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 contracting, relationship management, NHIA compliance, quality assurance, and operational support to ensure enrollees receive accessible and cost-effective healthcare services.

• Role based in Benin City, Edo State, covering provider network development and management
• Responsible for negotiating provider agreements, tariffs, and SLAs
• Must ensure compliance with NHIA requirements and internal HMO policies
• Requires strong knowledge of the Nigerian healthcare system and provider contracting
• Experience managing hospital and healthcare facility relationships in Edo or South-South region preferred

Original source description

Provider Manager (HMO) at Kaplo Africa ⏲ Sep 10, 2026, 6:01 AM ⋕ View all Product & Project Management 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: Negotiate and manage provider service agreements, tariffs, and service-level agreements (SLAs). Maintain an up-to-date provider directory and ensure accurate mapping of facilities on the HMO’s systems. Identify, recruit, and onboard new healthcare providers to expand and strengthen the HMO’s provider network in Benin and Edo State. Conduct facility assessments and due diligence visits to evaluate capacity, quality standards, and suitability. Relationship Management: Conduct regular provider engagement meetings, feedback sessions, and performance reviews. 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. Serve as the primary point of contact between the HMO and healthcare providers in the region. Quality Assurance & Compliance: Coordinate provider credentialing, re-credentialing, and continuous quality improvement activities. Conduct periodic audits and facility inspections to ensure standards are maintained. Ensure all providers comply with National Health Insurance Authority (NHIA) requirements: and internal HMO policies. Monitor provider performance against agreed quality metrics, clinical standards, and HMO guidelines. Claims & Operational Support: Work closely with the Claims and Authorization teams to address claim-related queries and reduce rejections. Facilitate smooth authorization processes and ensure providers understand the HMO’s clinical guidelines and benefit packages. Support the resolution of enrollee complaints related to provider service delivery. Reporting & Analysis: Analyze provider data to identify gaps, opportunities, and areas for improvement. Prepare regular reports on network performance, provider utilization, quality indicators, and expansion progress. Provide insights and recommendations to management on network strategy in the Benin/Edo region. Other Duties: Represent the HMO at relevant stakeholder meetings and industry events in the region. Support regional marketing and enrollee education: activities as required. Perform any other related duties assigned by management. Key Performance Indicators (KPIs) Timely submission of accurate network reports. Compliance rate of providers with quality and contractual standards Provider satisfaction and engagement levels Growth and retention of active providers in the network Reduction in provider-related complaints and claim disputes Qualifications and Experience: Strong knowledge of the Nigerian healthcare system, NHIA guidelines, and provider contracting practices. Experience: managing relationships with hospitals and healthcare facilities in Edo State or the South-South region is an advantage. Skills and Competencies High level of integrity and professionalism Bachelor’s Degree in Medicine, Nursing, Health Sciences, Business Administration, or a related field. Proficiency in Microsoft Office tools and healthcare information systems Strong negotiation and contract management abilities Minimum of 8 years’ relevant experience: in healthcare, HMO operations, hospital administration, or provider relations. Strong written and verbal communication skills Willingness to travel within Edo State and occasionally to other locations. Good analytical and problem-solving skills Ability to work independently with minimal supervision Prior experience: working with Health Maintenance Organisations (HMOs) or in a managed care environment is highly preferred. Excellent relationship management and interpersonal skills A postgraduate qualification or professional certification in Healthcare Management is an added advantage. Salary N350,000 monthly. How to Apply Interested and qualified candidates should send their CV to: kaploafrica@gmail.com using “Provider Manager (HMO)n” as the subject of the email. Note : Only shortlisted candidates will be contacted. Application Deadline: 30th September, 2026. View all Jobs in Nigeria Edo State Provider Manager job vacancies in Nigeria