Description
Job Description
Ensure that the unit meets its operational objectives as it relates to providers satisfaction, prompt payment of claims and medical utilization management
Supervise the Unit Lead, Claims and Unit Lead, Provider/Case Management
Responsible and accountable to Management through the Head of Medical Operations
Responsibilities
Supervise and manage day-to-day itinerary of Case Managers
Supervise and manage the day-to-day Case Management activities, utilization reviews, quality management activities and medical outreach or education programs
Collate report of medical case reviews/audit, present findings, propose improvement plans and monitor strict execution of the improvement plans
Collate report of utilization reviews, present findings, propose solution and monitor implementation of plans
Collate report of accreditation and re-accreditation of providers and present findings for approval
Co-ordinate and collate report of claims reconciliation with providers, present findings and resolutions and monitor execution of resolutions as well as collection of Letters of Non-Indebtedness (LONI)
Co-ordinate the collation of regulatory report including monthly Fee-For-Service FFS) and Referral report, Quarterly Provider Sensitization and Itinerary report
Co-ordinate the Pharmacy Benefit Program (Pharm-Assist) to manage medical cost from drugs (medications) without compromising client convenience
Co-ordinate Medical Referral program to manage medical cost without compromising client convenience
Co-ordinate the Claims Administration team to ensure prompt claims processing and payment to providers in line with the organization’s contract with the providers
Manage high level relationships within every healthcare facility to ensure continued high quality service delivery
Coordinate the prompt resolution of all escalated provider or claim grievance issues
Monitor and evaluate the day-to-day performance of the Case Managers and Claims Adjusters
Qualification
MBBS or B.Sc Degree in Nursing from an accredited College, MPH or MBA would be an added advantage
Minimum of nine (9) years Post-Qualification experience
Minimum of seven (7) years cognate experience in a Health Maintenance Organisation (HMO)
Must have led a team of ten (10) staff minimum
Proven track record of achievement and high performance with evidence
Competence:
Complex problem solving
Critical thinking
Judgment and decision making
People management
Collaboration
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Job Summary
The Chief marketing officer will Drive sales and grow revenue through demand generation for product marketing. The Ideal candidate will be responsible for Creating, managing and executing marketing strategies and ensure monthly, quarterly and yearly targets are met.
Job Responsibilities
Set up and manage a good marketing team
Elevate and Drive brand awareness
Customer outreach and retention
Develop and continuously refine a compelling marketing plan through sales to advance the company’s message, goals, and value.
Develop, manage and track marketing budget for expenditure
Develop engaging content aligned with the sales cycle to be used across all types of promotion from print to digital.
Manage external agencies and relationships with marketing services.
Drive the MLM model
Requirements
12+ years of well-rounded modern marketing experience in positions of increasing responsibility. Ideally a combination of large companies and emerging growth companies.
A Degree holder is required; an MBA or other advanced degree is a plus.
Marketing success with a high growth company required. Marketing leadership for a market-making company strongly preferred.
Industry related experience.
Has dynamic personality and credibility to represent the firm in these relationships.
Proven success record of partnering with sales to drive lead generation and revenues up.
External communications expertise including branding and messaging to different target audiences, online advertising/promotion, and working with the press and others
Business maturity, persistence, adaptability, and work ethic/drive.
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Job Summary
The Academy Manager will manage the academy programme and future developments.
The Ideal Candidate will be responsible for leading the Academy management team.
Job Responsibilities
To deliver a clear vision and supporting strategy for the Academy growth.
Oversee the day-to-day running of the academy to ensure that the programme is organised
Manage, plan and work with agreed academy budget
Ensure all paperwork, sessions plan and register are up-to-date
Produce regular report to the COO
Identify and recommend appropriate specialist in the industry for the benefit of our students and growth of the academy.
Requirements
Must have at least 5 years experience in the real estate industry
Committed and skilled in the needs of every age and groups
Have a track record of management in similar or related environment
Be qualified to degree level
Be able to have a strong work ethic, drive and enthusiasm to work
Have an excellent communication and presentation skills.
Be a confident and proficient user of information technology.
Be capable of developing overall strategy whilst at the same time having a strong grasp of detail.
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