Provider Liaison Officer

7 months ago


East London, South Africa Tych Business Solutions Full time

The **Provider Liaison Officer **will be required to provide support to the Manager: Provider Liaison Office through the implementation of the following **Key Performance Areas (KPAs)**:

- Support the Manager: Provider Liaison Office in maintaining the client relationship with healthcare providers within the assigned region
- Participate in the review and submission of client networks reports
- Support the Manager: Provider Liaison Office in the management of the Managed Care Organisations that are contracted by the Scheme
- Participate in the review of the providers efficiency reports
- Provide substantiated commentary on the quality of network services and provider compliance to the Scheme network agreements
- Represent the Healthcare Management Division at SPN and Stakeholder Engagements and promote network participation by healthcare providers
- Provide substantiated commentary on the quality of network services and provider compliance with Scheme network agreements
- Provide periodic reports relating all stakeholder engagements to the Senior Manager: Networks and Provider Relations
- Ensure continuous education on client strategy, systems, processes, and product to the providers within the assigned region
- Serve as a single point of contact for escalations related to claims and authorizations issues from the providers within the assigned region.
- Perform a secretariat function for the provider relations engagements
- Support other Scheme Division’s in managed care activities
- Fulfil various stakeholder engagements as directed by the Chief Healthcare Officer

**Qualifications and other requirements are**:

- At least a 3-year Diploma/Degree or equivalent NQF level 6 in Clinical Sciences related fields
- At least 5 years of work experience in the healthcare funding/medical scheme industry
- Must have experience in provider relations management
- Experience in case/ claims management will be advantageous
- Must have experience in the development and presentation of management reports
- Computer literacy and MS Office skills
- Sound Quantitative and qualitative analysis skills with ability to manage priorities
- Have ability to work well as part of a team
- Be responsible and reliable
- Have diligent work ethics with attention to detail
- Excellent communication and writing skills
- Have sound planning/project management skills
- Be a self-starter
- Own transport essential

**Job Type**: Permanent

**Experience**:

- healthcare funding/medical scheme: 5 years (preferred)



  • East London, South Africa Tsebo Group Full time

    **About Us**: FEDICS is recruiting a Patient Liaison Officer to join our team. In this role you will be required to** **ensure that all relationships between client, customer and FEDICS are effectively managed. As a leading African Integrated Workplace Management Solutions Provider, Tsebo Solutions Group offers clients **reduced costs, risk and...


  • East Rand, South Africa Unique Personnel Full time

    **Job Number** - 72833 **Job Type** - Permanent **Job Title** - Customer Liaison Officer **Computer Skills** - JD Edwards,MS Excel,MS Outlook,MS Word,Sales Force **Industry** - Engineering **City** - Ekurhuleni (East Rand) **Province** - Gauteng - REPORTING TO THE CUSTOMER LIAISON SUPERVISOR- JOB PURPOSE: - To provide an efficient customer liaison...


  • East Rand, South Africa Unique Personnel Full time

    **Job Number** - 66991**Job Type** - Permanent**Job Title** - Junior Customer Liaison Officer**Computer Skills** - Ms office Suite**Industry** - Engineering**City** - Ekurhuleni (East Rand)**Province** - Gauteng- REPORTING TO CUSTOMER LIAISON SUPERVISOR- JOB PURPOSE - To provide an efficient sales coordination service to Production and Sales - JOB FUNCTION-...


  • East Rand, South Africa Maccauvlei Learning Academy Full time

    **MACCAUVLEI LEARNING ACADEMY (Pty) Ltd** - **Vacancy for a Learner Liaison Officer (Temp)**_ Are you residing in the South/East of Johannesburg? Are you a **passionate** and **energetic** person who enjoys **making a difference** and is looking for a job in the customer services field? **LEARNER LIAISON OFFICER - Temp...


  • East Rand, South Africa Unique Personnel Full time

    **Job Number** - 68134 **Job Type** - Permanent **Job Title** - Client Liaison Officer **Computer Skills** - MS Office **Industry** - Manufacturing **City** - Ekurhuleni (East Rand) **Province** - Gauteng - REPORTING TO Sales Manager- PURPOSE OF THE JOB: To support the sales team by acting as the client liaison relating to orders, promotions and...


  • East London, Eastern Cape, South Africa Work Africa Full time

    At Work Africa, we are committed to promoting diversity and inclusion in the workplace. As a physically impaired office admin intern, you will play a vital role in supporting our team with general office duties, client liaison, data capturing, and tenant relation activities.The ideal candidate will possess strong organizational skills, excellent...


  • East London, South Africa Staff Unlimited Recruitment Full time

    Our client in the Manufacturing industry is seeking a **Key Account and Customer Liaison Manager** to join their team, based in East London. The successful candidate will lead the execution of all customer liaison activities between the Operation and Purchasing departments as well as facilitate and lead all necessary activities to ensure the commercial...

  • Client Liaison Offer

    9 months ago


    East London, South Africa E2E Staffing (PTY) LTD Full time

    **Job Description**: As Client Liaison Officer you will be the vital link between our clients and our studio. Your role involves managing client relationships, overseeing client onboarding, and ensuring high levels of customer satisfaction and service. **Key Responsibilities**: - Assist with client onboarding and ensure smooth transitions. - Communicate...


  • East London, South Africa Services SETA Full time

    **DUTIES** **Stakeholder liaison within the Provincial Office** - Liaise with stakeholders on relevant matters based on the mandate of the Provincial Office - Coordinate the submission of ATR/WSP by the stakeholders - Maintain and regularly update a data base of all accredited providers in the province - Record and keep details of any stakeholder who makes...

  • Office Technician

    2 weeks ago


    East London, South Africa Dimension Data Full time

    Are you looking for a job that will allow you to develop your skills, but also allows you to work with a team? Are you looking for an employer that values employee development and wants to invest in your future? Then this office technician role is perfect for you! This Office Technician is a offered on a fixed term basis and provides highly visible customer...

  • Legal Officer

    7 months ago


    East London, South Africa Staff Solutions Full time

    Opportunity Available!! Our leading client in the Business Development Sector is looking to employ a Legal Officer to join their dynamic team in East London. - Engage with legal service providers and debt collectors in respect of the legal process relating to debt recoveries and evictions and submissions of status reports to the senior legal advisor (primary...


  • East London, South Africa Work Africa Full time

    PHYSICALLY IMPAIRED OFFICE ADMIN. INTERN/EAST LONDON - MUST BE physically impaired (non-negotiable) – Medical Report to be submitted with application, IF NO MEDICAL REPORT, Application will not be considered. The office administration intern will assist with general office duties, client liaison, data capturing and tenant relation activities as determine...


  • PTA - East, South Africa Pillango Placements Full time

    At Pillango Placements, we are seeking a highly skilled Litigation Secretary Liaison to join our team. This is a unique opportunity to work in a dynamic legal environment and contribute to the success of our clients.About the RoleThis role will be responsible for managing the full litigation process from inception to completion, assisting in drafting,...

  • Office Technician

    1 week ago


    East London, South Africa Dimension Data Full time

    Provides highly visible customer support through the performance of on-site installation, as well as overseeing any necessary diagnoses, troubleshooting, service and repair of complex equipment and systems. Checks out and approves operational quality of system equipment. Instructs customers in the operation and maintenance of the system. Serves as a company...


  • East London, South Africa Jika Uluntu Full time

    **Job Title: PA/Office Administrator** **Department/Group: Administration** **Job Ref: POA2024** **Location: Jika Uluntu Office, Crossways Village Centre** **Travel required: No** **Level/Salary Range: R7 000 CTC negotiable** **Position Type: Fixed Term Contract** **Subject Line: PA/Office Administrator 2024** **HR Contact: Zozibini...

  • Office Technician

    7 days ago


    East London, South Africa Dimension Data Full time

    Are you looking for a new opportunity? Are you looking to work in an environment that values your opinion, where your skills and experience matter? We believe this position will suit your needs perfectly! Please read through and apply! Provides highly visible customer support through the performance of on-site installation, as well as overseeing any...


  • Pretoria East, South Africa Hallmark Professional Intake Full time

    We are recruiting for a motivated Customer Service Liaison Specialist to be the primary point of contact for all membership-related inquiries, requests, and concerns.Your responsibilities include answering and directing phone calls, assisting with membership-related issues, resolving complaints, and processing transactions.To succeed as a Customer Service...


  • East London, South Africa Abantu Staffing Solutions Full time

    **The purpose of the role is to**: - Engage with legal service providers and debt collectors in respect of the legal process relating to debt recoveries and evictions and submissions of status reports to the senior legal advisor (primary function) - Engage with legal service providers in respect of status confirmation of litigation matters - Providing...

  • Hse Officer

    7 months ago


    East London, South Africa HotelJobs.co.za Full time

    HSE Officer - Industrial Catering Environment - Port Elizabeth We're offering an exciting position for a dedicated Health and Safety expert to join our dynamic team. This role involves ensuring compliance with HSE protocols at managed sites, conducting site evaluations, and preparing incident documentation. **Minimum qualifications include a...

  • Office Manager

    7 months ago


    East London, South Africa Foundation for Professional Development (FPD) Full time

    **Job Title : Office Manager Annual salary (based on relevant experience and qualifications) : R440,037 - R498,565 Location : East London Department : Research Unit Reporting to : Head of Department **Main purpose of the position**: To effectively manage all operations in FPD’s Research Unit (RU) in line with FPD policies, procedures, and strategic...