HMO Officer at LEAH Medical Centre Ilorin

Role Overview:
We are seeking a dedicated and detail-oriented HMO Officer to oversee and manage all tasks related to Health Maintenance Organizations (HMO) operations within our organization. The successful candidate will ensure efficient handling of HMO processes, claims, and inquiries while maintaining compliance with regulatory standards.

Key Responsibilities:

  • Liaise with HMOs to facilitate smooth enrollment, renewal, and plan updates for employees or clients.
  • Process, review, and monitor HMO claims to ensure accuracy and timely reimbursement.
  • Maintain and update records of HMO transactions, contracts, and agreements.
  • Act as the primary point of contact for employees or clients regarding HMO-related concerns and inquiries.
  • Conduct regular reviews of HMO policies to ensure alignment with organizational goals and compliance with regulatory requirements.
  • Provide regular reports and updates to management on HMO activities, issues, and resolutions.
  • Ensure compliance with health insurance regulations and company policies.

Requirements:

  • Bachelor’s degree in Healthcare Management, Business Administration, or a related field.
  • Proven experience in HMO management or a related role.
  • Strong understanding of health insurance policies, claims processes, and regulatory requirements.
  • Excellent communication and interpersonal skills.
  • Proficiency in Microsoft Office Suite and database management.
  • Strong organizational and multitasking abilities.

Preferred Skills:

  • Experience in customer service or client relations within the healthcare sector.
  • Familiarity with electronic health record (EHR) systems.

Application Process:

Interested candidates should send their CV and cover letter to hr.medical@theleahgroup.com with the subject line “HMO Officer Application – [Your Name].” Applications close on 25th December 2024.