HMO Operations Manager

  • Full-time

Company Description

Healthpoint offers hugely discounted health managements plan that save up on spontaneous and recurrent medical expenses. We have a nationwide network of selected hospitals and healthcare providers, from which you may choose one based on you personal preferences.

Job Description

  • Adept knowledge of insurance and underwriting.
  • Liaise with the Management team to initiate procedures, regulations and programme to benefit the patients and support health care providers in line with best practices.
  • Liaise with customers and negotiate deals.
  • Oversee healthcare provider network development and management
  • Oversee member services activities and client relationship management
  • Assist in the marketing of health plans to private and public organizations.
  • Ability to make decisions to resolve problems quickly.
  • Ability to strategically plan and maintain the stability of HealthPoint.
  • Ability must to predict future logistical needs.
  • Formulation and implementation of major functional policies and plans;
  • Overseeing the core business of the company in such areas as product design and business development
  • Formulation and implementation of risk management policy, procedures and guidelines with a view to safeguarding company’s assets and resources;
  • Judgment and initiative in dealing with problems especially where there are no guidelines and precedents.
  • Meeting contacts at highest level; ability to negotiate deals.
  • The work is multidisciplinary and involves making a broad range of highly diverse decisions.

Qualifications

  • Understand HMO Operations. Prior experience working with a health insurance organization is an added advantage.
  • Minimum 8 years in relevant and related field.
  • Must be Tech Savvy.
  • High level of professional and managerial competence required in directing and controlling activities.
  • Knowledge of risk assessment and risk management.
  • Ability to carry out cost/benefit analysis of high-tech medical systems, processes and procedures.
  • Excellent communication, leadership, planning and organization, people management and negotiation skills.