Care Coordinator/Provider Manager at International Health Management Services (IHMS)


  • Inspection of healthcare facilities and accreditation of new facilities for onboarding and re-credentialing.
  • Annual recertification/re-credentialing of all Providers.
  • Annual collection of LONI certificates from all Providers.
  • Provider relationship management and Provider Forums.
  • Provider staff education – Provider induction at sign-on and ongoing education.
  • Scheduling and carrying out quality assurance (QA) visits.
  •  Assist with Pre-authorization of care based on the company’s pre-authorization guidelines and procedure.
  • Investigating complaints from hospitals and responding to such correspondences.
  • Investigating medical-related complaints from clients and responding to such correspondences.
  • Health promotion (education, screening, etc.) and health benefit utilization education for clients.
  • Concurrent and retrospective reviews of Enrollee feedback
  • Providing approved billing guides and tariffs to hospitals
  • Providing timely reports on Provider management
  • Providing IHMS with feedback on Provider Relationship with IHMS
  • Following up and getting feedback from Enrollees on admission Care
  • Ensuring all correspondences with Providers are documented in email, reporting structure, survey or formal report as much as possible.

Note; HMO experience will be an added advantage


  • Reach out to Patients on Admission
  • Call or visit Patients during or at most one (1) week after admission
  • Use the structured template to collect Patient reviews on Providers
  • Provide feedback and utilization data
  • Get feedback from Enrollees on treatment at various facilities
  • Report on Enrollee utilization for each facility every year
  • Reduce overbilling and over treatment
  • Follow-up issues raised by the Claims Department to help Providers improve services


Method of Application

Interested and qualified candidates should forward their CV to: using the position as subject of email.

Deadline: Aug 22, 2023


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