HMO Officer

Daniel Adewole Awe Medical Center is a healthcare facility located in Ilesa, Osun State, providing quality primary and secondary healthcare services to the community and its environs. We are recruiting to fill. the position below: Job Tite: HMO Officer

Location: Osun

Job type: Full-time Role Description This full-time, on-site HMO Officer role is based in Ilesa at Daniel Adewole Awe Medical Center. The HMO Officer duties include managing relationships with Health Maintenance Organizations, verifying patient coverage, coordinating pre-authorizations, processing and reconciling claims, and ensuring compliance with HMO policies and agreements.

Qualifications

Bachelor’s Degree with relevant professional registration/licensure as required by regulatory bodies. Strong foundation in Medical Technology and Laboratory Medicine, with the ability to apply scientific principles to diagnostic testing and reporting. Demonstrated Laboratory Skills, including specimen collection, handling, analysis, and documentation in line with standard operating procedures. Knowledge of Pathology and related clinical disciplines to interpret test results and support appropriate clinical decisions. Experience with Quality Control processes, including calibration, validation, and routine checks to ensure accuracy and reliability of laboratory results. Familiarity with HMO operations, medical billing, claims processing, and healthcare reimbursement systems. Strong attention to detail, analytical thinking, and problem-solving skills, with the ability to work accurately under time constraints. Effective communication and interpersonal skills, with the ability to collaborate across clinical and administrative teams and interact with patients and HMO representatives. Proficiency in basic computer applications and laboratory information systems; prior experience in a hospital or clinical laboratory setting is an advantage.