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.
POSITION : GM, Medical Services & Provider Management
Job Description
Implementation and management of overall operational effectiveness
Provide contribution and operational support to the strategic direction of the business
To ensure that all processes are in line with the organization’s objectives to ensure effective and efficient service to clients
Consistently manage and lead teams in order to ensure operational service levels are met and ideally exceeded within the given service level agreement.
To ensure the achievement of operational targets
Identify and implement opportunities and strategies to improve quality and outputs
Build and maintain strong relationships with internal and external stakeholders
Understand and contribute to the overall financial performance of THT and Blue
Track and manage staff performance and co-ordination within the enrolment and underwriting team
To take responsibility of the health services department.
To formulate and implement provider management strategies for organizational growth, competitiveness and leadership
To continuously drive innovation and automation in order to enhance processes and customer experience
To take end-to-end responsibility and accountability for dealing with escalation
To ensure optimal utilization and compliance with available tools, policies and processes
To ensure engagement with unit heads and zonal offices on different aspect of operations
To adhere to and live the organizational values
Requirements
Candidate must be a Medical Doctor.
Additional medical qualification will be an added advantage
Candidate must have minimum of 10 years medical services experience in a Health Maintenance Organization (HMO)
Candidate must have minimum of 3 years Clinical experience
Candidate must have advanced knowledge of Government Rules operational guideline, Medical Professional guidelines, Regulatory Requirements, Operational Processes and procedures, Claims Processes, Case Management, Provider Management and call Centre, Administration and Enrolment
Excellent organizational, communication (verbal and written) skills and attention to detail
Other requirements:
Innovative and quick thinking capabilities
Team Work
Analytical Skills
Decision Making skills
Leadership Skill
Integrity and Transparent honesty
Negotiation Skill
Persuading and influencing
Multi-Tasking
Strategic Management Skills
Conflict Resolution and Change Management
Presenting and Communicating Information
Coping with Pressure and Setbacks
Delivering Results and Meeting Customer Expectations
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