Medical and Quality Assurance Officer at Ultimate Health Management Services Limited

Ultimate Health Management Services Limited, a duly registered Company in Nigeria with RC Number: 723347, is a National Health Maintenance Organisation (HMO) established in December, 2007, with a strong commitment to delivering qualitative and excellent preventive/curative medical services to all strata of the society at very reasonable and affordable rates.

We are recruiting to fill the position below:

Job Title: Medical and Quality Assurance Officer

Location: Abuja (FCT)

Duties and Responsibilities

• Capture and vet bills sent in from medical facilities.
• Handle the collation, entry and analysis/reporting of encounter returns from hospitals
• Analyse data for bill presentation based on requirements and review claims for quality and elimination of fraud.
• Build rapport and participate in team problem-solving methods.
• Maintain proper and accurate records as it relates to all the activities in the Unit.
• Issuance and confirmation of approval codes when necessary.
• Proffer on the spot solution to enrollees’ challenges.
• Stays up to date on regulations, and implements changes regarding claims and billing requirements.
• Ensures quality health care delivery to enrolees by continuous monitoring and evaluation of healthcare facilities.

Skill & Requirements
Education:

• Registered Professional Nurse and first level degree from an accredited Baccalaureate Nursing Programme (University) or equivalent.
• National registration and licensing are required.
• Recognized additional training in primary health care and midwifery is desirable;

Experience:

• Minimum of 2 years of continuous experience in similar position;
• Experience in the usage of computers and other relevant software packages is desirable.

Deadline: 14th October, 2021.

Method of Application
Interested and qualified candidates should forward their Application and Resume in one document to: careers@ultimatehealthhmo.com using the Job Title and Location as the subject of the email.

Note: Only shortlisted candidates will be contacted and advance to the next stage of the selection process