Coordinator, Managed Care Services

Dragnet Solutions Limited - Our client is a growing multi-specialist healthcare group, operating hospital facilities that deliver quality clinical and diagnostic services to patients. Backed by a strong governance structure and a strategy of expansion and service excellence, the organisation combines modern clinical operations with centralised corporate functions spanning finance, supply chain, human capital, ICT, legal and strategy.

As part of its next phase of growth, the organization is seeking talented professionals to join it in the capacity below:

Job Title: Coordinator, Managed Care Services Location: Kaduna Department: Business Development & Managed Care

Job Summary

To lead the hospital's managed-care function, owning the interface with HMOs and retainership schemes, and ensuring enrolee service, claims and authorisation processes deliver both quality care and commercial sustainability.

Responsibilities

• Direct the hospital's managed-care operations and manage relationships with HMO and retainership partners.
• Oversee enrolee verification, pre-authorisation, referrals and management of care within scheme terms.
• Oversee claims preparation, submission, reconciliation and follow-up to minimise rejections and delays.
• Monitor service-level agreements and lead resolution of disputes with scheme partners.
• Coordinate with clinical teams to ensure care is evidence-based, cost-effective and within scheme rules.
• Supervise, coach and develop managed-care, clinical support and customer experience staff.
• Track managed-care performance and revenue, and report findings with improvement recommendations.
• Champion enrolee experience, complaints resolution and retention across the function.

Requirements

Education

• A relevant first Degree or HND (e.g. health sciences, nursing, public health, business administration, or a related discipline).
• Completion of NYSC, or a valid exemption where applicable.

Experience

• Minimum of 8 years of relevant experience in managed care, HMO liaison or healthcare administration, including supervisory experience.
• Substantial experience in managed care, health insurance, HMO operations or hospital revenue-cycle management.
• Experience coordinating claims, authorisations and HMO/scheme relationships.
• Experience supervising staff and managing service performance.
• Role-specific: Experience working at the interface of clinical and commercial functions in a healthcare setting.

Required skills

• Strong knowledge of managed-care, HMO and retainership processes
• Understanding of claims, authorisation and revenue-cycle management
• Strong communication, negotiation and analytical skills
• Ability to lead, coach and develop a team
• Strong communication, negotiation and analytical skills
• Working knowledge of managed-care/claims systems and performance reporting.

Application Closing Date

6th October, 2026.