About the Role
Oceanic Health Management Limited is one of the leading healthcare insurance providers in Nigeria, dedicated to delivering exceptional HMO services through innovative technology and operational excellence. We are currently looking for a dynamic and dedicated Provider Manager to join our team in Abuja. In this pivotal role, you will be instrumental in maintaining and optimizing our extensive network of healthcare providers, ensuring our members receive top-tier medical care across the region.
Key Responsibilities- Support effective regional medical operations and monitor the quality and effectiveness of healthcare services delivered to members.
- Manage and nurture professional relationships with healthcare providers, including hospitals, clinics, and pharmacies within the region.
- Review medical utilization data to identify strategic opportunities for improved cost and quality management.
- Support the swift resolution of complex clinical and member-related issues while monitoring provider performance against agreed standards.
- Collaborate closely with central medical operations and cross-functional departments to drive organizational goals.
- Provide expert clinical and operational guidance to regional teams and prepare comprehensive regional medical operations reports.
- Champion continuous quality improvement initiatives across the region to elevate our service delivery standards.
- Must be a qualified medical doctor with a minimum of 5 years of post-qualification experience.
- Possession of a valid registration and current practicing license issued by the Medical and Dental Council of Nigeria (MDCN).
- Relevant professional experience in healthcare management, HMO operations, managed care, or a related healthcare environment is highly preferred.
- Demonstrated leadership capabilities with a proven track record of managing healthcare teams and diverse stakeholders.
- Strong clinical judgment, robust knowledge of managed care, and exceptional analytical and problem-solving abilities.
- Competitive salary package commensurate with industry standards and experience.
- Comprehensive health insurance coverage and wellness benefits.
- Opportunities for continuous professional development and career advancement in a fast-growing HMO.
- A collaborative, technology-driven work environment that values innovation and excellence.