HMO Manager

• Paz Diagnostics is seeking an experienced, proactive, and results-driven HMO Manager to oversee and grow our relationships with Health Maintenance Organizations (HMOs), corporate organizations, and healthcare partners.
• The ideal candidate will ensure seamless coordination between HMOs and our diagnostic services while driving business growth and maintaining excellent client satisfaction.

Key Responsibilities

• Develop and maintain strong relationships with HMOs, insurance providers, and corporate clients.
• Negotiate and manage HMO contracts, pricing, and service agreements.
• Coordinate HMO patient authorization, billing, claims processing, and reconciliation.
• Ensure timely submission and follow-up of HMO claims to minimize payment delays.
• Resolve HMO-related complaints and service issues promptly.
• Identify and pursue new HMO partnerships and business opportunities.
• Monitor HMO performance, utilization trends, and revenue generation.
• Collaborate with internal departments to ensure efficient service delivery.
• Prepare periodic reports on HMO activities, revenue, outstanding claims, and key performance indicators.
• Ensure compliance with all contractual obligations and healthcare regulations.

Requirements

• Bachelor's Degree in Business Administration, Healthcare Management, Marketing, Public Health, or a related field.
• 2–5 years of experience in HMO management, healthcare marketing, or business development within the healthcare industry.
• Strong understanding of HMO operations, claims management, and healthcare billing processes.
• Excellent negotiation, communication, and relationship management skills.
• Strong analytical and problem-solving abilities.
• Proficiency in Microsoft Office (Excel, Word, PowerPoint) and healthcare management software is an advantage.
• Ability to work independently and achieve business growth targets.

What We Offer

• Salary: N150,000 - N200,000 per month take-home salary and performance-based incentives.
• Professional growth and career development opportunities.
• Supportive and collaborative work environment.
• Opportunity to contribute to improving healthcare delivery.