Offre fiable

Provider Manager - Nurse

International Health Management Services Limited

Enugu, Nigeria CDI

Publiée il y a 1 mois · Expire dans 4 semaines

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Description du poste

We are seeking an experienced professional for this opening. About the Role
  • We are seeking a dedicated and experienced Nurseto join our dynamic team.
  • The ideal candidate will have a strong background in provider network management and will collaborate closely with our Claims Department and Call Center teams to ensure seamless healthcare service delivery and provider coordination.
Key Responsibilities:
  • Manage and maintain relationships with healthcare providers in the network.
  • Monitor provider performance and ensure compliance with healthcare standards and regulatory requirements.
  • Work closely with the Claims Department to review and validate medical claims.
  • Support the Call Center team in resolving provider-related inquiries and complaints.
  • Ensure adherence to healthcare regulations and internal policy guidelines.
  • Participate in the onboarding and credentialing of new providers.
Requirements:
  • Interested candidates should possess a Bachelor's Degree with 2-5 years experience.
  • Strong knowledge of healthcare regulations, policies, and clinical best practices.
  • Excellent communication and interpersonal skills.
  • Strong analytical and problem-solving abilities.
  • Ability to work collaboratively across departments.

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