Provider Manager (HMO)

AI summary

Kaplo Africa is hiring a Provider Manager (HMO) in Benin City, Edo State, to develop and manage a high-quality network of healthcare providers. The role focuses on provider relations, quality assurance, regulatory compliance, and operational efficiency within the HMO's network.

• Role based in Benin City, Edo State, Nigeria
• Reports to Head of Provider Management
• Focus on provider network development and quality assurance
• Requires healthcare relationship management experience
• Bachelor's degree in medicine, nursing, health sciences, or business administration

Original source description

Provider Manager (HMO) at Kaplo Africa ⏲ Aug 28, 2026, 6:02 AM ⋕ View all Marketing & Digital Marketing jobs Kaplo is Africa's most innovative Human Resource & Business Support Solutions provider, serving clients with cutting-edge business advisory and human capital solutions across diverse sectors of the African economy. At Kaplo, we have proven expertise in business advisory and human resource capabilities targeted at productivity, profitability, sustainability, transformation and overall growth of your business. We are recruiting to fill the position below: Job Title: Provider Manager (HMO) Location: Benin City, Edo Department: Provider Management / Operations Reports to: Head of Provider Management Job Purpose The role ensures that enrollees of the HMO receive accessible, quality, and cost-effective healthcare services while maintaining strong provider relationships, regulatory compliance, and operational efficiency. The Provider Manager is responsible for developing, managing, and maintaining a high-quality network of healthcare providers (hospitals, clinics, diagnostic centers, pharmacies, and specialists) within Benin City and surrounding areas in Edo State. Key Responsibilities: Provider Network Development & Management: Conduct facility assessments and due diligence visits to evaluate capacity, quality standards, and suitability. Identify, recruit, and onboard new healthcare providers to expand and strengthen the HMO’s provider network in Benin and Edo State. Maintain an up-to-date provider directory and ensure accurate mapping of facilities on the HMO’s systems. Negotiate and manage provider service agreements, tariffs, and service-level agreements (SLAs). Relationship Management: Resolve provider-related issues, complaints, and disputes promptly and professionally. Build and sustain strong, professional relationships with hospital management, medical directors, and key clinical staff. Conduct regular provider engagement meetings, feedback sessions, and performance reviews. Serve as the primary point of contact between the HMO and healthcare providers in the region. Quality Assurance & Compliance: Monitor provider performance against agreed quality metrics, clinical standards, and HMO guidelines. Coordinate provider credentialing, re-credentialing, and continuous quality improvement activities. Ensure all providers comply with National Health Insurance Authority (NHIA) requirements: and internal HMO policies. Conduct periodic audits and facility inspections to ensure standards are maintained. Claims & Operational Support: Support the resolution of enrollee complaints related to provider service delivery. Facilitate smooth authorization processes and ensure providers understand the HMO’s clinical guidelines and benefit packages. Work closely with the Claims and Authorization teams to address claim-related queries and reduce rejections. Reporting & Analysis: Provide insights and recommendations to management on network strategy in the Benin/Edo region. Analyze provider data to identify gaps, opportunities, and areas for improvement. Prepare regular reports on network performance, provider utilization, quality indicators, and expansion progress. Other Duties: Support regional marketing and enrollee education: activities as required. Represent the HMO at relevant stakeholder meetings and industry events in the region. Perform any other related duties assigned by management. Key Performance Indicators (KPIs) Compliance rate of providers with quality and contractual standards Growth and retention of active providers in the network Provider satisfaction and engagement levels Timely submission of accurate network reports. Reduction in provider-related complaints and claim disputes Qualifications and Experience: Experience: managing relationships with hospitals and healthcare facilities in Edo State or the South-South region is an advantage. Bachelor’s Degree in medicine, Nursing, Health Sciences, Business Administration, or a related field. A postgraduate qualification or professional certification in Healthcare Management is an added advantage. Minimum of 8 years’ relevant experience: in healthcare, HMO operations, hospital administration, or provider relations. Strong knowledge of the Nigerian healthcare system, NHIA guidelines, and provider contracting practices. Prior experience: working with Health Maintenance Organisations (HMOs) or in a managed care environment is highly preferred. Skills and Competencies: Proficiency in Microsoft Office tools and healthcare information systems Ability to work independently with minimal supervision Strong negotiation and contract management abilities Willingness to travel within Edo State and occasionally to other locations Strong written and verbal communication skills Good analytical and problem-solving skills Excellent relationship management and interpersonal skills High level of integrity and professionalism Salary N350,000 / month. How to Apply Interested and qualified candidates should send their CVs to: kaploafrica@gmail.com using “Provider Manager (HMO)” as the subject of the email. Note: Only shortlisted candidates will be contacted. Application Deadline: 10th September, 2026. View all Jobs in Nigeria Edo State Provider Manager job vacancies in Nigeria