Job details

Freelance Case Management (Jos)

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Reliance Health’s mission is to make quality healthcare delightful, affordable, and accessible in emerging markets. From Nigeria, Egypt, Senegal and beyond, we offer comprehensive health plans tailored to both employers’ and employees’ needs through an integrated approach that includes telemedicine, affordable health insurance, and a combination of partner and proprietary healthcare facilities.

By leveraging advanced technology, we are transforming the healthcare landscape, making it more efficient and accessible for everyone.

The Case Management Associate is responsible for analyzing and reporting fraud, waste, and abuse data, managing the escalation of emergency cases, conducting mortality investigations, overseeing general case management and care coordination activities, managing at-risk cases, and monitoring ICU admissions of enrollees receiving healthcare services from providers within the Reliance HMO Providers network.

Responsibilities

Analyze claims data, billing records, and other relevant information to identify patterns, anomalies, and potential cases of fraud, waste, and abuse

Utilize data analytics tools and techniques to identify trends, outliers, and potentially fraudulent activities

Collaborate with medical professionals, forensic experts, and internal teams to gather relevant information and conduct thorough investigations

Ensure compliance with applicable laws, regulations, and company policies related to fraud, waste, and abuse investigations, emergency

Case management, mortality investigations, general case management, managing at-risk cases, and ICU admissions

Bachelor’s degree in medicine, nursing, or related disciplines

Knowledge of healthcare operations, fraud prevention, and regulatory compliance.

Experience in conducting fraud, waste, and abuse investigations is preferred.

Knowledge of emergency management protocols and procedures.

Familiarity with mortality review processes and quality improvement initiatives.

Knowledge of legal and regulatory requirements related to fraud, waste, and abuse investigations, emergency care, and case management.

Professional certifications in fraud examination, case management, or related fields (e.g., Certified Fraud Examiner, Certified Case Manager) are advantageous.

At Reliance Health, we prioritize our people and their well-being. Our benefits package is designed to support your success, growth, and happiness. Here’s what you’ll enjoy:

Competitive Salary and Benefits
We offer a salary that’s benchmarked against the best in the industry, ensuring your expertise and impact are fully rewarded.
Premium Health Insurance
Comprehensive health coverage for you and your family, because your well-being comes first.
Unlimited Leave
Take the time you need when you need it—no limits, no questions.
Meaningful Impact
Play a key role in transforming customer experiences and shaping healthcare innovation.
Collaborative Work Culture
Join a supportive, inclusive, and team-focused environment that celebrates diversity.
Growth Opportunities
Access tools, mentorship, and resources to elevate your skills and career.
Learning & Development Allowance
We provide an allowance to support your ongoing professional growth and skill enhancement.

This is more than a job—it's a chance to grow, thrive, and make a real difference. At Reliance Health, your journey matters.

Reliance Health Glassdoor Company Review

4.0

Reliance Health DE&I Review

3.53

CEO of Reliance Health

Femi Kuti

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Average salary estimate

$60000 / YEARLY (est.)

min

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$50000K

$70000K

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What You Should Know About Freelance Case Management (Jos), Reliance Health

At Reliance Health, we’re on a mission to revolutionize healthcare in emerging markets, and we're looking for a dedicated Freelance Case Management Associate to join us on this journey. Your role will be pivotal in analyzing and reporting on fraud, waste, and abuse data, managing emergency cases, and conducting vital mortality investigations. This isn’t just about data; you’ll be collaborating with medical professionals and forensic experts to ensure quality care is accessible to those who need it most. Picture yourself analyzing claims and billing records to identify patterns that could lead to significant improvements in our healthcare operations. Your knack for leveraging data analytics tools will be essential in pinpointing trends and potential fraudulent activities, ensuring compliance with legal regulations along the way. Whether it’s overseeing at-risk cases or monitoring ICU admissions, your contribution will directly impact not just our internal processes, but the lives of our enrollees receiving healthcare services. At Reliance Health, we prioritize your well-being too; our benefits package includes competitive salaries, comprehensive health insurance, unlimited leave, and exciting growth opportunities. This is more than a job—it’s a chance to make a meaningful impact in healthcare while thriving in a supportive, diverse environment. Come join Reliance Health and be a part of something transformative!

Frequently Asked Questions (FAQs) for Freelance Case Management (Jos) Role at Reliance Health

What are the key responsibilities of a Freelance Case Management Associate at Reliance Health?

As a Freelance Case Management Associate at Reliance Health, you will be responsible for analyzing and reporting data related to fraud, waste, and abuse, managing emergency case escalations, and conducting important mortality investigations. You will also oversee general case management activities, manage at-risk cases, and monitor ICU admissions in our healthcare services network. Your role is crucial in ensuring compliance with regulations and enhancing the overall quality of care.