Oyo State Health, Safety & Environment Hospitality & Food Services

HMO Officer at St. Dominic Catholic Hospital

Posted

  • Company: St. Dominic Catholic Hospital
  • Location: Ibadan, Oyo
  • Job type: Full-time
  • Salary: N90,000 – N130,000 monthly
  • Deadline: 30th November, 2026

About the role

St. Dominic Catholic Hospital is a 64-bed facility in Ibadan, Oyo State, operated by the Dominican Sisters of St. Catherine of Siena. The hospital is accredited by the NHIS as a primary and secondary healthcare provider. We are looking for an HMO Officer to manage all Health Maintenance Organization-related operations. This role ensures smooth enrollment, authorization, claims processing, and relationship management between the hospital, HMOs, and patients.

Responsibilities

  • Liaise with clinicians to ensure treatment plans align with HMO package guidelines.
  • Verify patient eligibility and issue authorization codes for HMO enrollees.
  • Prepare and submit claims to HMOs with complete supporting documents.
  • Obtain pre-authorization for consultations, admissions, and surgeries within stipulated times.
  • Follow up on outstanding claims to ensure timely payment and reimbursement.
  • Communicate policy changes and benefit updates to clinical staff.
  • Attend HMO meetings, trainings, and audits on behalf of the hospital.
  • Prepare weekly and monthly reports on HMO patient volume, revenue, and challenges.
  • Maintain an accurate database of HMO patients, authorizations, and claims.

Requirements

  • 1-5 years of experience in an HMO, Hospital Corporate Services, or Insurance department.
  • HND or Bachelor’s Degree in Health Administration, Finance, Nursing, Public Health, or related fields.
  • Good understanding of NHIA guidelines, HMO operations, and hospital billing processes.
  • Strong negotiation, problem-solving, and communication skills.
  • Proficiency in Microsoft Excel, Word, and HMO portals.
  • Ability to work under pressure and meet deadlines.

How to apply

Send your CV and Application Letter to adm.sdchib2019@yahoo.com. Use the Job Title as the subject of your email. The application deadline is 30th November, 2026.

Apply by email: adm.sdchib2019@yahoo.com