Provider Liaison Officer

6 months ago

Centurion, South Africa Health Solutions Full time

**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 using a defined set of Health capabilities.

**Role Purpose**
- Build, maintain and manage relationships with network providers aligned to business objectives.**Requirements**:

- At least 1-2 years provider relations industry experience / in a similar role
- At least 5 years work experience in the healthcare funding/medical scheme industry
- Must have experience in provider relations / client services management
- Experience in case / claims management (preferred)
- Medical claims processing experience
- Experience in the development and presentation of management reports
- Experience in the Health Care industry

**Duties & Responsibilities**

**Internal Process**
- To efficiently manage and co-ordinate existing and potential relationships between Scheme, Service Providers and MH.
- To provide accurate and efficient service to Scheme, Members and Service Providers.
- Act as key contact to Service providers, Bureaus, Societies and the Scheme ensuring continuous communication and resolution of queries.
- Represent the business at forums, committees and stakeholder engagements.
- Ensure continuous education on the business systems, processes and product to the relevant providers.
- Serve as a single point of contact for escalations related to claims and authorizations issues from the providers.
- To identify enhancements to the service delivery and administration, and to promote these enhancements to the MH Management Team and Service Providers.
- To identify trends emanating from RCA that could assist with training and coaching of internal/external stakeholders.
- Participate/collaborate with various stakeholders in the provider engagement environment.
- Focus on continuous improvement of service delivery to providers and in turn the members'
- Build and maintain effective business relationships with all stakeholders.

**Client Services**
- Investigate client queries within the agreed service level and ensure that client receives timeous feedback and escalate client queries to the relevant department or stakeholder.
- Provide accurate information and advice to clients and stakeholders in order to ensure that the client receives the appropriate services.
- Provide regular reports on delivery of services against agreed service level agreements and in terms of overall customer targets.
- Proactively build and maintain client relationships.
- Deliver on service level agreements and made with clients and internal and external stakeholders in order to ensure that client expectations are managed.
- Make recommendations to improve client service experience for internal and external stakeholders.
- Participate and contribute to a culture which builds rewarding relationships, facilitates feedback and provides exceptional client service.

**People**
- Develop and maintain productive and collaborative working relationships with peers, clients and stakeholders.
- Positively influence and participate in change initiatives.
- Continuously develop own expertise in terms of professional, industry and legislation knowledge.
- Contribute to continuous innovation through the development, sharing and implementation of new ideas.
- Take ownership for driving career development.
- Effectively manage time and ensure optimal productivity.
- Ensure technical product and legislative knowledge is always current in order to propose the most relevant and innovative client solutions and comply with governance requirements.
- Be self-confident, self-motivated and relentlessly pursue targets and goals.

**Finance**
- Identify solutions to enhance cost effectiveness and increase operational efficiency.
- Manage financial and other company resources under your control with due respect.
- Provide input into the risk identification processes and communicate recommendations in the appropriate forum.
- Prepare, interpret and present performance reports and other relevant information so to enhance client understanding and facilitate decision-making.

**Competencies**
- Analytical thinking
- Checking skills
- Client management skills
- Collaboration skills
- Communication skills (Written and verbal)
- Interpersonal skills
- Microsoft Office skills
- Negotiation skills
- Presentation skills
- Problem-solving skills
- Project management skills
- Relationship building skills
- Report writing skills
- Be able to work independently
- Time management skills
- Verbal and written communication skills

  • Client Liaison Officer

    6 months ago

    Centurion, South Africa Handpicked Recruitment Full time

    **Client Liaison Officer** **Salary**:R15 000 per month, depending on experience + 13th Cheque 21 Days leave per year A well-established firm that operates within the mining sector has an opportunity for a customer orientated, out-going and friendly type of person to join their team in Lyttleton, Centurion area. **Minimum requirements**: - Matric -...

  • Liaison Officer

    3 months ago

    Centurion, South Africa Armojeq Engineering (Pty) Ltd Full time

    **Full job description** **Main Job Function**: You will manage and direct call centre agents in achieving their required daily duties. Your role will be to take accountability for Call Centre Agents through daily monitoring, a compilation of reports, and coaching. You must be willing to take escalations and think creatively to keep customer satisfaction at...

  • Office Administrator

    6 months ago

    Centurion, South Africa Hello Group Recruitment Full time

    **Job Advert Summary**: **Company Profile** GVE London Ltd is one of the largest independent supercar showroom in the UK. It is very conveniently operating from Uxbridge which has plenty of local amenities as well as excellent links to the M4, M25 and A40 as well as West Drayton Train Station and Uxbridge tube station (Piccadilly and Metropolitan...

  • Project Office Assistant

    6 months ago

    Centurion, South Africa Saab Inc. Full time

    We have a vacancy for a Project Office Assistant within the Contracts and Projects (C&P) Department. The primary purpose of the role is to provide daily project administrative assistance to the members within the C&P Department. As the Project Office Assistant, you will need to demonstrate strong administrative abilities._ Your role Project...

  • Customer Service Liaison Specialist

    4 weeks ago

    Centurion, Gauteng, South Africa LuMac Recruitment and Consulting Full time

    Job DescriptionThe Customer Service Liaison Specialist will play a pivotal role in customer retention by addressing concerns and product issues, and by communicating in a professional, positive manner.You will apply your multitasking skills by listening and speaking to customers, navigating computers, and typing call documentation simultaneously. You will...

  • Logistics Development Officer

    4 weeks ago

    Centurion, Gauteng, South Africa Fokus Personnel CC Full time

    About Fokus Personnel CCFokus Personnel CC is a growing company with opportunities across borders.Job SummaryWe are seeking a Logistics Development Officer to join our team. The successful candidate will be responsible for learning effective inventory management, mastering vehicle and asset management, optimizing logistics strategies for deliveries,...

  • Middle Office Specialist

    7 months ago

    Centurion, South Africa Group Finance Full time

    **Introduction** Through our client-facing brands Metropolitan and Momentum, with Multiply (wellness and rewards programme), and our other specialist brands, including Guardrisk and Eris Property Group, the group enables business and people from all walks of life to achieve their financial goals and life aspirations. We help people grow their savings,...

  • Middle Office Specialist

    2 months ago

    Centurion, South Africa Group Finance Full time

    **Introduction** - Through our client-facing brands Metropolitan and Momentum, with Multiply (wellness and rewards program), and our other specialist brands, including Guardrisk and Eris Property Group, the group enables business and people from all walks of life to achieve their financial goals and life aspirations. We help people grow their savings,...

  • Middle Office Specialist

    6 months ago

    Centurion, South Africa Group Finance Full time

    **Introduction** Through our client-facing brands Metropolitan and Momentum, with Multiply (wellness and rewards programme), and our other specialist brands, including Guardrisk and Eris Property Group, the group enables business and people from all walks of life to achieve their financial goals and life aspirations. We help people grow their savings,...

  • Group Compliance Officer

    6 days ago

    Centurion, South Africa Risk Management Full time

    **Introduction** - The role of the **Group Compliance Officer for Market Conduct** is critical in ensuring the organization adheres to its legal and regulatory responsibilities while fostering a robust compliance culture. The role entails working collaboratively across the group to achieve Risk and Compliance objectives, providing ongoing guidance and...

  • Journey Management Centre

    6 months ago

    Centurion, South Africa TSU International Full time

    **VACANCY - JMC (Journey Management Centre) Officer - TSU International - Centurion** **Job Feed**: We are looking for an experienced Journey Management Centre Officer to join our JMC team at TSU International, Centurion. **Job purpose**: Responsible for the proactive and reactive, direct and indirect monitoring of all TSU International Clients, against...

  • Junior Middle Office Specialist

    2 months ago

    Centurion, South Africa Group Finance Full time

    **Introduction** - Through our client-facing brands Metropolitan and Momentum, with Multiply (wellness and rewards programme), and our other specialist brands, including Guardrisk and Eris Property Group, the group enables business and people from all walks of life to achieve their financial goals and life aspirations. We help people grow their savings,...

  • Tech Officer: Quality Analyst

    7 months ago

    Centurion, South Africa BCXP Full time

    Business unit, Department, Reporting Business Unit Cloud Platform Solutions Department Customer First Centre (CFC) Reports To **Ops Manager**: SDS Quality Assurance Grade OP1 Core Description Act as one of the primary Customer and SIM liaison for the CFC environment. Responsible for Quality Coordination, pro-active assessments tracking of CFC SLAs and KPIs...

  • Junior Middle Office Specialist

    6 months ago

    Centurion, South Africa Group Finance Full time

    **Introduction** Through our client-facing brands Metropolitan and Momentum, with Multiply (wellness and rewards programme), and our other specialist brands, including Guardrisk and Eris Property Group, the group enables business and people from all walks of life to achieve their financial goals and life aspirations. We help people grow their savings,...

  • Office Manager and Executive Assistant

    6 months ago

    Centurion, South Africa The Talent Hive Full time

    Executive Support - Assist the CEO and Executives with daily administrative duties and complete a broad variety of administrative tasks that include managing an active calendar of appointments. - Complete credit card expense reports and claims. - Draft reports, letters, and proposals; prepare and coordinate oral and written communication. - Plan/organize and...

  • Surveillance Officer

    3 months ago

    Centurion, South Africa Jhpiego Full time

    Overview: To collect quality clinical data and samples from patients at designated sites for the relevant surveillance projects as per protocols. The surveillance officer will be involved in clinic, community and hospital-based surveillance and research for programmes/ projects that link with and fall under the GERMS-SA laboratory and syndromic surveillance...

  • Project Coordinator Specialist

    3 weeks ago

    Centurion, Gauteng, South Africa People Dimension Full time

    Job Title: Project Coordinator SpecialistWe are seeking a skilled and organized Project Coordinator Specialist to join our dynamic team at People Dimension, a leading Fleet Branding company based in Irene, Centurion.About the Role:This is an exciting opportunity for a Junior Project Management Assistant to work closely with our team leaders and contribute to...

  • Administrative Support Specialist

    4 weeks ago

    Centurion, Gauteng, South Africa WeBuyCars Full time

    WeBuyCars is seeking a highly organized and detail-oriented Administrative Support Specialist to join our team at the Midstream Branch. Key Responsibilities:• Invoicing: Prepare and manage invoicing for various transactions.• Client Support: Assist walk-in clients and dealers with their queries and concerns.• Office Administration: Maintain office...

  • Office Manager

    6 months ago

    Centurion, South Africa Stonebridge HR Solutions Full time

    Gauteng, Centurion - R35 000 - R35 000 Cost To Company (Provident ) We are looking for an Office Manager for a Legal firm based in Centurion. **Requirements**: - Grade 12 - Tertiary qualification in Office Management, Human - Resources or similar - 5+ years Office Management - Human Resources experience - Experience within a Legal firm environment will be...

  • Academic Programme Coordinator

    6 months ago

    Centurion, South Africa Jacaranda International Pre-Primary and School Full time

    Are you passionate about education and eager to make a meaningful impact in shaping academic programs? We are currently seeking a dedicated individual to join our esteemed Academic Management Programme Team. As a crucial member of this team, you will report directly to the Academic Programme Management Team Officer, contributing to the effective coordination...