HMO Officer
AI job insight
St Dominic Catholic Hospital is recruiting a full-time HMO Officer in Ibadan, Oyo, to manage health-maintenance operations. The role covers eligibility, authorizations, claims, partner-HMO relations, compliance, reporting, and payment reconciliation, with an HND or bachelor’s degree and 1–5 years’ relevant experience required.
- Manage HMO enrollment, eligibility checks, authorizations, claims, reimbursements, and payment reconciliation.
- Liaise with AXA Mansard, Hygeia, Redcare, Avon, and other partner HMOs.
- Prepare reports on patient volume, revenue, outstanding claims, and operational challenges.
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AI summary
St Dominic Catholic Hospital is recruiting a full-time HMO Officer in Ibadan, Oyo, to manage health-maintenance operations. The role covers eligibility, authorizations, claims, partner-HMO relations, compliance, reporting, and payment reconciliation, with an HND or bachelor’s degree and 1–5 years’ relevant experience required.
- Manage HMO enrollment, eligibility checks, authorizations, claims, reimbursements, and payment reconciliation.
- Liaise with AXA Mansard, Hygeia, Redcare, Avon, and other partner HMOs.
- Prepare reports on patient volume, revenue, outstanding claims, and operational challenges.
- Requires 1–5 years in an HMO, hospital corporate services, or an insurance department.
AI job guide
Use this guide to check salary signals, requirements, documents, application steps and safety before you apply.
AI salary guide
Source salary availableThe source lists Attend to HMO patients’ complaints and guide them on benefits, co-pay, and exclusions. Confirm the final pay, benefits, contract terms and allowances directly with the employer before accepting an offer.
Can you qualify for this role?
- Required1+ years of relevant experienceThe job post includes a minimum experience signal.
- RequiredEducation or certification mentioned in the postThe captured text mentions education, a diploma, certificate, or licence.
- PreferredPractical evidence in entregador, finance, Health administrationThe tags and summary point to skills connected with this role.
- RequiredAvailability to work in IbadanThe vacancy is associated with this location.
- UnclearComfort with the Full Time contract termsConfirm hours, duration, probation and benefits at the original source.
Documents to prepare
- Likely requiredUpdated CV
- Role specificCover letter or short employer message
- OptionalProfessional references
- Role specificAcademic or professional certificates
- VerifyID or passport only after verifying the employer
Application tips for this job
- Place your strongest HMO Officer evidence in the first half of your CV.
- In your cover letter or employer message, connect your experience to St Dominic Catholic Hospital and the role in Ibadan.
- Add concrete examples related to entregador, finance, Health administration, ideally with measurable outcomes or clear responsibilities.
- Follow the instructions from MyJobMag Nigeria; avoid sending documents to unofficial contacts or copied links.
- Confirm the deadline, interview location and employer contact before sharing personal documents.
- Prepare a polite question about pay, benefits and contract terms for later interview stages.
Source and safety check
- MyJobMag Nigeria
- Original source link available
- Application method is clear
- Deadline not specified
- No major risk signal was detected in the captured text.
Never pay for interviews, shortlisting, medical checks, uniforms, or job placement. Confirm every application at the original source before sharing personal documents. Report suspicious listing.
Interview preparation
- What experience makes you a strong fit for this HMO Officer role in entregador, finance?
- How have you handled responsibilities similar to those in this job post?
- Are you available to work in Ibadan under the listed contract or schedule?
- Prepare examples with clear responsibilities, tools used and measurable outcomes.
- Review the source and research St Dominic Catholic Hospital before the interview.
Ask what the first priorities will be in the role and how success will be measured.
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Use AI to apply better
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Original source description
At St Dominic Catholic hospital we foster, promote and practice Catholic and Medical ethics and evidence based medicine. St Dominic Catholic Hospital is a 64 bed Faith base hospital providing both primary and secondary medical services.
HMO Officer
Job Type: Full Time
Qualifications
BA/BSc/HND
Experience
1 - 5 years
Location: Oyo
City
Ibadan
Job Field: Administration / Facilities
Job Purpose
The HMO Officer is responsible for managing all Health Maintenance Organization-related operations in the hospital.
The role ensures smooth enrollment, authorization, claims processing, and relationship management between the hospital, HMOs, and patients to guarantee prompt service delivery and revenue collection.
Key Accountabilities
- Patient Services & Eligibility:
- Verify HMO patient eligibility and coverage using HMO portals before consultation/admission.
- Ensure proper registration and issuance of authorization codes for all HMO enrollees.
- Attend to HMO patients’ complaints and guide them on benefits, co-pay, and exclusions.
- Liaise with clinicians to ensure treatment plans fall within HMO package guidelines.
- Authorization & Claims Management:
- Obtain pre-authorization for consultations, admissions, surgeries, and referrals within stipulated time.
- Prepare, collate, and submit claims to respective HMOs with complete supporting documents.
- Follow up on outstanding claims and ensure timely payment/reimbursement by HMOs.
- Track and reconcile HMO payments and deductions with hospital finance.
- HMO Relations & Compliance:
- Serve as the primary liaison between the hospital and all partner HMOs: AXA Mansard, Hygeia, Redcare, Avon, etc.
- Ensure the hospital complies with NHIA/HMO guidelines, service level agreements, and tariff structures.
- Attend HMO meetings, trainings, and audits on behalf of the hospital.
- Communicate policy changes, new tariffs, and benefit updates to clinical staff.
- Reporting & Documentation
- Maintain an accurate database of all HMO patients, authorizations, and claims.
- Prepare weekly/monthly reports on HMO patient volume, revenue, outstanding claims, and challenges.
- Ensure proper filing and archiving of all HMO documents for audit purposes.
Requirements
Education: HND/Bachelor’s Degree in Health Administration, finance, Nursing, Public Health, or related fields.
Experience: 1-5years’ experience in an HMO, Hospital Corporate Services, or Insurance department.
Knowledge: Good understanding of NHIA guidelines, HMO operations, and hospital billing processes.
Required Skills and Competencies:
Excellent communication and interpersonal skills
Proficiency in Microsoft Excel, Word, and HMO portals
Strong negotiation and problem-solving skills
Attention to detail and good record-keeping
Ability to work under pressure and meet deadlines
Professionalism and patient-centered approach.
Check how your CV matches this job
Method of Application
- Interested and qualified candidates should send their CV and Application Letter to:
- [email protected]
- using the Job Title as the subject of the email.
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- Download in different templates.