Job details

Freelance Case Management (Owerri)

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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

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Reliance Health DE&I Review

3.53

CEO of Reliance Health

Femi Kuti

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

Are you a meticulous and passionate individual looking to make a notable impact in the healthcare industry? Reliance Health is seeking a Freelance Case Management Associate to join our transformative mission of delivering quality healthcare that's delightful, affordable, and accessible to everyone. From Nigeria to beyond, we pride ourselves on leveraging advanced technology to reshape the healthcare landscape. In this role, you'll engage in critical tasks such as analyzing claims and reporting fraudulent activities while managing emergency cases. Your insights will be vital in overseeing case management activities and coordinating care for at-risk patients, monitoring ICU admissions, and conducting in-depth mortality investigations. We're looking for someone with a background in medicine or nursing and a deep understanding of healthcare operations and fraud prevention. Ideally, you’ll have experience in handling fraud investigations and an eye for details. Plus, if you possess professional certifications in fraud examination or case management, it’s a bonus! At Reliance Health, we appreciate our people, and your success matters to us. You can expect a competitive salary and premium health insurance, unlimited leave, and numerous opportunities for growth and professional development. This is more than just a job for us—it's an opportunity to thrive and contribute meaningfully to healthcare innovation. If you’re ready to make a difference, we’d love to hear from you!

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

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

As a Freelance Case Management Associate at Reliance Health, your main responsibilities include analyzing claims data to identify fraud, conducting mortality investigations, managing escalations of emergency cases, and overseeing general case management activities. You will analyze billing records and collaborate with medical professionals and internal teams to conduct investigations while ensuring compliance with relevant regulations.