Service Providers
7 months ago
A reputable Medical Aid is seeking an experienced Consultant to join their Service Providers, Contracting and Research Department.
**Job Purpose**:
To provide optimal support to the Healthcare Providers on the network, expand the network and to promote the Scheme.
**Duties**:
- Proactive Management for short paid claims and Overcharged Claims.
- Increase referrals to top-ranked specialists.
- Compile, share and regularly update Q & A documents and arrange Q & A sessions for staff from all relevant departments at least quarterly.
- Specialists Contracting and Research Management.
- Support Manager and other Team Leaders in Tasks and initiatives beneficial to the Scheme and Managed Health Care & Service Providers.
**Requirements**:
- Grade 12
- Medical or Business related Degree
- Minimum 3 years in Health related/Medical Scheme environment.
- Minimum 3 years experience in Client Service/ Medical Representative/ interaction with Specialists.
**Job Types**: Full-time, Permanent
**Salary**: R10 517,82 - R20 586,77 per month
**Education**:
- Bachelors (required)
**Experience**:
- Client Services or Provider Networks: 2 years (required)
- Interacting with Specialists: 2 years (required)
- Medical Aid environment: 2 years (required)
-
A Service Provider to Provide a Research Grant
2 weeks ago
Pretoria, South Africa HSRC Recruitment Full time**Job Advert Summary**: **Nature of the Assignment** This workshop aims to provide HSRC research staff with a thorough **overview** of the entire research **grant proposal** development. Emphasis must be placed on: - Encouraging and supporting the researcher in the development of excellent grant proposals - Offering practical training to researchers who...
-
Financial Services Providers
7 months ago
Pretoria, South Africa Tipp Focus Full time**Purpose of the Job**: The objective of the role is to consider and assess client complaints against financial services providers in a procedurally fair, informal, economical, and expeditious manner. Applications are sought from dynamic, experienced leaders, with proven experience of the financial sector and track record of effective team management and...
-
Service Providers Practice Consultant
7 months ago
Pretoria, South Africa Qetello Holdings Full time**Job Title**:Service Providers Practice Consultant **Location**: Gauteng **About Our Client**: Our client is a leading medical scheme based in Pretoria, dedicated to providing comprehensive healthcare benefits to its members. They are committed to innovation, quality service, and the well-being of their clients. **Functions**: - Provide personalised...
-
Network Service Providers
7 months ago
Pretoria, South Africa Medpharm Recruitment Full time**Duties**: - Proactive Management for short paid claims and overcharged claims - Increase referrals to top-ranked Specialists - Compile, share and regularly update Q&A documents and arrange Q&A sessions for staff from all relevant departments at least quarterly - Specialists Contracting and Research Management - Supporting Management and other Team Leaders...
-
Service Providers: Practice Consultant
7 months ago
Pretoria, South Africa Medpharm Recruitment Full timeA Medical Aid in Pretoria is seeking a Service Provider Practice Consultant to join their Service Providers, Contracting and Research Department. **Duties**: - Proactively manage short paid and overcharged claims. - Increasing referrals to top-ranked Specialists. - Compiling, sharing and regularly updating Q&A documents and arranging Q&A sessions for staff...
-
General Service Officer
2 weeks ago
Pretoria, South Africa Church World Service Full time**Position Title**: General Services Officer **Reports To**: Administration Supervisor **Division**: Immigration & Refugee Program+ (IRP+) **Department**: Administration **Job Location**: Pretoria, South Africa **Grade Level**: Grade 5, Officer, National **Introduction***: Church World Service (CWS) is a not-for-profit, faith-based organization...
-
Service Providers System and Tariff Consultant
7 months ago
Pretoria, South Africa Medpharm Recruitment Full timeGrade 12 / Matric - A Completed Degree in Administration/ Business Administration/ Business Analytics/ Information Technology **Experience and Requirements**: - Minimum 3 years in a Medical Aid environment/ health related - Minimum 3 years experience in dealing with Provider claims and Medical Aid processes - Credit and Criminal clear - South African...
-
Specialist Analyst
1 month ago
Pretoria, South Africa Financial Sector Conduct Authority Full time**Purpose of the Job**: To assist the department in ensuring that the approved authorised Financial Services Providers (FSPs) and their Compliance Officers complies with the Financial Advisory and Intermediary Services (FAIS) legislation. The person appointed to these positions will report to the Manager. **Key Performance Areas**: - Analyse annual...
-
Communication Specialist
8 months ago
Pretoria, South Africa Medihelp Full time**What you will be doing**: You will be responsible for creating an exciting, and solid communication plan, and captivating content for healthcare professionals, including general practitioners, specialists, mental health professionals, and dentists. Your (extremely) strong writing and editing skills will come in handy when you create messages for product...
-
Sales Career Starter
7 days ago
Pretoria, Gauteng, South Africa The Unlimited Group LTD Full timeInsurance Sales Consultant OpportunityA very exciting career opportunity exists for experienced sales professionals looking for a new challenge.About The Unlimited Group LTDWe are a reputable company established in 1994, partnered with well-known brands and offering huge potential for growth.Job DescriptionWe are seeking an individual with a good work ethic,...
-
Office Cleaning Professional
2 months ago
Pretoria, Gauteng, South Africa Prestige cleaning service Full time R7 000 - R7 500 per monthWe are Prestige cleaning service, a reputable company that provides top-notch office cleaning services. As an Office Cleaning Professional, you will play a vital role in maintaining the cleanliness and organization of our clients' workplaces. We are seeking a reliable and efficient individual who can deliver exceptional results.The successful candidate will...
-
Office Cleaning Professional
6 days ago
Pretoria, Gauteng, South Africa Prestige cleaning service Full time R7 000 - R7 500 per monthWe are Prestige cleaning service, a reputable company that provides top-notch office cleaning services. As an Office Cleaning Professional, you will play a vital role in maintaining the cleanliness and organization of our clients' workplaces. We are seeking a reliable and efficient individual who can deliver exceptional results.The successful candidate will...
-
Wealth Planning Specialists
6 days ago
Pretoria, South Africa EQ-FIN Full timeConsider a career as an EQ-FIN Wealth Planning Specialist Company Description EQ-FIN is an outsourced assurance management company based in the Johannesburg, Pretoria, Durban and Cape Town. We represent Liberty Group Ltd and STANLIB in the South African financial services industry. Our vision is to be the first choice for clients and financial advisory...
-
Office Cleaner Position
2 months ago
Pretoria, Gauteng, South Africa Prestige cleaning service Full time R7 000 - R7 500 per monthPrestige Cleaning Service is looking for an experienced office cleaner to join our team. As a key member of our team, you will be responsible for ensuring the highest standards of cleanliness and organization in our offices.Your key responsibilities will include:Cleaning and sanitizing offices, bathrooms, and common areasProviding excellent customer service...
-
Office Cleaner Position
2 months ago
Pretoria, Gauteng, South Africa Prestige cleaning service Full time R7 000 - R7 500 per monthPrestige Cleaning Service is looking for an experienced office cleaner to join our team. As a key member of our team, you will be responsible for ensuring the highest standards of cleanliness and organization in our offices.Your key responsibilities will include:Cleaning and sanitizing offices, bathrooms, and common areasProviding excellent customer service...
-
Janitorial Staff Needed
7 days ago
Pretoria, Gauteng, South Africa Prestige cleaning service Full time R7 000 - R7 500 per monthWe are seeking a dedicated and hardworking janitorial staff member to join our team at Prestige Cleaning Service. As a key member of our team, you will be responsible for ensuring the highest standards of cleanliness and organization in our offices.Your key responsibilities will include:Providing excellent customer service to our clients and...
-
Janitorial Staff Needed
7 days ago
Pretoria, Gauteng, South Africa Prestige cleaning service Full time R7 000 - R7 500 per monthWe are seeking a dedicated and hardworking janitorial staff member to join our team at Prestige Cleaning Service. As a key member of our team, you will be responsible for ensuring the highest standards of cleanliness and organization in our offices.Your key responsibilities will include:Providing excellent customer service to our clients and...
-
Financial Advisory Specialists
5 days ago
Pretoria, South Africa EQ-FIN Full timeConsider a career as an EQ-FIN Financial Advisory Specialist At EQ-FIN (an affiliate of Liberty Group), we are on an ongoing entrepreneurial quest evolving through excellence that drives quality, and securing wealth by connecting people with life solutions for financial freedom. We want to secure the future dreams, aspirations and career plans you have for...
-
Sales Consultant
2 months ago
Pretoria, South Africa EQ-FIN Full timeWHO ARE WE? We are one of Liberty's top producing franchises with a large national footprint. At EQ-FIN we pride ourselves on offering a bespoke value proposition to Liberty Financial Advisors, Leadership Team and Employees. We are an organisation driven by a purpose: we want to secure the future dreams, aspirations and plans everyone has for themselves and...
-
Logistics Carrier Sales Representative
7 months ago
Pretoria West, South Africa Smartworks Service Full time**Position Overview**: **Responsibilities**: - Carrier Acquisition: Identify, engage, and onboard new carriers to fortify our network and meet the evolving needs of our clientele. - Relationship Management: Foster enduring partnerships with existing carriers to cultivate loyalty and encourage repeat business. - Negotiation: Skillfully negotiate competitive...