Clinical Relationship Manager
2 weeks ago
**PLEASE ONLY APPLY IF YOU QUALIFY IN FULL. IF YOU DO NOT GET FEEDBACK WITHIN TWO WEEKS PLEASE CONSIDER YOUR APPLICATION TO BE UNSUCCESSFUL**.
Bachelor's degree in Business Administration and/ or Degree/Diploma in Nursing with management experience
Minimum 5-years experience within a healthcare provider liaison/ key account role within a managed healthcare/ medical scheme or medical sales environment
Excellent knowledge of pre-authorisation processes, healthcare service provider networks and other requirements within the medical scheme environment including but not limited to relevant legislation for g. the Medical Schemes Act
Valid drivers license
- Build and maintain relationships with all stakeholders (union groups, executives at contracted employer groups and healthcare service providers including hospitals and specialists)
- Establish and maintain productive, professional relationships with key personnel in assigned key customer accounts
- Establish and maintain a specialist healthcare provider network
- Coordinate and manage clinical service-related matters with all stakeholders
- Ensure clients expectations are met
- Coordinate the involvement of company personnel, including support, service and management of resources, in order to meet account performance objective
- Effective and holistic co-ordination of member care and management
- Perform site visits/ stakeholder contacts as required
- Attend to and resolve escalated member enquiries received from the various stakeholders within the agreed SLA
- Attend to general enquiries from healthcare service providers/members/employers/unions
- Handle all matters concerning assigned clients
- Administrative duties as required within the role
- Preparation of reports
- Remote benefit confirmation for any escalated pre-authorisation requests
- Effectively communicate with stakeholders, including members and healthcare service providers, re the outcome of pre-authorisation requests and/ or update of cases investigated
- Must be able to deliver quality relationships with all stakeholders
- Public speaking and presentation skills
- Negotiation skills
- Proficient with MS Office (Power Point, Excel, Word, Outlook)
- Self.motivated and the ability to work independently
- Excellent verbal and written communication skills
- Ability to manage high levels of pressure, demands and emotionally charged situations
- High degree of accuracy and attention to detail
- Administration and reporting skills
- Patient advocacy focus
- Must be willing to travel
- Must be able to maintain confidentiality
- Excellent time management
-
Clinical Relationship Manager
2 weeks ago
Pretoria, South Africa H2R Full timeGauteng, Tshwane (Pretoria) - Market related - Market related Monthly Cost To Company (Market related) Our client, in the Medical Industry has a permanent vacancy in for a client Relationship Manager. Th Company is an equal opportunity organisation with various businesses and/ or subsidiaries that service clients in the medical scheme and insurance...
-
Clinical Advisor
1 week ago
Pretoria, South Africa The Aurum Institute Full timeWork Description_ The Clinical Advisor is responsible for providing clinical advice and strategic direction to the to the support district/s and the appropriate internal and external clinical staff. They will building capacity among HCW to strengthen the TB HIV response and ensure clinical governance standards at all times. The position will assist the...
-
Senior Manager
6 days ago
Pretoria, South Africa Tych Business Solutions Full timeThe position of Senior Manager: Clinical Risk Management is vacant. The Senior Manager: Clinical Risk Management will report directly to the Chief Healthcare Officer and forms part of the Healthcare Division. The position is based in Head Office in Pretoria. The total remuneration package for this position is negotiable based on qualifications and...
-
Clinical Writer Expert
9 hours ago
Pretoria, Gauteng, South Africa MMS Holdings Inc Full timeAbout MMS Holdings IncWe support the pharmaceutical, biotech, and medical device industries with a unique blend of innovation and expertise.Our commitment to delivering high-quality results has earned us a reputation as a trusted partner, with a 97 percent customer satisfaction rating.We are currently seeking a highly skilled Medical Writer to join our South...
-
Clinical Account Manager
1 week ago
Pretoria, South Africa PPD Full time**JOB DESCRIPTION**: PPD is a leading global contract research organization providing comprehensive, integrated drug development, laboratory and lifecycle management services. At PPD, we are passionate, deliberate, and driven by our purpose - to improve health! This role is part of Accelerated Enrollment Solutions (AES), a business unit of PPD that offers...
-
Clinical Health Manager
7 days ago
Pretoria, Gauteng, South Africa MNA Recruitment Full timeThe MNA Recruitment team is seeking a skilled Clinical Health Manager to join their team. As a Clinical Health Manager, you will play a critical role in providing high-quality patient care and disease management services.Key Responsibilities:Develop and implement comprehensive patient care plans that address chronic disease management and health education...
-
Clinical Risk Management Specialist
4 days ago
Pretoria, Gauteng, South Africa ProDevelopment Group Full timeOverviewAbout Our TeamWe are a team of dedicated professionals passionate about delivering high-quality healthcare services. Our mission is to provide innovative solutions that improve patient outcomes and reduce clinical risks.SalaryCompensation PackageWe offer a comprehensive compensation package that includes a competitive salary and benefits. This...
-
Aesthetic Clinic Manager
3 weeks ago
Pretoria, South Africa Spatology Recruit Full timeGauteng, Gauteng, PTA East R 15000 Monthly Basic Plus Commission (Commission) Upmarket aesthetic clinic in Lynwood, Pretoria is looking for an Aesthetic Clinic Manager. Also serving as a Backup Aesthetic Therapist. Position is available immediately. JOB REQUIREMENTS: Monday - Sat 9am - 6pm Cidesco or Itec qualification Diploma in Somatology Confident and...
-
Clinical Research Physician
1 week ago
Pretoria, South Africa Thermo Fisher Scientific Full timeOur team of colleagues in clinical research services are at the forefront of getting cures to market. We bring a high caliber of scientific and clinical expertise to the development of drugs that address the world’s most challenging health concerns. Our Clinical Research team, who powers our PPD® clinical research portfolio, are part of our leading global...
-
Clinical Research Physician
1 week ago
Pretoria, South Africa Thermo Fisher Scientific Full time**PPD, now Thermo Fisher’s clinical research business, is a leading global contract research organization providing comprehensive, integrated drug development, laboratory and lifecycle management services.** **At PPD, we are passionate, deliberate, and driven by our purpose - to improve health!** **Accelerated Enrollment Solutions (AES) is a business...
-
Pretoria, Gauteng, South Africa New York Medical College Full timeKey ResponsibilitiesThe Clinical Research Project Manager will be responsible for:Managing clinical trials from start to finish, including contract negotiation and study closure.Supervising research coordinators to ensure timely completion of project milestones.Developing and maintaining relationships with sponsors, investigators, and research...
-
Clinical Operations Manager
7 days ago
Pretoria, Gauteng, South Africa Waco Africa Pty Ltd Full timeAbout the RoleThis is an exciting opportunity for an experienced and skilled Senior Medical Social Worker to join our team at Waco Africa Pty Ltd. As a Senior Medical Social Worker, you will have the opportunity to make a meaningful impact on the lives of our patients and their families.RequirementsMaster's degree in Clinical Social Work (MSW) from an...
-
Clinic Practitioner-Dainfern
2 days ago
Pretoria, Gauteng, South Africa Dis-Chem Pharmacies Full timeDis-Chem is looking for a Qualified Clinic Sister to join their team in Dainfern. The key purpose of the position is to manage and operate a profitable, Primary Health Care Clinic that is situated in a pharmacy within the scope of practice of a registered nursing practitioner.Minimum Requirements:Essential:Grade 12 – MatricTertiary qualification in General...
-
clinical educator
2 days ago
Pretoria, Gauteng, South Africa Emporium Human Capital Full timeCLINICAL EDUCATOR - ADVANCE WOUND CARE POS25073AArea : PretoriaSalary : R55000.00pm - R65000.00 pmRequired Experience Registered Nurse with a bachelors degreePreferred WHASA or recognized wound management certificate2+ years experience in a clinical setting working with patients and/or end usersPrevious medical industry experiences an assetDomestic travel...
-
Senior Manager: Clinical Consulting Services
1 week ago
Pretoria, South Africa Krypton Mining Full time**Key Responsibilities**: - Oversee the functioning of the Clinical Consulting Services sub-division, managing projects and day-to-day operations, including performance management, development, and implementation of operational plans. - Facilitate clinical support to other sub-divisions such as Benefits Management, Research & Monitoring, Legal Services,...
-
Clinical Training Specialist
3 days ago
Pretoria, Gauteng, South Africa LIFE Healthcare Group Full timeA vacancy exists for a Clinical Training Specialist, based at Life Eugene Marais Hospital reporting to Senior Nurse Manager. The successful candidate will be responsible for the overall purpose of the job.Critical OutputsEffective management of CPD & other programs for qualified nurses:Plan, co-ordinate and participate in nursing competency requirements of...
-
Clinical Associates X 5
1 week ago
Pretoria, South Africa AJ Personnel Full time**Main purpose of the job**: - To provide leadership and expertise in the comprehensive clinical management of people living with HIV, with a focus on those with complex and advanced clinical disease, COVID-19, and supported by National TB/HIV/ACC Advisor and facility teams, within designated hospitals and clinics - Serve as the team lead for the allocated...
-
Member Clinical Associate
1 week ago
Pretoria, South Africa iMedrecruit Full time**Member Clinical Consultant (Pre-authorisations), Pretoria** Our client, focusing on a risk and clinical assessment offering, is requiring a Member Clinical Consultant. **Roles and Responsibilities (but not limited to)**: - Attend to incoming calls from healthcare service providers and members/ beneficiaries. - Verification of the eligibility of cover...
-
Clinic Practitioner- Centurion Mall
5 days ago
Pretoria, Gauteng, South Africa Dis-Chem Pharmacies Full timeDis-Chem is looking for a Qualified Clinic Sister to join their team in Centurion Mall. The key purpose of the position is to manage and operate a profitable, Primary Health Care Clinic that is situated in a pharmacy within the scope of practice of a registered nursing practitioner.Minimum Requirements:Essential:Grade 12 – MatricTertiary qualification in...
-
Specialist Clinical Auditor
2 weeks ago
Pretoria, South Africa H2R Africa Full timevalid registration with SANC. Also financial background working in the accounts department of a hospital is a crucial requirement. Minimum 2 years experience working within a private hospitals account department responsible for raising accounts with and billing medical schemes. Sound knowledge of the South African Healthcare industry and prevailing...