Clinical Relationship Consultant

2 weeks ago


Pretoria, South Africa Careforce Recruitment Full time

Position: Clinical Relationship Consultant

Location: Head Office Pretoria (on-site)

**Salary**: Market related CTC package that includes medical scheme and provident fund

**Summary of Responsibilities**
- 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.

**Qualifications and experience**
- Bachelor’s degree in business administration and/ or Degree/Diploma in Nursing with management experience.
- Must be registered with SANC.
- 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 e.g. the Medical Schemes Act.
- Valid driver’s license

**Skills and Competencies**
- Public speaking and presentation skills
- Negotiation skills, Excellent time management
- Proficient with MS Office (Power Point, Excel, Word, Outlook
- Excellent verbal and written communication skills, Self-motivator and the ability to work independently.
- 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

Ability to commute/relocate:

- Pretoria, Gauteng: Reliably commute or planning to relocate before starting work (required)

Application Deadline: 2023/06/30



  • Pretoria, South Africa H2R Africa Full time

    **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...


  • Pretoria, South Africa Recruitforce Group Full time

    Our client, a managed care organisation in Pretoria are currently looking for a Member Care Clinical Consultant (Pre-authorisations). - **You will be required to work shifts between 07h00 and 19h00 (Monday to Sunday).**_ **Reporting to**:Operations Manager: Contact Centre **Location**:Head Office - Lynnwood, Pretoria (On-site) **Salary**:Market related...


  • Pretoria, South Africa Careforce recruitment Full time

    Our client, a medical aid scheme in Pretoria are currently looking for a **Clinical Auditor/Snr Clinical Auditor. **This is a full-time hybrid position, and it will be expected of the successful individual to work at the office at least 3 days a week. About the role: To conduct clinical/coding audits according to the established internal, IIA and ISACA...


  • Pretoria, South Africa Nurses on Call Full time

    Urgently looking for The Clinical Facilitator within Pretoria and Johsnnesburg area to be responsible for the facilitation of teaching and learning of the theoretical and clinical component in a clinical environment to reinforce the learning process as well as the integration of theory and practice to reinforce the learning...


  • Pretoria, South Africa Careforce Recruitment Full time

    **Position**:Member Care Clinical Consultant (Pre-authorisations) **Reporting to**: Operations Manager: Contact Centre **Location**:Head Office - Lynnwood, Pretoria (On-site) **Salary**: Market related CTC package that includes medical scheme and provident fund - **You will be required to work shifts between 07h00 and 19h00 (Monday to...


  • Pretoria, South Africa Careforce Recruitment Full time

    Position**:Member Care Clinical Consultant (Pre-authorisations)** Reporting to**:Operations Manager: Contact Centre Location: Head Office - Lynnwood, Pretoria **Salary**: Market related CTC package that includes medical scheme and provident fund **Qualifications**: - Registered/ Enrolled Nurse - Valid registration with SANC - _You will be required to work...


  • Pretoria, South Africa Secondments (Pty) Ltd Full time

    The company is looking for a highly motivated, efficient, and enthusiastic person to provide clinical veterinary services for the Centre for Wildlife Health for the animal collections of the National Zoological Gardens and to render a variety of activities such as diagnosis and treatment, necropsies, preventive medicine program, husbandry support, game...


  • Pretoria, South Africa Ultra Personnel Full time

    Minimum of Grade 12 or equivalent Individual must have medical device or medical equipment sales / rentals experience. Minimum of 2-5 years medical industry sales experience is essential Relevant tertiary qualification will be an advantage Strong Clinical knowledge Basic computer literacy skills in MS Excel and Outlook Valid drivers license (Code...


  • Pretoria, South Africa Secondments Recruitment Full time

    **Job Advert Summary**: company is looking for a highly motivated, efficient, and enthusiastic person to provide clinical veterinary services for the Centre for Wildlife Health for the animal collections of the National Zoological Gardens and to render a variety of activities such as diagnosis and treatment, necropsies, preventive medicine program, husbandry...


  • Pretoria, South Africa CTU Career Chatz Full time

    The person in the position of **Recruitment & Alumni Consultant** is responsible for the recruitment both internal and external, placement of students and building an alumni base in order to meet or exceed company goals. The executive management of CTU will provide management direction. **_ Responsibilities_** - Keep track of recruiting metrics (e.g....


  • Pretoria, South Africa Absa Bank Limited Full time

    Bring your possibility to life! Define your career with us - With over 100 years of rich history and strongly positioned as a local bank with regional and international expertise, a career with our family offers the opportunity to be part of this exciting growth journey, to reset our future and shape our destiny as a proudly African group.Job...


  • Pretoria, South Africa South African Reserve Bank Full time

    The main purpose of this position is to manage supplier relationships and performance for an allocated portfolio on behalf of the South African Reserve Bank (SARB) and its subsidiaries, in order to embed a resilient supply chain. Detailed Description Implement the Supplier Relationship Management (SRM) program for all suppliers segmented as strategic or...

  • Medical Pre-Authorisation Consultant

    Found in: Talent ZA C2 - 3 weeks ago


    Pretoria, South Africa Qetello Holdings Full time

    Together with our client in Pretoria, we are recruiting for a Medical Pre-Authorisation Consultant. The ideal candidate must have a completed qualification as an Enrolled Nurse and must be registered with SANC, with at least 2 years experience in Managed Healthcare.Duties and responsibilities: Receive applications for all services, which require...


  • Pretoria, South Africa Nedbank Full time

    **Job Req** - 127384- Closing Date- 06 July 2023- Career Stream- Client Service **Location** - Manage Self: Professional **Job Purpose** - To build and develop strategic relationships with all business units within Nedbank to create business opportunities for staff banking; in line with the Nedbank business strategy. **Responsibilities**: - Contribute to...


  • Pretoria, South Africa Abt JTA Full time

    We are currently seeking expressions of interest for mid-career (5+ years of experience) and senior (10+ years of experience) professionals in the international development - health sector. We are particularly keen to hear from full-time consultants with an established track record in the delivery of high-quality short-term technical assistance. If you have...


  • Pretoria, South Africa Nedbank Full time

    **Requisition & Talent Acquisition Consultant Details** - REQ 123516 - Twanette Coetser - Closing Date - 19 January 2023**Cluster & Location** - Total Business Banking and Retail - Relationship Management- Centurion, Pretoria, Gauteng- Career Stream- Relationship Management - Leadership Pipeline- Manage Self: Professional - FAIS Affected- FAIS Affected -...


  • Pretoria, South Africa RecruitForce Full time

    Position**:Coordinator: Member Care** **(Pre-Reporting to: Contact Centre Operational Manager)** Location: On-site at the Head Office, Pretoria - **Please Note: You will be required to work shifts between 7h00 and 19h00 (Monday to Sunday)**_ **Qualifications**: - Registered/ Enrolled Nurse - Valid registration with SANC **Skills and Competencies...


  • Pretoria, South Africa Recruitforce Group Full time

    Position: Coordinator: Member Care (Pre-authorisations) Reporting to: Contact Centre Operational Manager Location: On-site at the Head Office, Pretoria _**You will be required to work shifts between 7h00 and 19h00 (Monday to Sunday)**_ **Qualifications**: - Registered/ Enrolled Nurse - Valid registration with SANC **Skills and Competencies Required**: -...

  • Product Consultant

    17 hours ago


    Pretoria, South Africa Smollan Full time

    We're on the lookout for a **Product Consultant** in **PTA-Silver Lakes **to create and increase brand awareness through maintaining pricing, shelf health, promotions, training of instore sales consultants and strong customer and client relationships. **As a Product Consultant, you will be responsible for**: - Administration - Shelf Health - Implementation...

  • Broker Consultant

    2 days ago


    Pretoria, South Africa HRInsync Full time

    **Business Consultant/ Broker Consultant - PTA** - **Introduction**_ Top Medical Aid company in SA striving to be #1! - **Purpose**_ Responsibility and accountability for executing broker training, support and relationship building in order for the company to be positioned as the Scheme of choice for the Intermediary and their clients. To implement...