Clinical Pre- Authorization Agent

A leading healthcare administrator is seeking a Clinical Pre-Authorization Agent to ensure accurate pre-authorisations for clinical appropriateness and medical necessity. The ideal candidate must have a formal nursing qualification and at least 2-3 years of experience in Managed Healthcare. Responsibilities include authorising hospital requests, applying...

A leading health administration company is seeking a Specialist Authorisation Agent in Centurion. The role involves handling pre-authorisation requests, accurate data capturing, and providing customer service. Candidates should have 2 to 5 years of experience in a medical aid administration environment and possess strong communication skills. This position...

We are currently looking for talented **Senior** **Clinical Research Associates to join our team in South Africa**. You would be working within our Flexible Solutions department dedicated to one sponsor/client. Would you like to work for one of the best known big pharma companies? Our sponsor is a global mid sized pharma company with high working standards....

We're looking for an analytical, detail-oriented Consultantswithin the Hospital Benefit Management team. The role involves managing telephonic hospital pre-authorisations, clinical queries, and case management while building strong relationships with our members.Requirements:Clinical Medical Associate qualification or Registered Nurse qualification1–2...

Position: Specialist Authorisation Agent Location: Centurion, Gauteng Position Purpose: To ensure the accurate issuing of appropriate pre-authorisations that meet the requirements of clinical appropriateness, medical necessity and clinical risk management. Experience: 2 to 5 years’ solid experience within a medical aid administration environment....

**Summary of the position**: **Essential Functions**: - Contribute to the development and review of protocols and their amendments. - Answer trial-related medical questions and interact with project team members such as Project Managers, Clinical Operations, Regulatory Affairs and Data Management colleagues, investigators, and other site personnel on...

IntroductionAn international organization providing business solutions for HR, Operations, Commerce and Finance to all industries, is looking for an experienced Microsoft 365 Dynamics Pre Sales Agent to join their team. Duties & ResponsibilitiesBusiness Analysis and Solution Design:Understanding client requirements, mapping business processes, and...

**Job Summary**: The **OCCUPATIONAL HEALTHCARE CLINIC ADMINISTRATOR** for a network of occupational health clinics is responsible for ensuring the integrity of operational processes, regulatory compliance, and risk management across the network. This role involves the oversight of clinic operations, the implementation of internal controls, and the mitigation...

**Introduction** Momentum Health Solutions, an entity of Momentum Metropolitan Holdings delivers sustainable, integrated health solutions that meet the needs of clients in the different segments and maximise lifetime client value. We build and maintain a culture of innovation, and create value through unique insights of how to achieve specific outcomes by...

Job Overview Responsible for study build & design, edit specifications, system configurations and is accountable for associated study design components. This role will collaborate with various stakeholders—DTL, Programmer, Validation Team, vendors, statisticians, and client representatives. In addition to project deliveries, the role also would be...