About the Role
Dragnet Solutions is a dynamic Information Technology company specializing in the design, development, and implementation of innovative people screening and recruitment solutions in Nigeria. Since 2007, we have remained at the forefront of creating objective processes that meet international standards. We are currently seeking a strategic and results-driven Head, Business Development & Managed Care to lead our healthcare management functions, optimize HMO and retainership partnerships, and ensure seamless delivery of quality care combined with robust commercial sustainability.
Key Responsibilities- Direct comprehensive managed-care operations and cultivate strong, profitable relationships with HMO and corporate retainership partners.
- Oversee enrolee verification, pre-authorisation processes, patient referrals, and ensure care management strictly adheres to established scheme terms.
- Manage claims preparation, submission, reconciliation, and rigorous follow-up to minimize claim rejections and payment delays.
- Monitor service-level agreements actively and lead the prompt resolution of disputes with healthcare scheme partners.
- Coordinate seamlessly with clinical teams to guarantee that patient care remains evidence-based, cost-effective, and fully compliant with scheme rules.
- Supervise, coach, and professionally develop managed-care, clinical support, and customer experience personnel.
- Track managed-care performance metrics and revenue streams, presenting detailed reports and actionable improvement recommendations to executive leadership.
- Champion enrolee satisfaction, efficient complaints resolution, and high retention rates across the entire function.
- A relevant first degree in Health Sciences, Nursing, Public Health, Business Administration, or a related discipline.
- Mandatory completion of NYSC or possession of a valid exemption certificate.
- Minimum of 8 years of relevant professional experience in managed care, HMO liaison, or healthcare administration, including demonstrable supervisory experience.
- Strong, practical knowledge of managed-care, HMO, and retainership operational processes.
- Advanced understanding of claims processing, medical authorisation, and comprehensive revenue-cycle management.
- Demonstrated ability to align complex clinical requirements with commercial business goals.
- Superior communication, negotiation, analytical, and team-leadership skills.
- Proficiency in utilizing managed-care systems, claims software, and generating performance analytics reports.
- Prior experience in a multi-specialty hospital, corporate hospital network, or HMO-facing health system is considered a strong advantage.
- Competitive salary package commensurate with industry standards and experience.
- Opportunities for professional growth and leadership development within a respected organization.
- Comprehensive health insurance and wellness benefits.
- A collaborative, innovative, and dynamic work culture that rewards excellence and integrity.