Latest Jobs at Greenbay Healthcare Services Limited

Responsibilities

• To ensure quality assurance in engaging Health Care Providers and managing their service delivery to the HMO enrollees.
• To supervise health services staff in negotiating with providers, doctors, pharmacies, clinics, and other health care facilities with the goal of optimally maintaining a robust network of providers nationwide.
• Develop new policies and procedures and enforces existing standards. Constructs, evaluates, and revises forms in consultation with the Medical Services Director.
• Oversee healthcare provider network development and management.
• Oversee care coordination, provider relations, claims administration, and wellness programmes.
• Provide necessary information such as benefit tables to Call Centre agents.
• Ensure prompt attention and resolution to all client issues (Conflict Resolution)
• Ensure effective and excellent customer/enrollee relationship management.
• Oversee member services activities and client relationship management.
• Assist in the marketing of health plans to private and public organizations.

Requirements

• A Medical Doctor with MBBS or MBCHB Degree
• Minimum of 2 years’ experience as a Medical Doctor, 2 of whicn should preferably be with an accredited Health Maintenance Organisation (HMO)
• Possession of an MBA or MPH will be an advantage
• Must have at least 3 years of supervisory experience.
• Must be a Registered Doctor in Nigeria with a valid practicing certification.
• Work in a standard office environment. Must attend meetings, seminars and speaking engagements throughout the County.
• 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.

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Location: Ikeja, Lagos

Job Summary

• The services of a Male Nursing Officer (Male for Gender balance inthe unit), is needed to ensurethat the quality of patient management is significantly enhanced and enrollee satisfaction is maximized while promoting cost-effectiveness.

Responsibilities

• Oversee, support, and assist the case management and other Provider Services staff by developing and updating resource materials for easy reference specific to each of the health plans.
• Delegate and assign job duties, review complicated cases, discuss and revise case management procedures,inform case management staff of policy changes, provide educational opportunities, and analyze and determine 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 enforces existing standards. Construct, evaluate, and revise forms in consultation with the Medical Services Director.
• Evaluate and compile complaints from providers, members, or other Health Plan Management Team members to determine a pattern of complaints and initiate a resolution.
• Perform other duties as assigned.

Requirements

• Candidate must be a qualified and registered Nurse with 3 - 4 years of clinical experience with 2 years of Managed Care / HMO variety of health care settings is required.
• Previous leadership work experience.
• Excellent communicating skills.
• A self starter.
• Experience in planning and leading the implementation of strategic initiatives
• Strong data analysis and reporting skills
• Discretion, display of good judgment.