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Specialist Provider Networks- Medical Aid Experience
2 weeks ago
The role reviews MCO's provider networks in terms of coverage, efficiency, growth and profiling to drive positive member health outcomes.
Accountable for the implementation of tactical work plans and formulate associated procedures to minimise the financial risk of the Scheme by implementing, maintaining, and improving the defined managed care programs, providing clinical support for maintaining the acceptable level of quality and cost-effective risk measures.
Qualification & Experience
NQF Level 7 Degree qualification in Health or relevant Nursing Qualification
6 years' experience in managed care and provider network management
Deep knowledge of managed care. Travel
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Head Of Medical Aid
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Johannesburg, Gauteng, South Africa Lmp Recruit Full timeRE5 Exam & FSCA approved qualification5 years experience in Insurance industry at Managerial/Senior levelKnowledge of Medical Aid/Medical Insurance and GAP cover with ability to craft comprehensive comparisons and solutions for clientsKnowledge of regulatory requirements as well as compliance with FAIS and FICAResponsibilities :Act as primary contact for...
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Medical Service Provider Network Agent
2 weeks ago
Johannesburg, Gauteng, South Africa National Risk Managers (Pty) Ltd Full timeJoin Our Exclusive Talent Pool_We believe in nurturing talent and providing a platform for growth. As we expand our horizons, we are building a talent pool of passionate professionals who share our commitment to excellence.A fast growing company based in Benoni is looking for a Medical Service Provider Network Agent who will Maintain GP provider network data...
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Medical Service Provider Network Agent
2 weeks ago
Johannesburg, Gauteng, South Africa National Risk Managers Full timeJoin Our Exclusive Talent Pool We believe in nurturing talent and providing a platform for growth. As we expand our horizons, we are building a talent pool of passionate professionals who share our commitment to excellence.A fast growing company based in Benoni is looking for a Medical Service Provider Network Agent who will Maintain GP provider network data...
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Provider Relationship Specialist
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Johannesburg, Gauteng, South Africa Kaelo Full timeCompany DescriptionKaelo provides essential healthcare solutions ensuring the physical and psychosocial wellbeing of all South Africans towards lasting social change. Kaelo meets the Healthcare needs of Corporate and Retail clients across South Africa - products offerings include Medical Insurance, Medical Aid, Gap Insurance, Kaelo Money and employee...
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Medical Credit Controller
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Johannesburg, Gauteng, South Africa Qetello Holdings Full timeTogether with our client, a leading claims administrator in Johannesburg South, we are recruiting for a Medical Credit Controller to assist with Private and medical aid claims.Duties and Responsibilities: Implement credit control procedures for specialist doctors and Allied Professionals in accordance with our credit control/debt collection policy Experience...
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B2b Medical Sales Representative
2 weeks ago
Johannesburg, Gauteng, South Africa Teltonika Networks Full timeLocation:Johannesburg, GT, ZACompany:TELTONIKA- During 25 years of activity in the IoT market, Teltonika has become one of the leading __manufacturers of IoT solutions_:- in the world, with offices in 19 countries and with more than 2,300 employees worldwide. Since 2017 Teltonika has started developing business in the __Africa continent_:- selling different...
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International Talent Acquisition Specialist
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Johannesburg, Gauteng, South Africa Teltonika Networks Full timeLocation:Johannesburg, NW, ZACompany:TELTONIKA- During 25 years of activity in the IoT market, Teltonika has become one of the leading __manufacturers of IoT solutions_:- in the world, with offices in 19 countries and with more than 2,300 employees worldwide. Since 2017 Teltonika has started developing business in the __African continent_:- selling different...
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Talent Acquisition Specialist
2 weeks ago
Johannesburg, Gauteng, South Africa Teltonika Networks Full timeLocation:Johannesburg, GT, ZACompany:TELTONIKA- During 25 years of activity in the IoT market, Teltonika has become one of the leading __manufacturers of IoT solutions__ in the world, with offices in 19 countries and with more than 2,300 employees worldwide. Since 2017 Teltonika has started developing business in the __African continent__ selling different...
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Medical Specialist Sub
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Johannesburg, Gauteng, South Africa University of the Witwatersrand Full timeMedical Specialist Sub - Specialty Fellow(2 Years Fixed Term Contract)Location:Charlotte Maxeke Johannesburg Academic HospitalQualifications:Appropriate qualification that allows for registration with HPCSA as a Medical Specialist in Internal MedicineRegistration with the HPCSA as Medical Specialist - Internal MedicineNo experience required after...
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Network Specialist
2 weeks ago
Johannesburg, Gauteng, South Africa South African Bankers Services Company Pty Ltd Full timeJob Description:The principal purpose of the Network Specialist is to provide persistent support of the networked ecosystem of BankservAfrica and provide consultancy support associated to the networked environment to BankservAfrica clients.Key stakeholders, the Network Engineer will engage with:External clients Banks (South African and International) SARB...
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Head- Medical Advisor
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Johannesburg, Gauteng, South Africa Medical Placements Full timeThe incumbent's role is to be the central player in the Clinical Advisory Services area to identify and ensure that optimal clinical decision making is made on every escalated case. The individual is directly responsible for aligning the teams within the division to fulfil strategic clinical needs within these sectors. Identifying and establishing best...
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Network Specialist
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Johannesburg, Gauteng, South Africa BankservAfrica Full timeDo you see a future that includes more?More exposure to innovative technologies, more personal growth, more experience?Look at the position we have available and see how, together we can shape your future, so that you can give more and include more: Job Title Network Specialist Location Selby Johannesburg, GP 2001 ZA (Primary) Occupational Level Professional...
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Environmental Services Aide
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Johannesburg, Gauteng, South Africa St. John's Riverside Hospital Full timeOverview St. John's Riverside Hospital is a leader in providing the highest quality, compassionate health care utilizing the latest, state-of-the-art medical technology. Serving the Westchester community from Yonkers to the river town communities of Hastings-on-Hudson, Ardsley, Dobbs Ferry and Irvington, St. John's Riverside has been and continues to...
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Johannesburg, Gauteng, South Africa Vodafone Full time. When it comes to putting people first, we're number 1. The number 1 Top Employer in South Africa. Certified by the Top Employer Institute 2024. Role Purpose/Business Unit: To perform operational functions related to faults and configurations across network security systems Your responsibilities will include: Support Provide high...
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Credit Controller
2 weeks ago
Johannesburg, Gauteng, South Africa Cryanic Medical Solutions Full timeCredit Controller:Job Title:Credit Controller:Start date: ImmediatelyJob PurposeTo fee and collect all outstanding debt within the required timeframe.Requirements: Experience in the medical industry Minimum 3 years experience in credit control Matric certificate Ability to work under pressure Understanding of the medical aid authorisation process Basic...
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Medical Scientific Liaison
2 weeks ago
Johannesburg, Gauteng, South Africa Johnson & Johnson Full timeMEDICAL SCIENTIFIC LIAISONLocation: GautengContract: PermanentThe responsibilities & the impact YOU will have:Job Purpose:To be a therapeutic area scientific expert, responsible for discussing our products, patients' treatment trends and studies in the therapeutic areas in which we are involved, on a peer-to-peer basis with a defined audience of Leading...
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Network Sales Specialist
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Johannesburg, Gauteng, South Africa Dimension Data Full timeAre you tired of being treated as an employee rather than as a valued colleague? Are you looking for a job where you can grow your career without compromising your current lifestyle? We are searching to add another Network Sales Specialist to our great team. Please read through and applyAs a Network Sales Specialist, you'll be responsible for driving sales...
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Medical Porter
2 weeks ago
Johannesburg, Gauteng, South Africa Dynamic Outsourced Solutions Full timeGauteng, JHB - Eastern Suburbs Monthly Basic Salary (Medical Aid and Provident Fund, Market related, Negotiable)Busy private practice within the medical sector is in need of an experienced Porter required to work shifts. Minimum Grade 1 Experience as Porter within medical industry High level written and verbal communication skills in EnglishFor more...
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Senior Specialist: Solutions Architect
2 weeks ago
Johannesburg, Gauteng, South Africa Aesafrica Full timeHybrid Work Model | Medical Aid | 20-25 Days of LeaveOne of the leading telecommunications companies in Africa is seeking a Senior Specialist in Solutions Architecture to join their ever-expanding team. The proudly South African company is committed to inspiring and enabling growth by leading the charge towards a bold, new digital world. The company has...
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Networking Specialist Team Lead
2 weeks ago
Johannesburg, Gauteng, South Africa Select One Full timeThe role will involve but not be limited to leading a team of IT staff, evaluating the network's performance, collaborating with their IT team to increase network capacity, and overseeing network security.Responsibilities: Determining company needs and coordinating the development and maintenance of network infrastructure with the IT team Running diagnostic...