Markfema Nigeria Limited is a health maintenance organization in Nigeria which started operations in 2005 and is duly accredited by the National Health Insurance Scheme (the regulatory body responsible for the implementation of the Social Health Insurance Scheme in Nigeria).Key Responsibilities
You will be responsible for:
Conducting healthcare provider audit, contracting, credentialing, onboarding, education and management
Developing and Reviewing allhealth plans and Deciding Premiums
Assessing each applicant’s medical history and establishing if they have any preexisting conditions
Maintaining strong relationship with clients to drive sales and network with new clients
Ensuring maximum client/enrolleessatisfaction and minimal complaints
Timely case Management and Vetting of bills for payments
Liaising with providers with a view to resolving claims issues
Providing technical assistance to the Health Services Department
Supporting business development activities, e.g. business presentations together with the team, preparation of bids and tenders, etc.
Carrying out medical quality assurance
Any other duties assigned by the Managementor the Designate
Requirements
First Degree in any discipline
Post Graduate qualification in any discipline
A Certification in Insurance is added advantage
Good knowledge of Microsoft Office
Minimum of 10 years work experience post-NYSC
Minimum of 5 years experience in similar role.