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.
We are recruiting to fill the position of:
GM, MEDICAL SERVICES & PROVIDER MANAGEMENT
JOB DESCRIPTION:
1 Implementation and management of overall operational effectiveness
2 Provide contribution and operational support to the strategic direction of the business
3 To ensure that all processes are in line with the organization’s objectives to ensure effective and efficient service to clients
4 Consistently manage and lead teams in order to ensure operational service levels are met and ideally exceeded within the given service level agreement.
5 To ensure the achievement of operational targets
6 Identify and implement opportunities and strategies to improve quality and outputs
7 Build and maintain strong relationships with internal and external stakeholders
8 Understand and contribute to the overall financial performance of THT and Blue
9 Track and manage staff performance and co-ordination within the enrolment and underwriting team
10 To take responsibility of the health services department.
11 To formulate and implement provider management strategies for organizational growth, competitiveness and leadership
12 To continuously drive innovation and automation in order to enhance processes and customer experience
13 To take end-to-end responsibility and accountability for dealing with escalation
14 To ensure optimal utilization and compliance with available tools, policies and processes
15 To ensure engagement with unit heads and zonal offices on different aspect of operations
16 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