult member and/or provider situations.
• Assist in the development and implementation of a quality assurance and utilization review program. Develop new policies and procedures and enforce existing standards. Construct, evaluate, and revise forms in consultation with the Medical Services Director.
• Oversee the administration of the plan benefits and delivery of care by the Providers. Supervise determination of covered benefits for members and develop procedure lists for complex or detailed tasks related to case management.
• Collaborate with the Medical Services Director in developing, maintaining, and updating drug formulary and disease Management protocols for the Health Plans. Develop and implement case management plans and policies for Providers. Provide direct case management services by reviewing requests and authorizing speciality services or exceptions to the drug formulary and/or Protocols.
• Identify target populations and health-related issues by collecting and analyzing utilization data. Research standards of care and evidence-based medicine. Analyse high-cost member reports and collaborate with the information systems analyst to develop and reassess a data information system to track medically complicated and high-cost medical interventions.
• Evaluate and compile complaints from providers, members, or other Health Plan Management Team members to determine a pattern of complaints and initiate a resolution. Initiates further training sessions, better or more frequent phone or written communications, or reassess current policies to control problems.
• Coordinate medical reviews, grievances and appeals. Develop review criteria and communicate with DMS to clarify coverage issues
• Ensure that client records are kept secure and confidential and maintained consistent with Health Department policies and procedures.
• Perform other duties as assigned.

Minimum Requirements

• A fully qualified Doctor with a minimum of 3 years of clinical experience.
• A minimum of 5-8 years experience inclusive of clinical experience, in a Managed Care/HMO variety of healthcare settings, is required.
• Must have at least 4 years of supervisory experience.
• Must be a Registered Doctor in Nigeria with a valid practising certificate.
• Work in a standard office environment. Must attend meetings, seminars and speaking engagements throughout the County.
• Proven experience organizing and directing multiple teams and departments
• Excellent & persuasive communicator – written and oral
• Extremely versatile, dedicated to efficient productivity
• Experience in planning and leading the implementation of strategic initiatives
• Strong data analysis and reporting skills
• Discretion and display of good judgment

Additional Requirements

• Nimble business mind with a focus on developing creative solutions
• Significant experience in conflict resolution and dealing with sensitive issues
• Significant experience working in a highly confidential environment
• High levels of personal resilience and persistence and a significant level of emotional intelligence
• Experience in budget management