Joan Chika
Healthcare Professional with six years of progressive experience in HMO provider management
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About
Ikekwem Joan is a result driven Healthcare Professional with six years of progressive experience in HMO provider management, providers sign up, business development, healthcare quality assurance, medical auditing, claims verification, claims vetting, and healthcare operations within the Health Maintenance Organization (HMO) sector. Proven expertise in developing business and maintaining high-performing provider networks, building and strengthening provider relationships, negotiating contracts, resolving complex provider issues, and driving quality improvement initiatives that enhance service delivery and enrollees satisfaction.
Experience
Provider Manager/ Medical Executive Officer at United Healthcare International HMO (2020-05 – Present)
Department: Medical and Quality Assurance Department
- Visit providers to carry out medical audit on enrollee's case notes
- Resolve providers complaints using the available resources
- Ensure providers contract, due diligence and updating of providers network
- Provide technical and operational support in conducting joint enrollee/provider sensitization
- Carry out providers visitation and effective utilization tracking
- Proper documentation of all providers complaints and steps taken to resolve it
- Verification of all claims received from providers
- Ensure regular concurrent visits to providers
- Ensure to carry out quarterly quality assurance (QA) visit to Health care facilities
- Ensure that unit records are maintained according to ISO standards
Public Health/ Program Officer at Ananda Marga Universal Relief Team, AMURT West Africa (2017-01 – 2020-12)
- Family and Health Planning Counseling
- Documentation: documentation of program activities and monitoring overall budgets
- Health Education: Assisted the Program Officer in adolescent health education, provide advice and educate them on the importance of the program and how to maximize the use of health care service using WHO standards
Education
Masters In Public Health in MPH Epidemiology – Ahmadu Bello University, Zaria, Kaduna State (2024-01 – 2026-12)
B.Sc. in Public Health – Federal University of Technology, Owerri, Imo State (2013-01 – 2018-12)
West Africa Senior School Certificate – Sunfab College, 4-6 Aniyaloye Street off Alafia Bus stop, Lagos State (2005-01 – 2011-12)
National Examination Council – Sunfab College, 4-6 Aniyaloye Street off Alafia Bus stop, Lagos State (2005-01 – 2011-12)
First School Leaving Certificate – Umoru Memorial Primary School, Coker 1, Lagos State (2004-12)
