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  • Posted: Mar 2, 2021
    Deadline: Mar 10, 2021
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  • Fort Knox Group is one of the most diversified security and financial outfits in West Africa with fixed based operation in Nigeria servicing security contracts throughout the West Africa sub-region from its headquarters in Abuja, Nigeria. The company has a hard-earned reputation for excellent business practices and delivery, built over 95 years of global ...
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    Medical Doctor

    Monthly Salary: 200,000

    Job Description

    • Case management of enrollee complaints, diagnosis and treatment at the provider to ensure cost-quality of care balance is maintained
    • Checking vetted claims for accuracy and correctness in line with diagnosis
    • Evaluate the performance and reliability of Health Care Providers (HCP) by carrying out random spot checks on enrollees to corroborate claims by HCPs – ratio of 1:10 spot checks monthly
    • Periodic checks on activities and processes of HCPs, by QA calls, visits or surveys to HCPS
    • Analyze Provider reports for management information
    • Provide managed care services
    • Recognize and fix weaknesses in the system
    • Manage all HMOs units to deliver on their deliverables daily
    • Provide leadership and ensure that HCP meets quality checklist for onboarding
    • Develop and implement necessary quality policy as guidelines for Provider manager department
    • Implement quality checklist to follow to approve HCP into our network
    • HCP/Enrollee Complaint escalations
    • Courtesy calls on existing and prospective customers

    Key Results Areas

    • Quality Assurance
    • Providers Management
    • Case Management
    • Client Relationship Management

    Qualification and Attributes

    • Qualification: MBBS degree from a recognized university in Nigeria
    • Experience: 3-5 years’ experience in a recognized HMO. Experience in Providers Management, Claims Management or Client Relationship Management are key requirements for this role
    • Attributes: Leadership skill, very organized & pay attention to details, He must be proficient in the use of computer, strong analytical & problem-solving skills

    Method of Application

    This job has expired. Application is no longer allowed

    Note: Never pay for any training, certificate, assessment, or testing to the recruiter.

  • Send your application

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Average Salary at Fort Knox Group
₦ 28K from 1 employee
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