Provider Manager (HMO) at Kaplo Africa | Nigeria
Company/Recruiter: Kaplo Africa
✦ AI Summary
Kaplo Africa seeks an experienced Provider Manager (HMO) to join its dynamic team. This role is critical to managing relationships with healthcare providers and ensuring seamless service delivery within the HMO sector.
Job Overview
The Provider Manager (HMO) will oversee provider networks, coordinate healthcare delivery services, and maintain strong relationships with medical practitioners and facilities. This position requires strategic thinking, excellent communication skills, and a deep understanding of the HMO landscape in Nigeria. You will work closely with internal teams and external stakeholders to ensure quality service provision and contractual compliance.
Key Responsibilities
- Manage and nurture relationships with healthcare providers and medical facilities
- Monitor provider performance against established KPIs and service standards
- Coordinate claims processing and resolve provider-related disputes
- Conduct regular provider audits and quality assessments
- Develop and implement provider network expansion strategies
- Prepare comprehensive reports on provider performance and network metrics
- Ensure compliance with HMO regulations and contractual obligations
Requirements
- Bachelor's degree in Healthcare Management, Business Administration, or related field
- Minimum 3 years of experience in HMO provider management
- Strong knowledge of Nigerian healthcare systems and HMO operations
- Excellent negotiation and interpersonal skills
- Proficiency in data analysis and MS Office applications
- Outstanding organizational and problem-solving abilities
What We Offer
- Competitive remuneration package
- Professional development and training opportunities
- Health and wellness benefits
- Collaborative work environment with innovative teams
- Career growth within a leading African HR solutions firm