Medical Services Manager at a Leading Health Insurance Firm - Brasenwall Professional Consults (4 Openings)

Brasenwall Professional Consults - Our client, one of the leading Health Insurance firms across the business locations in Nigeria, is recruiting to fill the position below:

Job Title: Medical Services Manager

Locations: Lagos, South East, South West and South-South - Nigeria

Responsibilities

• Supervise and manage the day-to-day itinerary of Case Managers, utilization reviews, quality management activities, and medical outreach or education programs
• Collate reports of utilization reviews, present findings, propose solutions, and monitor implementation of plans
• Collate report of accreditation and re-accreditation of providers and present findings for approval
• Co-ordinate the collation of regulatory reports including monthly Fee-For-Service FFS) and Referral reports,
• Quarterly Provider Sensitization and Itinerary report
• Co-ordinate Medical Referral program to manage medical cost without compromising client convenience
• Manage high-level relationships within every healthcare facility to ensure continued high-quality service delivery
• Monitor and evaluate the day-to-day performance of the Case Managers and Claims Adjusters

Requirements

• Bachelor’s Degree in Healthcare Administration, Nursing, or a related field; Master’s degree will be an added advantage.
• Strong knowledge of healthcare services, insurance processes, and regulatory requirements.
• Excellent communication, negotiation, and interpersonal skills.
• Proficiency in MS Office Suite (Word, Excel, PowerPoint) and healthcare management software.
• Analytical and problem-solving skills
• Years of Experience
• Minimum of 5 years of experience in healthcare management or medical services, with at least 2 years in a supervisory or managerial role.
• Experience in a health insurance or managed care environment is highly desirable.

Application Closing Date
30th January, 2025.

Method of Application
Interested and qualified candidates should send their Applications and Resume to: babalolaabbey@yahoo.com and copy: brasenwall@gmail.com using the Job Title as the subject of the email.

Note: Applicants should please put their current salary and interested location in the body of the mail.