General Manager, HMO

Responsibilities:

• Manage the daily activities of the HMO ensuring that operations, systems, and processes are properly coordinated and implemented
• Ensure that service users and their providers are central to all agendas and that services are effectively provided to meet service users' needs
• Design and implement appropriate operational structure and processes to create and deliver the HMO's services
• Initiate and oversee operational plans and initiatives to create cross-functional capabilities required across key areas including provider network, business operations, and sales and marketing
• Liaise with clients, providers, suppliers, and regulatory authorities, and ensure that the HMO's operational procedures, policies, and standards are adhered to at all times
• Formulation and implementation of major functional policies and plans that can make a considerable impact on the longer-term performance of the organization
• Formulation and implementation of risk management policy, procedures, and guidelines with a view to safeguarding the company’s assets and resources
• Judgment and initiative in dealing with problems especially where there are no guidelines and precedents;
• Finding solutions to problems that lack dear definition and may necessitate strategic thinking;
• Development of new concepts and approaches or entrepreneurial actions
• Meeting contacts at the highest level with e particular emphasis on external relations which require very considerable communication, advocacy, and persuading skills

Requirements:

• A good first degree or its equivalent from a reputable University in Medicine, Sciences, or numerate disciplines such as Actuarial Science, Statistics, Insurance, etc.
• Postgraduate qualification in Management, Public Health, Health Management, Health Economics, Insurance or other related fields
• Certification in and/or professional membership of Health, Management, and Health Insurance related bodies shall be an added advantage
• In-depth understanding of health insurance products, pricing, and underwriting processes with at least 10 years experience
• Strong strategic thinking and analytical skills
• Excellent leadership and communication skills with the ability to motivate and inspire a diverse team
• Demonstrated ability to manage complex projects and deliver results on time and within budget
• Proficiency in financial management and budgeting
• Strong commitment to ethical business practices and regulatory compliance
• Basic knowledge of risk assessment and risk management
• Ability to carry out cost/benefit analysis of high-tech medical systems, processes, and procedures;
• Good knowledge and understanding of the NHIS guidelines and operations of HMOs and HCPs;