Specialist Provider Networks- Medical Aid Experience
2 weeks ago
The role manages effectiveness and efficiency of managed care programme performance through MCO SLA management. 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
-
Head of Medical Aid
3 weeks ago
Johannesburg, South Africa LMP RECRUIT Full timeRE5 Exam & FSCA approved qualification 5 years experience in Insurance industry at Managerial/Senior level Knowledge of Medical Aid/Medical Insurance and GAP cover with ability to craft comprehensive comparisons and solutions for clients Knowledge of regulatory requirements as well as compliance with FAIS and FICA Responsibilities : Act as primary contact...
-
Head of Medical Aid
4 weeks ago
Johannesburg, 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...
-
Clinical Coding Specialist
4 weeks ago
Johannesburg, South Africa Medpharm Recruitment Full timeA reputable Managed Healthcare is seeking a Clinical Coding Specialist to provide ongoing maintenance of various coding structures to enable the administration and managed care businesses. This role will ensure all outputs, systems and processes comply to regulatory and coding requirements and the maintenance of SOPs and shared sites. **Requirements**: -...
-
Medical Receptionist to Specialist Psychiatrist
4 weeks ago
Johannesburg, South Africa Dr Ryola Singh - Specialist Psychiatrist Full time**Job Title**:PA & Medical Receptionist to Specialist Psychiatrist in Randburg **Experience Required**: minimum 2 years working as a medical receptionist **Employment type**:Full Time, onsite **Salary**:R15 000 gross per month (depending on experience) **Hours**: 8:30 am to 5pm (Mon-Fri) - pressured, complex and intense. - **Must be above 35 years old**...
-
Junior Bookkeeper
4 weeks ago
Johannesburg, South Africa iMedrecruit Full timeAbout the job Junior Bookkeeper (Medical Practice Experience) Roodepoort **Junior Bookkeeper (Medical Practice Experience) Roodepoort, Gauteng** Our client, a Specialist Oncologist, is seeking to recruit a junior bookkeeper with medical billing and collections knowledge to manage the financial aspects of the practice and who has the ability to prepare...
-
Medical Credit Controller
4 weeks ago
Johannesburg, South Africa Qetello Holdings Full timeTogether with our client, a leading claims administrator in Johannesburg North, 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 policyExperience...
-
Medical Credit Controller
4 weeks ago
Johannesburg, South Africa Qetello Holdings Full timeTogether with our client, a leading claims administrator in Johannesburg North, 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 policyExperience...
-
Executive Medical Receptionist/pa
4 weeks ago
Johannesburg, South Africa Careforce Medical Recruitment Full timeOur client a private medical practice is looking for an Executive Medical Receptionist/PA in Johannesburg West. The individual will be an ambassador for the practice and attend to all the necessary responsibilities with professionalism and excellent patient care. The practice encompasses two doctors of highly specialized fields thus the individual needs to...
-
Top Performer Call Centre
5 days ago
Johannesburg, South Africa Isilumko Staffing Full timeLooking for a TOP performer, with call centre sales experience, if you have a RE 5 certificate that is a PLUS, AND if you have 1 year and 6 months' call centre experience with a RE 5 certificate that would be ideal! Offer medical aid to customers Must be able to make more than 4 sales per day comfortably Excellent at objection handling Great telephone...
-
Top Performer Call Centre
4 weeks ago
Johannesburg, South Africa Isilumko Staffing Full timeLooking for a TOP performer, with call centre sales experience, if you have a RE 5 certificate that is a PLUS, AND if you have 1 year and 6 months' call centre experience with a RE 5 certificate that would be ideal!Offer medical aid to customersMust be able to make more than 4 sales per day comfortablyExcellent at objection handlingGreat telephone...
-
Environmental Services Aide
1 month ago
Johannesburg, 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...
-
B2b Sales Executive
4 weeks ago
Johannesburg, South Africa Teltonika Networks Full timeDuring 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 IoT products from GPS tracking...
-
Aviation Medical Assessor
3 weeks ago
Johannesburg, South Africa DPT Recruitment Full time**Job Purpose** Responsible for ensuring ICAO compliance with regards to medical requirements, compliance of air ambulance operators, appropriate aviation medicine training of flight crew, oversight of airport clinics and first aid rooms and to participate in accident investigation. **Oversight of the medical certification processes and procedures** -...
-
Junior Bookkeeper
4 weeks ago
Johannesburg, South Africa iMedrecruit Full timeAbout the job Junior Bookkeeper (Medial practice experience), Parktown West **Junior Bookkeeper (Medical Practice Experience) Parktown West, Gauteng** Our client, a Specialist Oncologist, is seeking to recruit a junior bookkeeper with medical billing and collections knowledge to manage the financial aspects of the practice and who has the ability to...
-
Billing Application Specialist Ctc: Neg
4 weeks ago
Johannesburg, South Africa Cryanic Medical Solutions Full time**Billing Application Specialist CTC: Neg.**: Start date “immediately” **Job Purpose** To support, train and generally grow the Cryanic Billing software product **Responsibilities** - Billing system training - Billing system problem solving - Billing system testing **Requirements**: - Minimum 5 years in medical accounts environment - Relevant...
-
Network Sales Specialist
4 weeks ago
Johannesburg, South Africa BASHR Consulting Full timeExciting news! A well-established Tech firm is seeking a vibrant and energetic Network Sales Specialist to join their dynamic team. You will be responsible in driving sales for the organization and manage client service. You will be required to manage a team in new and ongoing engagements with clients throughout the sales process as well as beyond that to...
-
Hiv/aids, Tb and Sti
4 weeks ago
Johannesburg, South Africa Unique Personnel Full time**Job Number** - 70976 **Job Type** - Permanent **Job Title** - HIV/AIDS, TB and STI (HAST) Specialist **Computer Skills** - Ms Office **Industry** - Department **City** - Johannesburg (Incl. Northern Suburbs) **Province** - Gauteng **Experience**: - 5 years relevant experience in EHW/EAP, with 3years experience at ASD level or equivalent**Inherent...
-
Network Sales Specialist
4 weeks ago
Johannesburg, South Africa BASHR Consulting Full time**Job Details**: **Department** **Information Technology** **Minimum experience** **Mid-Senior** **Company primary industry** **Information Technology and Services** **Job functional area** **Information Technology** **Salary** **R700 000 - R1 152 000 per annum** Exciting news! A well-established Tech firm is seeking a vibrant and energetic Network...
-
Medical Specialist Grade 1
4 weeks ago
Johannesburg, South Africa University of the Witwatersrand Full time**Re** - Reference Number**:refs/01010** - Department**:PAEDIATRICS AND CHILD HEALTH** - Number of Posts**:1** - Duration** **:1 May to 31 December 2026 - Package**:Grade 1: R 1** R153 8160.00** (All-inclusive package)** **Requirements**: - Grade I: Appropriate qualification that allows for registration with HPCSA as a Medical Specialist in Paediatrics....
-
Network Infrastructure Specialist
7 days ago
Johannesburg, South Africa Adzuna ZA B C2 Full timeOne of our clients in the Mining industry has a 12 month contract position for a Network Infrastructure Specialist. This is a hybrid working position. The purpose of this position is to ensure the robustness and continuous availability of all IM (Commercial, OT, and Business) network infrastructure components crucial for facilitating technical mining...