Director, Security and Compliance
Intus Care
Manager, Provider Relations
Reliance Health
full-time
Posted on:
Origin: • 🇳🇬 Nigeria
Visit company websiteJob Level
SeniorLead
About the role
- Develop and implement processes that delight providers on our network as measured by feedback surveys.
- Harmonize provider relationship management process across all markets to address the provider journey map, bottlenecks, and local regulatory compliance.
- Leverage data and analytics to monitor provider performance, identify trends and risks, and inform continuous improvements.
- Develop and implement a strategy to measure and improve the Reliance Health member experience at network providers.
- Develop and implement incentives for providers to minimize wait times and maximize medical quality for members.
- Collaborate closely with Claims, Tariffs, and Case Management teams to align provider-facing processes for efficient claims processing and cost control.
- Lead and manage the provider acquisition and relationship management team, using data to track clinical quality, member satisfaction, and adherence to standards.
- Ensure timely and effective resolution of internal and external escalations related to provider issues, using root cause analysis.
- Strengthen provider onboarding and engagement processes to align with operational expectations and reduce long wait times and denied care.
- Use performance dashboards and data insights to set targets, monitor outcomes, and coach the team to optimize provider compliance and patient-centered service delivery.
Requirements
- At least 7 years of experience in healthcare operations, provider network management, or a related field.
- Proven track record of leading multi-market operations or managing stakeholders across multiple African countries.
- Experience in building and scaling systems, tools, or teams in a process-oriented environment.
- Strong understanding of the Nigerian healthcare landscape, with relevant contacts or working experience.
- Experience working in or with private healthcare providers, HMOs, or health tech companies is a strong plus.
- Strong negotiation and relationship management skills, especially with healthcare providers or partners.
- Candidate must be based in Nigeria; the role is remote within Nigeria.
