New Jobs at Total Health Trust Limited

Total Health Trust Limited – Our organization is a leading and largest health maintenance organization (“HMO”) in Nigeria with over 270,000 members and over 270 private corporations representing some of the country’s top local and international multinationals, as well as public sector institutions under our management. We were the first HMO to be registered in Nigeria and 17 years later, we are still number one in the market. We are one of the very few HMOs that can boast the financial and technical backing of a world class company – Liberty Health (a member of the Liberty Group). The organization further prides itself with its rich culture of Respect, Compassion, Pride and Expertise.

Job Title:   Provider Management Executive

Job Description:

• To conduct hospital visit, inspection, accreditation, re-accreditation, education, claims audit, fraud detection, clinical audit, investigation of member’s related queries, resolve issues of short-payments as the need arise
• Implement provider management strategies for organizational growth, competitiveness and leadership
• Represent organization in the health care events
• Update providers register under schemes and share updates with concerned departments
• Provide detailed provider management report
• Ensure that all critical areas that require improvement that contribute to the success of the strategy are identified and communicated to the team lead.
• Ensure prompt registration and processing of providers’ contracts on Medware.
• To reconcile provider account received from the geographical regions assigned as well as any other delegated by the team lead.
• Organize and carry-out product, policies and processes training in-house for group of providers in assigned geographical areas.
• To negotiate with doctors and other health care providers about health care for clients
• Liaison with NHIS

Requirements:

• Candidate must be a registered nurse, midwife and possess B.Sc. Nursing
• Additional medical qualification will be an added advantage
• Candidate must have minimum of 5 years post-nursing qualification experience including 3 years in similar role in a Health Maintenance Organization (HMO).
• Candidate must have Clinical experience
• 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:

• Good organizational and planning capabilities
• Innovative and quick thinking capabilities
• Innovativeness
• Adaptive
• Decision Making skills
• Integrity
• Negotiation Skill
• Adaptive, expertise, Result-Oriented, Relationship Skill
• Working with people
• Strategic
• Must be a good collaborator/Team player

Job Title:  Head, Provider Management

Job Description:

• To take responsibility of the health services department.
• To supervise, monitor and discharge daily inspection upon staff with the view to ensure the set goals of efficiency and effectiveness in the discharge of health insurance project.
• To effectively manage the relationship with providers
• Provision of assessments and treatments for members of staff
• Hospital inspection/accreditation
• Supervise fraud investigation process
• Follow-up on complaints of staffs and providers.
• Payment Reconciliation
• To manage Providers training and provide advisory services.
• To manage the process of hospital inspection, accreditation and re-accreditation
• To formulate and implement provider management strategies for organizational growth, competitiveness and leadership
• To ensure quality assurance with all Health Care Providers across the country
• To negotiate with Doctors and other health care providers about health care for clients
• Liaison with NHIS
• Represent organization in the health care events

Requirements:

• Candidate must be a Medical Doctor.
• Additional medical qualification will be an added advantage
• Candidate must have minimum of 10 years Health Maintenance Organization (HMO) experience.
• Candidate must have minimum of 5 years Clinical experience
• 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:

• Good organizational and planning capabilities
• Innovative and quick thinking capabilities
• Negotiation Skill
• Adaptive, expertise, Result-Oriented, Relationship Skill
• Working with people
• Strategic
• Must be a good collaborator/Team player
• Innovativeness
• Analytical Skills
• Decision Making skills
• Leadership Skill
• Integrity and Transparent honesty

How to Apply

Interested and qualified candidates Click Here to Apply

GET JOB ALERTS
in your inbox

Subscribe to our mailing list and get vacancies and employment updates to your email inbox.

Speak Your Mind

*


Get a Job Today with Joblanda


Reports released in early 2016 reveal more than 1.3 million Nigerians suffered job losses during the second quarter of 2015 alone, bringing the country's total unemployment rate to greater than 6 million individuals. In an effort to combat these statistics, staffing and education advancement advocate Joblanda has launched increased efforts to work with those affected by Nigeria's diminishing employment availability.

Joblanda is focused on delivering employment, career, and educational advancement opportunities to Nigerians who are seeking them. Built on the premise of doing more than just collecting and listing vacancies, we also help ensure each vacancy is well-matched to the job seeker by organizing the listings by required academic qualifications, years of experience, and industries of expertise.

In order to drive individual and collective economic growth, we also disseminate information about scholarships and educational opportunities as well as events and initiatives that can help people advance to a better career. We want to assist people In gaining the tools and information they need to live a better life, and we know that finding a great career is vital to accomplishing that goal.

joblanda gif

GET JOB ALERTS
in your inbox

Subscribe to our mailing list and get vacancies and employment updates to your email inbox.