Provider Management Executive in Lagos, Nigeria

Healthcare / Medical
Project Management
Minimum Qualification
Bachelor's Degree
Required Experience
3 - 5 years
Employment Type
Full Time
Male or Female

Job Description

  • To conduct hospital visit, inspection, accreditation, re-accreditation, education, claims audit, fraud detection, clinical audit, investigation of member’s related queries, resolve issues of short-payments as the need arise
  • Implement provider management strategies for organizational growth, competitiveness and leadership
  • To reconcile provider account received from the geographical regions assigned as well as any other delegated by the team lead.
  • Organize and carry-out product, policies and processes training in-house for group of providers in assigned geographical areas.
  • To negotiate with doctors and other health care providers about health care for clients
  • Liaison with NHIS
  • Represent organization in the health care events
  • Update providers register under schemes and share updates with concerned departments
  • Provide detailed provider management report
  • Ensure that all critical areas that require improvement that contribute to the success of the strategy are identified and communicated to the team lead.
  • Ensure prompt registration and processing of providers’ contracts on Medware.


  • Candidate must be a registered nurse, midwife and possess B.Sc. Nursing
  • Additional medical qualification will be an added advantage
  • Candidate must have minimum of 5 years post-nursing qualification experience including 3 years in similar role in a Health Maintenance Organization (HMO).
  • Candidate must have Clinical experience
  • Candidate must have advanced knowledge of NHIS regulatory guidelines, Medical Global Best Practices, Health Insurance, Products and Processes.
  • Excellent organizational, communication (verbal and written) skills and attention to detail

Other requirements:

  • Good organizational and planning capabilities
  • Innovative and quick thinking capabilities
  • Innovativeness
  • Adaptive
  • Decision Making skills
  • Integrity
  • Negotiation Skill
  • Adaptive, expertise, Result-Oriented, Relationship Skill
  • Working with people
  • Strategic
  • Must be a good collaborator/Team player.


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