About the Role
Kaplo Africa is Africa's most innovative Human Resource and Business Support Solutions provider, delivering cutting-edge business advisory and human capital solutions. We are currently looking for a dynamic and results-driven Provider Manager to join our Provider Management and Operations department in Benin City, Edo State.
In this strategic role, you will be responsible for developing, managing, and maintaining a robust network of healthcare providers including hospitals, clinics, diagnostic centers, and pharmacies. Your efforts will ensure that our HMO enrollees receive accessible, quality, and cost-effective healthcare services while maintaining strong professional relationships and regulatory compliance across the region.
Key Responsibilities- Identify, recruit, and onboard new healthcare providers to expand the HMO network in Benin City and surrounding areas of Edo State.
- Conduct rigorous facility assessments, due diligence visits, and coordinate credentialing activities.
- Negotiate and manage favorable provider service agreements, tariffs, and service-level agreements.
- Serve as the primary point of contact for healthcare providers, building enduring professional relationships and resolving disputes promptly.
- Monitor provider performance against clinical standards, NHIA requirements, and internal HMO quality metrics.
- Collaborate with Claims and Authorization teams to reduce claim rejections and streamline patient care pathways.
- Prepare comprehensive network performance reports and provide strategic insights to management.
- Bachelor's Degree in Medicine, Nursing, Health Sciences, Business Administration, or a related field.
- Minimum of 8 years of relevant experience in healthcare, HMO operations, hospital administration, or provider relations.
- Strong knowledge of the Nigerian healthcare system, NHIA guidelines, and healthcare contracting practices.
- Familiarity with the healthcare landscape in Edo State and the South-South region.
- Exceptional negotiation, relationship management, and problem-solving abilities.
- Proficiency in Microsoft Office tools and healthcare management information systems.
- Willingness to travel locally for facility audits and stakeholder meetings.
- Competitive salary and performance-based incentives.
- Comprehensive health insurance coverage and wellness benefits.
- Opportunities for professional growth within a leading African business solutions provider.
- A collaborative, dynamic, and impact-driven work culture.