Posted on: Thu 05-05-2022

MacTay Consulting is one of the first and leading management consulting firm in Nigeria, providing HR services to our clients in Africa since 1982. We focus on adding value to organisations through customized solutions that meet our clients’ needs. We have a proven track record of providing excellent services that impact our clients’ businesses.

We are recruiting to fill the position below:

Job Title: Head, Medical Operations

Location: Lagos

Employment Type: Full-time

Job Summary

• The Head, Operations will oversee key functions (such as: Healthcare Provider Accreditation and Contracting, claims management, Complaints resolutions, Authorizations) which are aimed at providing quality healthcare services to members.
• Develop Strategies, Policies and Plans for ensuring access to quality healthcare services including Quality Improvement Plans
• Provide technical input for costing and actuarial analysis
• Establish mechanisms for reducing provider and enrollee moral hazards
• Advice Management on present and future operational requirements and risks; proffer solutions for mitigating risks.
• Provide periodic reports across units in the department
• Perform other strategic functions assigned by the Board Operations Management

Key Accountabilities Responsibilities

• Strategic Planning
• Define Service standards and develop Service Level Agreements with HCPs and contracted parties
• Develop and periodically review tariffs for services
• Monitoring of Utilizations & Medical Loss Rations (MLR)
• Review and approve Panel lists and Claims
• Oversee referral activities and high-cost treatments
• Oversee the 24hours call centre operations
• Drive Operational efficiency and cost optimization
• Accredit and re-accredit all levels of HCPs
• Oversee conduct of Clinical Audits and verification exercises on services delivered. Stakeholder Management
• Manage stakeholders involved in service delivery to ensure services meet with agreed standards defined in the Service Level Agreements
• Foster cordial relationships with clients, healthcare providers and other stakeholders
• Ensure implementation of appropriate sanctions for erring stakeholders/players. Team Leadership and Management
• Provide leadership and direction for Operations department
• Manage performance, mentor, and coach team.

Requirements

• Minimum of a Bachelor’s Degree or equivalent in Medicine, Pharmacy, or other health related disciplines
• The candidate must be a Medical Doctor with MBBS or MBCHB Degree
• The possession of an MBA is an additional advantage.
• A minimum of a 10 years’ experience as a medical doctor is required, 5 of which are preferable with an accredited HMO.
• A minimum of 5 years leadership experience is mandatory.
• The candidate must have a medical practice license.

Application Closing Date

11th May, 2022.

Method of Application

Interested and qualified candidates should send their CV to: [email protected] using the Job Title as the subject of the mail.

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