Posted on: Fri 03-12-2021

We are reputable Healthcare services group, involved in the management of hospitals, clinics, community health plan, health management organization (HMO) and provision of capacity building to the health care sector at the national level.

Our Company is looking for dynamic persons to fill   the following vacant position at our Health Maintenance Organization (HMO) Office.

1. MEDICAL OFFICER

Job Responsibilities:

• To verify and process for approval, all medical bills/claims of Enrollees from our Healthcare Providers.
• Carryout routine inspection of Healthcare provider’s facility within the network.
• Carryout registration and accreditation of Healthcare providers in the network.
• Process and authorization of referrals for our Enrollees to Healthcare providers.
• Providing expert advice on health promotions and disease prevention.
• Cooperate with the Executive team to initiate procedures, regulations and programmes to benefit our patients and support our health centers in line with the best practice.
• Assume responsibility of our clinical services.
• Institute a behavioral framework for all healthcare providers at our clinical service locations.

Job Skills

• Critical thinking
• Problem solving skills
• Time Management and Excellent communication skills
• Teamwork skills
• Knowledge of Health Insurance will be an advantage
• Excellent written and verbal communication skills

 

• Qualification Requirements:
• First Degree in Medicine from a recognized Institution.
• Applications will be accepted from physicians who are currently licensed.
• Experience:  5 years and above, also experience in HMO will be an advantage.

Mode of Application:

Interested candidates should forward their CV details to:   info@ronsbergerhmo.com OR [email protected]

Closing date:  20th December, 2021

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