Job details

Freelance Case Management (Kano)

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

Approve of CEO

Average salary estimate

$70000 / YEARLY (est.)

min

max

$60000K

$80000K

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

Join Reliance Health as a Freelance Case Management Associate, where you'll become an essential part of our mission to provide delightful, affordable, and accessible healthcare in emerging markets. We're transforming the healthcare landscape with cutting-edge technology, and we need your expertise to make a significant impact in our community. In this role, you'll analyze and report on data related to fraud, waste, and abuse while managing emergency case escalations and conducting mortality investigations. You're not just handling cases; you're overseeing general case management, coordinating care, and monitoring ICU admissions within our reliable provider network. With your analytical skills, you'll sift through claims data and billing records to uncover anomalies and trends, working alongside medical professionals and forensic experts to get to the heart of the matter. A background in medicine, nursing, or related fields, coupled with knowledge of fraud prevention and healthcare operations, will set you up for success. Ideally, you have experience in case management and a passion for improving healthcare quality. At Reliance Health, we value our team members and provide a supportive workplace with excellent benefits, including a competitive salary, premium health insurance, unlimited leave, and growth opportunities tailored to your development. This is your chance to not only advance your career but to genuinely impact the lives of countless individuals who rely on us for their healthcare needs. Get ready to thrive and make a real difference with Reliance Health!

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

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

As a Freelance Case Management Associate at Reliance Health, you'll focus on analyzing claims data to detect patterns of fraud, waste, and abuse, collaborating with various stakeholders to conduct investigations, and overseeing the case management of enrollees. Your role is pivotal in ensuring compliance with all regulations and improving healthcare delivery.