Provider Administrator at Sterling Health HMO

Sterling Health HMO is  a National Health Insurance Agency (NHIA)-accredited Health Maintenance Organization (HMO) that has been providing 24/7/365 quality affordable healthcare service to the public and private sector nationally since 2007.

Job Title: Provider Administrator

Location: Lagos

Employment Type: Full-time

Job Purpose

• Provider Network Liaison: Act as the primary point of contact and operational bridge between Sterling Health MCS Ltd. and our network healthcare providers, fostering strong, collaborative relationships.
• Operational Connectivity: Ensure seamless operational flow by facilitating communication and coordination between the HMO and hospitals regarding patient care, service delivery, and administrative processes.
• Claims Facilitation & Support: Guide providers through claims submission processes, address inquiries, troubleshoot payment status, and resolve any claims-related discrepancies or issues efficiently.
• Data Accuracy & Management: Maintain precise and comprehensive provider information, including contact details, service capabilities, and accreditation status, within our internal systems.
• Compliance Assurance: Monitor provider adherence to Sterling Health MCS Ltd policies, procedures, and service level agreements, ensuring quality and regulatory compliance.
• Provider Education & Training: Educate and train providers on our health plans, benefit packages, pre-authorization procedures, and digital platforms to enhance their partnership with Sterling Health.
• Issue Resolution: Proactively identify and resolve operational and service delivery challenges faced by providers, collaborating with internal teams (e.g., Medical, Claims, IT) for swift solutions.
• Performance Reporting: Prepare regular reports on provider engagement, operational efficiency, and key issues for management review, contributing to continuous improvement.

Salary

• N200,000 – N300,000 Monthly.

Application Closing Date
14th July, 2025.

How to Apply: Interested and qualified candidates should forward their CV to: [email protected] using the job title as the subject of the email.