Freelance Case Management (Benin)

As a Freelance Case Management Associate at Reliance Health, you will be responsible for analyzing claims data to identify potential cases of fraud, waste, and abuse. You'll manage emergency case escalations, oversee general case management activities, and conduct thorough mortality reviews. Your collaborative work with medical professionals and internal teams will ensure compliance with various laws and regulations related to healthcare operations, making your role vital to our mission.

To qualify for the Freelance Case Management position at Reliance Health, candidates should hold a Bachelor's degree in medicine, nursing, or a related field. This role also requires knowledge of healthcare operations, fraud prevention, and regulatory compliance. Prior experience in fraud investigations, along with familiarity with emergency management protocols, will be advantageous. Professional certifications such as Certified Fraud Examiner or Certified Case Manager are also beneficial.

Reliance Health is committed to providing ample growth opportunities for a Freelance Case Management Associate. We offer tools, mentorship, and resources to elevate your skills and career. Additionally, our Learning & Development Allowance is designed to support your ongoing professional development, ensuring that you can continuously improve and advance in your field.

As a Freelance Case Management Associate at Reliance Health, you can expect a collaborative work culture that is inclusive and team-focused. We celebrate diversity and foster an environment where everyone’s contributions are valued. This culture not only enhances the work experience but also plays a significant role in transforming customer experiences and healthcare innovation.

Reliance Health offers a competitive salary and benefits package to Freelance Case Management Associates, including comprehensive health coverage for you and your family. We believe in work-life balance, which is why we provide unlimited leave. You'll also have the chance to make a meaningful impact in healthcare, surrounded by supportive colleagues, and access to professional growth resources.

When answering this question, focus on specific examples from your past experience that demonstrate your case management skills. Highlight how they relate to the key responsibilities at Reliance Health, such as managing at-risk cases or conducting mortality investigations, and discuss your familiarity with healthcare protocols.

This is your opportunity to showcase your analytical skills. Discuss the techniques and tools you use for analyzing data patterns, as well as any experiences you have had in detecting anomalies in claims or billing records. Emphasize your understanding of the importance of data integrity in healthcare.

In your answer, recount a specific case where your actions directly contributed to a positive outcome. Discuss your problem-solving skills, ability to remain calm under pressure, and how you collaborated with other healthcare professionals in that scenario.

Share your knowledge of healthcare regulations and your approach to ensuring compliance. Discuss how you stay informed about changes in laws and regulations, as well as any systems you implement to monitor compliance within case management activities.

My approach to collaboration is centered on open communication and mutual respect. Discuss your experience working with healthcare professionals, including how you share information and gather insights to manage cases effectively, ensuring all parties are aligned in their goals.

Talk about the nature of your experience with mortality reviews, emphasizing your analytical skills. Highlight any methodologies you employed and the importance of these investigations in improving healthcare quality and preventing future issues.

Address your strategy for managing at-risk cases, such as your assessment techniques and interventions you might apply. Provide an example of how your involvement made a difference for a patient, showcasing your commitment to improving patient outcomes.

Mention any software tools you've used in previous roles related to case management and data analysis. Be specific about your level of expertise and how these tools helped you in monitoring cases or detecting fraud, waste, and abuse.

Reflect on your passion for healthcare and your desire to make a positive difference in patients' lives. Share any personal stories or experiences that inspired you to pursue this field, demonstrating your dedication and motivation.

Describe your time management skills and methods for prioritizing tasks. You can discuss using specific frameworks or tools to help you stay organized while ensuring that urgent matters are addressed promptly without compromising quality.