HMO Provider Management Officer

Job title : HMO Provider Management Officer

Job Location : Lagos Deadline : December 31, 2026 Quick Recommended Links

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Salary: ?300,000 Monthly

Key Responsibilities

• Manage and maintain relationships with healthcare providers within the HMO network.
• Conduct provider onboarding, credentialing, and periodic re-credentialing.
• Monitor provider performance, service quality, and adherence to HMO policies and SLAs.
• Handle provider complaints, escalations, and resolution of service-related issues.
• Negotiate provider contracts, tariffs, and service agreements in line with company policies.
• Carry out regular provider visits, audits, and assessments across Lagos.
• Review and validate provider bills, utilization reports, and service delivery records.
• Collaborate with internal teams (Claims, Medical, Customer Service) to ensure seamless service delivery.
• Maintain accurate provider records and generate periodic management reports.
• Ensure compliance with NHIA (formerly NHIS) and other regulatory requirements.

QUALIFICATIONS & REQUIREMENTS

• Bachelor's degree in Health Administration, Medical Sciences, Nursing, Public Health, or a related field.
• Minimum of 24 years' experience in an HMO, healthcare facility, or provider management role.
• Strong understanding of HMO operations and healthcare provider networks.
• Excellent negotiation, communication, and relationship management skills.
• Ability to analyze data, prepare reports, and manage multiple providers effectively.
• Proficiency in Microsoft Office and healthcare management systems.
• Knowledge of healthcare regulations and standards in Nigeria is an added advantage