Health Insurance & HMO Operations

Health Insurance & HMO Operations

Understand the full HMO value chain — enrolment, claims, authorisations, and provider management.

4.8 rating 192 students 6 weeksBeginner

Lead instructor: Mr. Kunle Adebayo

What you'll learn

Navigate the HMO and health insurance value chain
Process and audit claims end-to-end
Manage enrolment and pre-authorisation workflows
Build provider network relationships

Career opportunities

Roles graduates from this course commonly progress into.

Digital Health Specialist Health Data Analyst Telehealth Coordinator Product Associate Health Insurance Analyst Clinical Informatics Officer Healthcare Project Manager

Course curriculum

1

HMO Fundamentals

5 lessons · Quiz included

2

Claims Lifecycle

7 lessons · Quiz included

3

Provider Networks

4 lessons · Quiz included

Course benefits

  • 12 months access
  • Real claims case studies
  • Verifiable certificate
  • Career coaching session

Requirements

  • No prior experience required

Meet your instructors

Mr. Kunle Adebayo

Mr. Kunle Adebayo

Director of HMO Programs

Former HMO operations lead with 10+ years across enrolment, claims and provider management.

LinkedIn
Mr. Kunle Adebayo

Mr. Kunle Adebayo

Director of Health Insurance Programs

Former HMO operations lead. Trained 1,000+ insurance professionals in claims, enrolment and provider management.

LinkedIn
Ms. Tolu Akande

Ms. Tolu Akande

Senior Curriculum Designer

Designs hands-on, employer-aligned curricula for healthcare professionals entering the digital workforce.

LinkedIn

Frequently asked questions

Student reviews

"Practical, well-structured, and directly applicable to my day-to-day work."

Adaeze U.

Telehealth Nurse, Lagos

"The best healthcare-tech training I've ever taken. Recommend to every colleague."

Samuel O.

Claims Analyst, Abuja

"Excellent instructors and the AI tutor is a game changer."

Dr. Rita N.

Physician, Nairobi

Certificate of completion

Pass all quizzes and the capstone to earn a verifiable Jay Learning Centre certificate, complete with unique ID and QR verification.

Join a growing community of peers and instructors discussing real cases, sharing study notes, and supporting each other through certification.