{"id":1923705,"url":"https://alion.io/job/dragnet-solutions-head-business-development-managed-care-ph","title":"Head, Business Development & Managed Care - PH","company":{"id":3880286,"name":"Dragnet Solutions","domain":"dragnet-solutions.com","url":"https://alion.io/company/dragnet-solutions","size_band":null,"is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":null,"truth_index":null},"role":"Sales","role_family":"Sales","seniority":"head","employment_type":"full_time","work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Port Harcourt, Nigeria"],"countries":["NG"],"hiring_countries":[],"hiring_countries_total":0,"salary":null,"salary_estimate":{"min_usd":12500,"max_usd":31000,"period":"year","method":"role_seniority_country_remote_cell","sample_n":10},"experience_years_min":8,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[],"status":"live","first_seen_at":"2026-10-01T02:05:03Z","employer_posted_date":null,"last_verified_at":"2026-10-01T02:05:03Z","board_verified":false,"closed_at":null,"days_open":28,"trust":{"level":"not_scored","repost_count":null,"flags":[],"days_open":28},"description":"About the role\n To lead the hospital's managed-care function, owning the interface with HMOs and retainership schemes, and ensuring enrolee service, claims and authorization processes deliver both quality care and commercial sustainability.\n Responsibilities\n Direct the hospital's managed-care operations and manage relationships with HMO and retainership partners.\n Oversee enrolee verification, pre-authorization, referrals, and management of care within scheme terms.\n Oversee claims preparation, submission, reconciliation, and follow-up to minimize rejections and delays.\n Monitor service-level agreements and lead resolution of disputes with scheme partners.\n Coordinate with clinical teams to ensure care is evidence-based, cost-effective, and within scheme rules.\n Supervise, coach, and develop managed-care, clinical support, and customer experience staff.\n Track managed-care performance and revenue and report findings with improvement recommendations.\n Champion enrolee experience, complaints resolution, and retention across the function.\n Required skills\n Strong knowledge of managed-care, HMO, and retainership processes.\n Understanding of claims, authorization, and revenue-cycle management.\n Ability to align clinical and commercial requirements.\n Ability to lead, coach, and develop a team.Strong communication, negotiation, and analytical skills.\n Working knowledge of managed-care/claims systems and performance reporting.\n Experience\n Minimum of 8 years of relevant experience in managed care, HMO liaison or healthcare administration, including supervisory experience.\n Substantial experience in managed care, health insurance, HMO operations or hospital revenue-cycle management.\n Experience coordinating claims, authorizations and HMO/scheme relationships.\n Experience supervising staff and managing service performance.\n Education\n A relevant first degree e.g. health sciences, nursing, public health, business administration, or a related discipline. 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