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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.
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Average salary estimate

$70000 / YEARLY (est.)
min
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$60000K
$80000K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

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.

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What qualifications are needed to become a Freelance Case Management Associate at Reliance Health?

To qualify for the Freelance Case Management Associate position at Reliance Health, candidates should hold a Bachelor’s degree in medicine, nursing, or a related field. Familiarity with healthcare operations, emergency management protocols, and prior experience in fraud investigations are highly valued. Professional certifications in relevant fields will also enhance your application.

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How does Reliance Health support the growth and development of a Freelance Case Management Associate?

At Reliance Health, we are committed to the professional growth of our Freelance Case Management Associates. You’ll have access to mentoring, resources for skill enhancement, and a learning and development allowance to encourage continuous improvement and career advancement.

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What benefits does Reliance Health offer to its Freelance Case Management Associates?

Freelance Case Management Associates at Reliance Health enjoy a competitive salary, premium health insurance for you and your family, unlimited leave for work-life balance, and a collaborative work culture. We prioritize the well-being and happiness of our employees, making it a fulfilling place to work.

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How does Reliance Health define success for a Freelance Case Management Associate?

Success for a Freelance Case Management Associate at Reliance Health is defined by your ability to effectively manage cases, identify fraud, and enhance the quality and accessibility of healthcare services. Your contributions are crucial in shaping healthcare innovation and improving customer experiences.

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Common Interview Questions for Freelance Case Management (Kano)
Can you explain your experience with data analysis in case management?

In your response, outline specific tools or techniques you've used for data analysis. Mention how you've identified fraud patterns or trends that led to stakeholder collaboration or changes in processes, showcasing your analytical skills.

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How do you prioritize emergency cases?

Discuss your approach to assessing urgency and criticality. Provide examples of how you prioritize cases based on factors like patient needs, compliance requirements, and potential impacts on care, demonstrating your decision-making skills.

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What are your strategies for collaborating with medical professionals and forensic experts?

Highlight your communication and interpersonal skills. Share examples of past collaborations, emphasizing how effective teamwork has led to successful case outcomes and compliance adherence.

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How do you ensure compliance with healthcare regulations?

Detail your understanding of local healthcare regulations and your methods for staying updated. Discuss any specific compliance frameworks you’ve implemented in past roles to ensure adherence to necessary laws and regulations.

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Describe a challenging case you managed. What was the outcome?

Choose a relevant example that showcases your problem-solving skills. Explain the challenges faced, your strategic actions, and the positive results achieved, emphasizing your impact on patient care or organizational improvements.

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What tools or software are you familiar with that aid in case management?

Talk about specific software or tools related to case management and data analysis that you’ve used. Also, mention how these have improved your efficiency and effectiveness in your previous roles.

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What role does communication play in case management?

Discuss the importance of communication in ensuring patient care and case resolution. Provide examples of how effective communication has led to successful collaborations and improved patient outcomes in your experience.

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How do you approach mortality investigations?

Share your understanding of the mortality review process and how you ensure thoroughness and sensitivity. Discuss your experience in collaborating with teams to review cases effectively.

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What motivates you to work in case management?

Provide a personal connection to the role, highlighting passion for improving healthcare, making a positive impact, and the satisfaction derived from overcoming challenges in patient care.

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Can you discuss your approach to knowledge and skill enhancement?

Explain your commitment to professional development through workshops, courses, or certifications. Mention specific areas of expertise you wish to expand, demonstrating your proactive approach to growth.

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Reliance Health (https://reliancehealthinc.co/) is a healthcare company using technology to make healthcare more affordable and accessible. Through an integrated approach that includes affordable health insurance, telemedicine and a combination of...

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Full-time, remote
DATE POSTED
April 16, 2025

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