Recruitment at Oceanic Health Management Limited

Recruitment at Oceanic Health Management Limited

Oceanic Health Management Limited is one of the largest Healthcare insurance providers in Nigeria offering second to none optimum services in the healthcare industry. Our smart use of technology has enabled us offer excellent HMO services to our clients who are spread across multiple industries in Nigeria.

We are recruiting to fill the position below:

Job Title: Sales Executive

Location: Nigeria
Employment Type: Full time
Department: Sales / CRM

Job Duties / Responsibilities / Accountabilities

• Conduct research to identify new market and customer needs.
• Arrange business meetings with existing & prospective clients.
• Build long-term relationships with new and existing customers.
• Generate new businesses and raise awareness of company products and services.
• Maintain quality and productive relationship with clients and address their needs effectively.
• Work with management in developing marketing campaigns to support sales strategy.
• Adhere to all quality standards and processes for the acquisition of customers and opportunities.
• Manage accounts and meet or exceed targeted limits.

Requirements

• Candidates should possess minimum of HND / Bachelor’s Degrees in Business /Marketing related courses
• 2 – 3 years relevant work experience in HMO organization is essential.

Functional / Technical:

• Apt administrative skills
• Excellent use of Microsoft Office Tools
• Good negotiation skills
• Excellent selling & relationship management skills
• Excellent presentation skills
• Knowledge of the operations of the National Health Insurance Scheme (NHIS).

Managerial:

• Ability to multi-task
• Problem solving
• Analytical expertise
• Innovative capability.
• Discreet.

Behavioral:

• Heightened interpersonal skills
• Excellent Communication skills
• Time management & Organizational skills.

Salary Range
Negotiable.

Application Closing Date
Not Specified.

How to Apply
Interested and qualified candidates should send their Resume to: recruitment@oceanichealthng.com using the Job Title as the subject of the mail.

Job Title: Medical Manager

Location: Nigeria
Employment Type: Full Time

Job Duties / Responsibilities / Accountabilities

• Supervision of general medical operations activities
• Coordination of Provider payment mechanisms
• Provider profiling and audit
• Observation and compliance with the use of quality assurance tools for Providers
• Supervision of guidance and observance of NHIS operational protocols
• Timely submission of NHIS statutory reports
• Build-up of Provider directory and excellence centers enhancing the Provider network optimally.
• Provider cluster reviews for geographical coverage for the regions.
• Approvals for provider contracting, registration & sign up.
• Provider categorization for optimal profitability.
• Medical operation process development and implementation.
• Organization of internal meetings to enhance productivity and profitability.
• Presentation of medical operations administrative reports, ensuring they are sent within the allotted timeline.
• Provider education and organization of Provider forums.
• Oceanic Health staff education on provider idiosyncrasies, behaviour & benefits
• Provider relations management, enhancing provider perception of OHML operations.
• Departmental document filing and record keeping.
• Escalation of departmental requirements to other relevant units.
• Complaint management and grievance resolution.
• Care coordination for enrollees at provider healthcare facility including co-management of cases with attending physicians at healthcare facility.
• Enrollee referrals within and outside the provider network, both locally and internationally.
• Review and filing of medical reports and specialist consultations.
• Assurance of care delivery with zero denial of access to care for covered benefits.
• Introduction & development of cost-saving initiatives e.g., activation of pharmacy network etc.
• Utilization monitoring.
• Provision of cost management initiatives and implementation.
• Regular provider visitation and engagement.
• Provider allotment reviews.
• Provider profitability reviews and management reports.
• NHIS operations update and follow through on related directives.
• Supervision of compliance with the use of quality assurance tools for providers.
• Supervising itinerary of visitation, actual visitation and reports for providers sent monthly.
• Management of exclusions.
• Management of referral cases.
• Management of onsite clinics for deserving clients.
• Preventative care management includes but is not limited to pre-employment tests for clients, content writing for newsletters, health talks and schedules as well as wellness programs.
• Monthly provider directory dissemination.
• Any other task and duty as assigned by the supervisor, HOD.

Education Qualifications

• MBBS
• At least 2 to 3 years’ experience in HMO is essential.

Functional/ Technical:

• Good clinical skills.
• Apt administrative skills.
• Excellent handling of Microsoft Office tools.
• Good negotiation skills.
• Relationship management skills.

Managerial:

• Ability to multi-task.
• Problem solving.
• Analytical expertise.
• Innovative capability.
• Discreet.

Behavioural:

• Heightened interpersonal skills.
• Excellent communication skills.
• Time management skills.
• Organizational skills.

Salary Package
Very Attractive and Negotiable.

Application Closing Date
20th September, 2024.

How to Apply
Interested and qualified candidates should send their Resume to: recruitment@oceanichealthng.com using the Job Title as the subject of the mail.

Job Title: Claims Accessor

Location: Nigeria
Employment Type: Full Time

Job Duties / Responsibilities / Accountabilities

• Coordination of the medical claims.
• Receipt and registration of Provider claims.
• Keying-in of Provider claims.
• Adjudication of claims.
• Processing of claims within contractual timelines.
• Management of medical expenses within benefits.
• Preparation and collation of Provider claims, sending reviews and reports.
• Attendance of internal meetings to enhance productivity and profitability.
• Ensure all administrative reports are sent within allotted timelines.
• Unit document filling and record keeping.
• Escalation of unit requirements to other relevant internal stakeholders.
• Vetting of member reimbursement documents in accordance with incidental circumstances and agreed rates.
• Any other task and duty as assigned by the head of unit.

Requirements

•  Minimum of B.Sc / HND in Health-related degrees/Registered Nurse e.t.c.
• At least 1or 2 years’ experience in HMO is essential.

Functional/ Technical:

• Good clinical skills
• Apt administrative skills
• Excellent handling of Microsoft Office tools

Relationship management skills
Managerial:

• Ability to multi-task
• Problem-solving
• Analytical expertise
• Innovative capability
• Discreet

Behavioural:

• Heightened interpersonal skills.
• Excellent communication skills
• Time management skills.

Application Closing Date
18th September, 2024.

How to Apply
Interested and qualified candidates should send their Resume to: recruitment@oceanichealthng.com using the Job Title as the subject of the mail.