Life Action Plus HMO Ltd is a major player in the Nigeria Health Insurance Industry with Head Office in Lagos and offices spread across the country. Due to our steady growth and expansion, we seek competent, experienced and dedicated individuals to fill the under-listed positions:

Job Title: Marketer
Location: Lagos, Abuja, Benin, Ibadan, Porthacourt and Owerri
Reporting to: Head, Marketing and Business Strategy

Key Responsibilities
Be responsible for the sourcing of new clients while maintaining relationships with existing clients
Arrange for meetings and presentations
Achieve allocated sales revenue targets
Conduct regular market intelligence activities
Contribute to the development of healthcare plans
Contribute to the development of the company's marketing and sales plan.

Qualification / Requirements
Minimum of B.Sc (2nd class lower) or HND (Upper credit) in Marketing, Sciences, Art, Social Sciences or any Management related course
Minimum of 2 years post qualification experience preferably in the HMO or Insurance industry
Knowledge of the operations of the National Health Insurance Scheme (NHIS) and medical will be an added advantage
Excellent selling and customer relationship skills
Good communication/presentation skills (both oral and written)

Job Title: Manager, Internal Control
Location: Lagos
Reporting to: Head, Finance and Accounting
GENERAL DESCRIPTION
The purpose of this role will be to monitor and evaluate how well risks are being managed in the organisation by implementing and circulating company and statutory policies and procedures as well as monitoring compliance with laws, regulations, and re-educate staff on regulations and issues identified in the audit.
DUTIES/RESPONSIBILITIES
Plan and carry out regular internal audits to evaluate compliance with the system of internal controls, assess the reliability and integrity of information and compliance with LAP hmo’s policies, procedures, laws and regulations
Ensure audit and other review findings, observations and recommendations are discussed with respective managers and agree on plan of action for improvement
Conduct continuous follow up and post implementation reviews to ensure managers and other responsible persons act on agreed action plans
Carry out special assignments ,investigations or reviews that may be requested for by the audit committee and management
Ensure that company-wide risk management policies, controls and procedures, are effectively implemented, disseminated and complied with across the organization
Review workflow, process steps and existing policies and procedures to identify areas of risks and provide recommendations for mitigation
Promote and support a culture of compliance, risk avoidance/mitigation and corporate accountability throughout the company through trainings and knowledge sharing
Ensure accreditations, returns and other statutory returns are done promptly and correctly too
Ensure that statutory and regulatory obligations are met and on a timely basis too. No infractions
Continuously monitoring business continuity risks and ensuring the business continuity plan is up to date and operational
Work with counterparts across all business lines to ensure policy/procedure and control standardization and monitor compliance to the same.
Fraud prevention and Investigations.
Develop a flexible annual audit plan using an appropriate risk-based methodology, including any risks or controls concerns identified by management, and submit that plan to the Audit Committee for review and approval as well as periodic updates
Review and sign off all payment schedules (claims, capitations, payroll etc.)
Monitor and report on compliance with established policies, procedures and processes on at least once a quarter
Develop SLAs and SOPs for key operations and operational areas and issue periodic reports to the Audit Committee and the CEO summarizing results of audit activities, keep the Audit Committee and the top management informed of emerging trends and practices in internal auditing, maintain appropriate auditing standards, liaise with external auditors and LAP hmo supervisors
Make available to employees (with regular updates) a statement of policies, procedures and standards which they are expected to comply with and implement education and training (working with Human Resources function) to ensure employees have adequate awareness and understanding of internal control standards
Conduct spot checks on high risk rated units.
SKILLS/ATTRIBUTES
Core Business Processes
Data Gathering and Analysis
Regulatory compliance
Industry Knowledge
Banking Operations
Technology
Internal Control/Audit
Product/Service Knowledge
Business Risk Management
Credit Analysis
Accounting and Tax
Generic Skills
Teaming
Decision Makin
Managing Work
Facilitation/Knowledge Sharing
Professionalism/Interpersonal Relationship
Systemic thinking/Innovation
Communication and Problem-solving Skills
Attention to detail and display of ownership
Ability to manage up and apply proactive methods and not be reactive
EDUCATION/EXPERIENCE REQUIREMENTS
A minimum of 5 years’ experience in an audit firm
A minimum of 3years’ in a healthcare organization (Desirable).
Familiarity with operational, financial, quality assurance, and human resource procedures, standards and regulations (Essential).

Job Title: Provider Officer
Location: Lagos, Ibadan, Porthacourt and Abuja
Reporting to: COO
Job Description
This Job supports the contracting, developing and maintaining of relationships with healthcare providers. It requires daily liaison with a Provider Network and collaboration with internal departments to ensure service quality.
Key Responsibilities;
Hospital Visitation
Conducting medical outreach programs when requested
Reaccreditation/quality assurance check on hospital providers
Reconciliation of hospital claims
provider Sensitization
Execution of Medical Case Management/Disease Management activities
Qualification / Requirements
Three (3) years post NYSC cognate HMO experience
Nurses would have an added advantage
Technical Competencies
Accountability
Communication
hmo industry Knowledge
Solution-oriented
Clinical Reasoning
Health System Strengthening
Relationship-Oriented
Organization & Planning
Team Management

Job Title: Claims and Medical Officer
Location: Lagos
Reporting to: Manager, Claims and Medicals
Job Description
A medical claims officer validates the information on all medical claims from patients seeking payment from their insurance company. Claims must be thoroughly reviewed to ensure that there is no missing or incomplete information. In addition, a processor must keep meticulous records of claims and follow up on lapsed cases.
Medical claims processors are expected to have an extensive knowledge of medical terminology, as well as experience using a computer. Medical claims officer must approve or deny payment to doctors, it is vital that you know how to correctly read and assess medical documents. Good communication skills are necessary to converse with doctors' offices or insurance companies if there is a problem with the claim.
JOB PURPOSE/SPECIFICATION:
Assesses customer requirements and ensures they are met
Investigates and sets standards for quality of health care and safety from HCPs
Liaises with operating staff to establish procedures and standards
Acts as a catalyst for change and improvement in performance/quality
Conducts team meetings and assume responsibility of team tracking and analysis
Builds, maintains, and manages relationships with medical providers and clients
Collects and analyses data to detect deficient controls, duplicated claims, extravagance, fraud in submitted claims
Ensures compliance and timely feedback regarding stipulated policies and procedures as claims, complaints or comments are received from the HCPs and enrolees.
Ensures claims are processed as and when due & ensures approved payments are made by following up with finance department
Reports to the Head, Operations & Health Services
Educational Qualification, Skills and Experience
Minimum of first degree or its equivalent in Pharmacy or Health related discipline. Post Graduate Qualification in Public Health, Health Management, Health Financing or related discipline is an added advantage
Minimum of 4 years post NYSC experience in an HMO or related organization
Certification in or Professional Membership of Health, Management or related bodies
Attendance of related Courses/ workshops/seminars etc.

How to Apply
Qualified and interested candidates should send their Application and Curriculum Vitae to recruitment@lifeactionplus.com
Note: Use job title as subject of your email.

How can manager, internal control be reporting to head, finance and accounting, This does not reflect good control practice.