Duties Of A Health Maintenance Organization (HMO) Officer

A Health Maintenance Organization Officer is someone who plans and oversees health services, modulate other health workers. They manage NHIS/HMO quality initiatives within the hospital.

The Duties Of A HMO Officer Includes:

  • To process complaints from beneficiaries and coworkers, following established guidelines.
  • To establish effective policies for all operational procedures
  • To prepare work schedules
  • To give proper orientation to patients/clients on the benefits, eligibility status, enrollment processing procedures and status of authorizations and referrals.
  • To address potential resolve potential issues with patients and ensure their satisfaction is guaranteed.
  • To interview and orient new employees.
  • To monitor the performances of other staff in the Hospital
  • To interact with the entire HMO community

Job Requirements For A HMO Officer

The requirements for anyone wanting to take up the job of a health maintenance officer is as follows:

  • A minimum of First Degree (HND/B.Sc) or its equivalent in Health or Science related field.”
  • Past HMO experience may provide better chances of acceptance.
  • The Knowledge of the operations of the National Health Insurance Scheme (NHIS)
  • Excellent customer relationship skills is required.
  • Good communication/presentation skills (both oral and written)
  • He/she must be able to take responsibility and demonstrate high level of integrity in dealing with all stakeholders, and also have the Knowledge of statistical/epidemiological tools such as SPSS, Graph Pad Prison, Ms Excel, and Ms Power point.
  • A minimum of 5 years experience post NYSC in relevant and related position; Attendance of related Courses/ workshops/seminars may be required.

Required Skills of A HMO Officer

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills and/or ability required:

  • He/she must be Professional development through participation in continuing education and professional Organizations.
  • Conversant with the HMO processes and Maintenance
  • Must also be good in Coordination, Listening, Scheduling and Teamwork
  • Must possess good administrative skills
  • Superior problem solving skills
  • Ability to explain detailed instructions articulately and clearly
  • Ability to analyze Information promptly
  • Exceptional customer services skills
  • Proficient in relevant computer applications
  • Knowledge of customer service principles and practices.

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