Provider Management Officer

About the role

The Provider Management Officer supports the effective management and coordination of relationships between the HMO and its network of healthcare providers. The role covers provider communication, documentation, performance monitoring, handling provider enquiries, onboarding and credentialing support, and ensuring providers comply with service standards and contractual requirements. It is a full-time position in Abuja, reporting to the Head of Health Services, with 0-2 years of experience.

Key responsibilities

• Maintain professional relationships with hospitals, clinics, pharmacies, laboratories and other providers, acting as a point of contact for their enquiries and communicating policies, procedures and service updates.
• Support onboarding of new providers, collect and review their documentation, assist with credentialing and registration, and keep an updated database of active, suspended and inactive providers.
• Monitor compliance with service standards and contracts, track complaints and issues, prepare performance reports, and support audits, assessments and quality monitoring.
• Receive and document provider complaints, coordinate their resolution, and escalate complex issues to the supervisor.
• Liaise with Claims, Health Services, Accounts, Underwriting and other departments on provider matters such as claims, approvals, payments and authorisations.
• Take part in provider visits and meetings, document findings and action points, and follow up on corrective actions.
• Maintain accurate provider records, prepare daily, weekly or monthly reports, file contracts and licences, update databases and keep information confidential.

Required profile

• Bachelor's degree or HND in Health Administration, Business Administration, Public Administration, Insurance, Health Management or a related field.
• 0-2 years of relevant experience in provider management, healthcare administration, customer relations, insurance or HMO operations; internship, NYSC or healthcare administrative experience may be considered.
• Previous experience with healthcare providers or an HMO is an added advantage.

Required skills

• Good verbal and written communication and strong relationship-management skills.
• Administrative and organisational abilities, attention to detail and accuracy.
• Basic analytical and reporting skills, and good knowledge of Microsoft Office.
• Ability to work under pressure, meet deadlines and handle confidential information.