Managed Care Officer (Business Development & Managed Care) at a Growing Multi-Specialist Healthcare Group – Dragnet Solutions Limited

Dragnet Solutions Limited – Our client is a growing multi-specialist healthcare group, operating hospital facilities that deliver quality clinical and diagnostic services to patients. Backed by a strong governance structure and a strategy of expansion and service excellence, the organisation combines modern clinical operations with centralised corporate functions spanning finance, supply chain, human capital, ICT, legal and strategy.

As part of its next phase of growth, the organization is seeking talented professionals to join it in the capacity below:

Job Title: Managed Care Officer

Location: Kaduna
Department: Business Development & Managed Care

Job Summary

• To manage the day-to-day interface with assigned HMO and retainership schemes, handling enrolee verification, authorisations, referrals and claims to support smooth enrolee care and timely reimbursement.

Responsibilities

• Verify enrolee eligibility and process pre-authorisation and referral requests within scheme terms.
• Prepare, submit, track and reconcile claims, and follow up promptly on rejections and outstanding payments.
• Liaise with assigned scheme partners on authorisations, queries and disputes.
• Coordinate with clinical teams to ensure care is delivered within scheme rules and properly documented.
• Respond to enrolee enquiries and complaints, escalating as needed.
• Maintain accurate managed-care records and produce regular activity reporting.

Requirements
Education:

• A relevant first Degree or HND (e.g. health sciences, nursing, public health, business administration, or a related discipline).
• Completion of NYSC, or a valid exemption where applicable.

Experience:

• Minimum of 4 years of relevant experience in managed care/HMO operations, health insurance or healthcare administration.

Required skills:

• Working knowledge of HMO and retainership processes, authorisations and claims.
• High attention to detail and accuracy in claims and records.
• Sound understanding of clinical governance, patient safety, audit, and quality assurance.
• Ability to liaise effectively with scheme partners and clinical teams.
• Competent use of relevant claims/records systems.
• Effective communication and problem-solving.

Application Closing Date
6th October, 2026.

How to Apply
Interested and qualified candidates should:
Click here to apply online