State Coordinator

Your tasks

State Operations Management

• Coordinate daily HMO operations across Nasarawa State.
• Implement management directives and ensure compliance with operational procedures.
• Monitor state activities and submit periodic performance reports to management.

Provider Relationship Management

• Maintain effective relationships with accredited healthcare providers.
• Monitor provider service quality, accessibility, and compliance with HMO requirements.
• Identify and escalate provider complaints, service gaps, and operational challenges.

Enrollee Management and Customer Service

• Coordinate enrollee registration, data verification, and maintenance of enrollee records.
• Address enrollee complaints and ensure timely resolution of service-related issues.
• Support sensitisation and awareness activities for enrollees and corporate clients.

Claims Coordination

• Facilitate the submission and review of claims documentation by healthcare providers.
• Follow up on outstanding claims issues in collaboration with the Claims Unit.
• Identify irregularities and escalate suspected fraud, abuse, or unauthorised healthcare utilisation.

Client Relationship Management

• Maintain relationships with corporate clients, government agencies, and other stakeholders.
• Monitor client satisfaction and promptly address service concerns.
• Support client retention and renewal activities.

Business Development Support

• Identify prospective corporate clients, government institutions, and other business opportunities.
• Support marketing, enrolment drives, and health insurance sensitisation campaigns.
• Provide market intelligence and business development leads to the appropriate department.

Compliance and Reporting

• Ensure state operations comply with company policies, contractual obligations, and applicable regulatory requirements.
• Maintain accurate operational records and protect confidential enrollee and company information.
• Prepare and submit regular reports on enrolment, provider performance, complaints, claims issues, and business development activities.

Stakeholder Engagement

• Represent the HMO professionally in approved state-level meetings and engagements.
• Maintain productive relationships with relevant government officials, healthcare providers, and other stakeholders.
• Escalate significant operational, regulatory, and reputational risks to management.

Key Performance Indicators (KPIs)

• Accuracy and completeness of enrollee records
• Timely resolution of provider complaints and service issues
• Enrollee and client satisfaction, including complaint resolution time
• Timely follow-up and resolution of claims documentation issues
• Support for client satisfaction, renewals, and retention
• Qualified business leads and support for enrolment targets
• Timely and accurate submission of operational reports
• Adherence to company procedures and timely escalation of risks.

Requirements

• HND in Business Administration, Health Administration, Public Administration, Social Sciences, or a related discipline.
• A qualification in Health Insurance, Health Management, or a related field will be an added advantage
• Minimum of 2 years' relevant experience in HMO operations, health insurance, healthcare administration, customer relationship management, or a related field.
• Experience managing healthcare providers, corporate clients, or government stakeholders is an advantage.
• Familiarity with health insurance enrolment, claims processes, and provider management is desirable.
• Knowledge of HMO operations and healthcare delivery systems
• Strong communication, negotiation, and relationship management skills.
• Good reporting, documentation, and record-keeping abilities.
• Proficiency in Microsoft Office and electronic data management systems.
• Problem-solving, organisational, and coordination skills.
• Ability to work independently, meet deadlines, and manage competing priorities.
• High integrity, confidentiality, accountability, and professionalism.

Personal Attributes

• Results-oriented and proactive.
• Professional and courteous in dealing with stakeholders.
• Strong interpersonal and conflict-resolution abilities.
• Willingness to travel within Nasarawa State when required.
• Ability to work under pressure with minimal supervision.