Latest Vacancies at Sigma Consulting Group

Location: Uyo, Akwa Ibom
Job Type: Full Time

Job Summary

• The ideal candidate will be responsible for assessing patient eyes to identify vision defects, diseases and injuries.
• The candidate is expected to maintain medical files, evaluate eye defects, recording treatment plans, and perform eye inspections, expected to diagnose and treat visual problems and manage diseases, injuries, and other disorders of the eyes.

Responsibilities

• Perform vision tests and analyze results.
• Diagnose sight problems, such as nearsightedness or farsightedness, eye diseases such as glaucoma.
• Prescribe eyeglasses, contact lenses, and other visual aids, and if state law permits medications.
• Perform minor surgical procedures to correct or treat visual or eye health issues.
• Provide treatments such as vision therapy or low-vision rehabilitation.
• Provide pre and postoperative care to patients undergoing eye surgery.
• Take detailed medical histories for all patients, including current and past prescription medications.
• Educate patients on proper eye care.
• Advise patients about proper eye hygiene and care.
• Conduct routine eye examinations, including visual field tests.

Requirements

• Must possess a Doctor of Optometry Degree (O.D) from a reputable institution.
• Have minimum experience of 3 years in Optometry practices.
• Applicants must possess current practicing license issued by the Optometrists and Dispensing Optician Registration Board of Nigeria (ODORBN). 

Skills:

• Excellent communication skills.
• An interest in health and a desire to improve people quality of life.
• Attention to detail.
• Manual dexterity, precision and accuracy.
• Strong interpersonal skills.
• Clinical decision-making and the ability to use professional judgement.
• Confidence.

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Summary

• The ideal candidate for the role of Customer Relationship Officers will handle the concerns of the people using our client's products or services. They work to rectify issues experienced by individual customers as well as aim to improve the organization's overall customer satisfaction ratings.

Responsibilities

• Maximize client retention rate by ensuring that clients are satisfied and retention rate is high.
• Visit clients to determine how they are faring on the scheme.
• Conduct client satisfaction surveys for all assigned clients annually.
• Ensure all clients have valid contracts and SLAs.
• Attend to and resolve all enquiries from clients and forward the escalations to line manager.
• To educate all stakeholders (Employer groups) on the products and benefits of the scheme.
• Fill and submit know-your-client forms
• To adhere to and live the organizational value.
• To continuously collate all feedback on the scheme service levels and to offer immediate resolution and to report back to the relevant employer group.
• Pre-payment and collection of premium fees from all clients.
• Prepare and forward the schedule of premium collected and outstanding to client service managers

Job Requirements

• Minimum of B.Sc. HND in Marketing, Administration, Social Sciences and other related fields.
• Candidate must have a minimum of 3 years Client Service experience in Health Maintenance Organization (HMO).
• Candidate must have advanced knowledge of NHIS regulatory guidelines, Medical Global Best Practices, Health Insurance, Products and Processes.
•  Excellent organizational, communication (verbal and written) skills and attention to detail.

Other Requirements:

• Effective communication skill
• Problem-solving skill
• Innovative and quick thinking capabilities
• Listening skills
• Relationship skills
• Planning and organizing skills
• Leadership skills
• Integrity, transparency and honesty.
• Interpersonal skill

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Job Summary

• The ideal candidate must be a Professional Doctor, who would work with our Provider Relations Team, Customer Success Teams, Claims and Underwriting teams and make sure that excellent and high-quality service is provided to clients across all provider networks while ensuring resolution of complicated claims and limiting fraud.
• He /She will have major responsibility for managing the relationship between the company, our providers, and our enrollees.
• The ideal candidate would be demanded to track waste, fraud, and/or error from initial point of access to care by enrollees to final claims filing by the Provider.

Responsibilities

• Work with the Provider Team to ensure the minimum standards for quality are met before sign up.
• Inspect and evaluate hospitals to ensure compliance with basic standards.
• Carry out physical inspection at the assigned providers office using the checklist.
• Investigate complicated claims by checking the case folder and speaking to the Enrollee and the doctor.
• Escalate fraudulent cases to the Committee of Doctors.
• Update Providers dashboard, and implement resolutions.
• Recommend changes to improve the efficiencies in the systems and process of the Provider Relations as well as the Claims team.
• Recognize and fix areas of weakness in the system to limit potential for fraud
• Carry out regular hospital quality checks.
• Develop and implement survey tools for patient feedback and communicating data results to Providers to ensure continuous improvement.
• Visit patients in the hospital to ensure they are getting medically necessary care, quality care and that the care is being delivered as efficiently and economically as possible.
• Anticipates the patient's future health care needs and tries to put in place mechanisms to meet those needs as efficiently as possible
• Ensure efficiency and cost-effectiveness of medical services provided to clients
• Takes initiative to present ideas and suggestions to leadership
• Maintains knowledge and proficiency in medical practices through continuing education, staff meetings, and workshops.
• Perform all other duties as assigned.

Requirements

• Minimum 2-year experience in Clinical Practice or Quality assurance role
• Must be a Male Medical Doctor
• Strong ability to make judgment on medical/ surgical cases in relation to benefits listed on enrollee plan.
• Ability to make a professional judgment on coverage and non-coverage of care requests per time, based on the enrollee benefits table.
• Exceptional problem solving and analytical skills
• Excellent communication and presentation skills
• Knowledge of, and sensitivity to, cultural and language differences.
• A demonstration of curiosity, love for learning, execution and speed.

Skills:

• Confidence.
• Excellent technical skills.
• Good numerical skills and an understanding of statistics.
• Leadership skills.
• Planning and organization skills.
• Communication and interpersonal skills.
• Problem-solving skills.
• Teamworking skills.