Sub Category

Trainee / Graduate Jobs

Administrative Jobs in Nigeria

Advertising Jobs Nigeria

Accounting Jobs in Nigeria

Auditing Jobs Nigeria

Arts Jobs in Nigeria

Android / IOS Developer Jobs

Agriculture Jobs in Nigeria

Architecture Jobs in Nigeria

Aviation Jobs in Nigeria

Automobile Jobs in Nigeria

Banking Jobs in Nigeria

Computer & InfoTech Jobs

Computer / IT Support Jobs

Customer Service Jobs

Civil Engineering Jobs

Cook / Chef Jobs

Database Jobs in Nigeria

Driving / Dispatch Rider Jobs

Education Jobs for Nigerians

Real Estate Jobs

Electrical/Electronics Jobs

Engineering Jobs in Nigeria

Facility Mgt Jobs in Nigeria

Finance Jobs in Nigeria

Front Desk Jobs in Nigeria

Geology Jobs

Government Jobs in Nigeria-

Graphics Design Jobs

Hospitality Jobs in Nigeria

Hotel Jobs in Nigeria

HR Jobs in Nigeria

Industrial Attachment (Internship)

Insurance Jobs in Nigeria

Journalism / Content Writing Jobs

Law Enforcement / Security Jobs

Lecturing Jobs in Nigeria

Law / Legal Jobs in Nigeria

Linux & Unix Jobs Nigeria

Marketing & Sales Jobs

Maritime & Shipping Jobs

Medical & Healthcare Jobs

Military Jobs in Nigeria

Computer Networking Jobs

NGO Jobs in Nigeria

Oil & Gas Jobs in Nigeria

Oracle Jobs in Nigeria

Personal Assistant Jobs

PHP & MySQL Jobs in Nigeria

Physician / Medical Officer Jobs

Public Relation Jobs

Programming / Software Jobs

Pri/Sec Sch Teaching Jobs

Real Estate Jobs in Nigeria

Remote / Work-at-home Jobs

Research Jobs in Nigeria

Safety & Health Jobs

Secretarial Jobs in Nigeria

Security Jobs in Nigeria

Sales Jobs

Shipping & Maritime Jobs

Student Jobs in Nigeria

Software Developer Jobs

System Admin Jobs in Nigeria

Teaching Jobs in Nigeria

Telecommunication Jobs

Semi-skilled / Factory Work

Volunteer Jobs Nigeria

Web Developer Jobs Nigeria

Web Designer / Frontend / UI Jobs


Job Filter

Get Latest Nigerian Jobs Alert!
Enter your email below.








  
          Popular Jobs
DMOT Enterprises Job Recruitment (4 Positions)

Fadac Resources and Services Limited Job Recruitment (7 Positions)

Excel and Grace Consulting Job Recruitment (9 Positions)

Flying Doctors Nigeria Job Recruitment (4 Positions)

TechnoServe Job Recruitment (4 Positions)

Nine Stars Limited Job Recruitment (15 Positions)

Canonical Nigeria Entry Level & Exp. Job Recruitment (40 Positions)

Value Edge Management Service Limited Job Recruitment (6 Positions)

Kaplo Africa Limited Job Recruitment (3 Positions)

Tempkers Limited Job Recruitment (4 Positions)

Bridgemead Limited Job Recruitment (20 Positions)

Mactay Consulting Job Recruitment (5 Positions)

Alan & Grant Job Recruitment (19 Positions)

Alfred and Victoria Associates Job Recruitment (11 Positions)

Woodgate Structure Limited Job Recruitment (4 Positions)

Equinix Job Recruitment (14 Positions)

People Apex Solution Job Recruitment (9 Positions)

Domeo Resources International (DRI) Job Recruitment (3 Positions)

Kennedia Consulting Limited Job Recruitment (5 Positions)

Prestigious Consulting Group Job Recruitment (13 Positions)

Juhel Nigeria Limited Job Recruitment (12 Positions)

St. Mary Dedication British International High Schools Job Recruitment (7 Positions)

Paras Energy & Natural Resources Development Limited Job Recruitment (5 Positions)

Skache Integrated Services Limited Job Recruitment (5 Positions)

Michael Stevens Consulting Job Recruitment (4 Positions)

Renmoney Job Recruitment (8 Positions)

Dufil Prima Foods Limited Graduate Trainee Program 2025

APTECH Computer Education Job Recruitment (4 Positions)

Contemporary Group Limited (CGL) Job Recruitment (5 Positions)

Arrogate Estimable Consulting Limited Internship & Exp. Job Recruitment (3 Positions)

Ardova Plc Job Recruitment (10 Positions)

FoliXx Hospitality Graduate & Exp. Job Recruitment (8 Positions)

Kingsfield Diagnostic Services Job Recruitment (3 Positions)

Ponticelli Nigeria Limited (PNL) Job Recruitment (5 Positions)

Boolean Labs Limited Job Recruitment (5 Positions)

Owens and Xley Consults Entry Level & Exp. Job Recruitment (8 Positions)

Dadeyo Schools Job Recruitment (10 Positions)

Pharma Ethics Limited Job Recruitment (4 Positions)

International Breweries Plc Job Recruitment (3 Positions)

Simba Group of Companies Job Recruitment (3 Positions)

Ruth and Roots Job Recruitment (3 Positions)

African Foundries Limited (AFL) Graduate Trainee & Exp. Job Recruitment (6 Positions)

Fawad F&B Limited Job Recruitment (5 Positions)

Digitalents HUB Limited Job Recruitment (4 Positions)

Carbon Nigeria Internship & Exp. Job Recruitment (4 Positions)

WTS Energy Job Recruitment (7 Positions)

Stanbic IBTC Bank Digital Graduate Trainee Program

Carrot Top Drugs Limited Job Recruitment (4 Positions)

Oando Plc Joint Venture Graduate Acceleration Program (OGAP) 2025

Gamma Mobility Limited Job Recruitment (13 Positions)


Director of Claims and Tariff Management (Remote) at Reliance Health

Posted on Fri 24th Jan, 2025 - hotnigerianjobs.com --- (0 comments)


Reliance Health uses Technology to Make Healthcare Accessible and Affordable. Through an integrated approach that includes affordable health insurance, telemedicine, and a combination of partner and proprietary healthcare facilities, Reliance Health offers innovative healthcare solutions that meet the needs of emerging markets.

We are recruiting to fill the position below:

Job Title: Director of Claims and Tariff Management

Location: Lagos (Remote)
Employment Type: Full Time

Key Responsibilities

  • Cost Reduction and Fast Reimbursement Cycles: Implement strategies to reduce costs and ensure rapid reimbursement cycles for claims across all active markets, enhancing overall operational efficiency and customer satisfaction.
  • Efficiency Improvement and Unpaid Claims Reduction: Oversee initiatives to enhance the efficiency of claims and optimize team productivity and processing systems to reduce unpaid claims backlogs and streamlining workflows for faster adjudication.
  • Automation and Rules-Based Claims Processing: Lead the improvement of rules-based automated claims processing engines, leveraging technology to enhance accuracy, speed, and consistency in claims adjudication.
  • Prior Authorization Enhancement: Enhance the accuracy and turnaround time for complex prior authorization requests, ensuring timely access to necessary healthcare services for our members.
  • Cost Reduction and Fast Reimbursement Cycles: Implement strategies to reduce costs and ensure rapid reimbursement cycles for claims across all active markets, enhancing overall operational efficiency and customer satisfaction.
  • Efficiency Improvement and Unpaid Claims Reduction: Oversee initiatives to enhance the efficiency of claims and optimize team productivity and processing systems to reduce unpaid claims backlogs and streamlining workflows for faster adjudication.
  • Automation and Rules-Based Claims Processing: Lead the improvement of rules-based automated claims processing engines, leveraging technology to enhance accuracy, speed, and consistency in claims adjudication.
  • Prior Authorization Enhancement: Enhance the accuracy and turnaround time for complex prior authorization requests, ensuring timely access to necessary healthcare services for our members.

Requirements

  • MBBS or Bachelor's Degree in Healthcare Administration, Business Management, with a preferred background of master’s level studies in data analysis or business administration  
  • 8+ years of experience in claims management and tariff negotiation within the healthcare industry
  • Proven track record of implementing process improvements to enhance claims efficiency and reduce costs.
  • Strong background in data analysis and demonstrated ability to work with data to solve complex problems, utilizing advanced analytical tools and methodologies
  • Strong understanding of rules-based automated claims processing systems and prior authorization workflows.
  • Experience in tariff negotiation, provider network management, and benefits design across diverse markets.
  • Excellent leadership and communication skills, with the ability to collaborate effectively across cross-functional teams.
  • Analytical mindset with proficiency in data-driven decision-making and performance metrics evaluation.

Benefits
At Reliance Health, we prioritize our people and their well-being. Our benefits package is designed to support your success, growth, and happiness. Here’s what you’ll enjoy:
Hybrid, Flexible Environment:

  • Experience the best of both worlds with our hybrid setup—work from home when you need focus, and connect with a vibrant, collaborative team in the office.

Competitive Salary and Benefits:

  • We offer a salary that’s benchmarked against the best in the industry, ensuring your expertise and impact are fully rewarded.

Premium Health Insurance:

  • Comprehensive health coverage for you and your family, because your well-being comes first.

Unlimited Leave:

  • Take the time you need when you need it—no limits, no questions.

Meaningful Impact:

  • Play a key role in transforming customer experiences and shaping healthcare innovation.

Collaborative Work Culture:

  • Join a supportive, inclusive, and team-focused environment that celebrates diversity.

Growth Opportunities:

  • Access tools, mentorship, and resources to elevate your skills and career.

Learning & Development Allowance:

  • We provide an allowance to support your ongoing professional growth and skill enhancement. 

Application Closing Date
Not Specified.

How to Apply
Interested and qualified candidates should:
Click here to apply online


  

Comments (0)


Post a Comment
Name: *
Email: *
Comment: *