Medical Consultant: HBM

2 months ago


Pretoria, Gauteng, South Africa Qetello Holdings Full time
{"title": "Medical Consultant: HBM", "content": "Job Summary

We are seeking a highly skilled Medical Consultant to join our team at Qetello Holdings. As a Medical Consultant, you will be responsible for delivering cost-effective managed healthcare services to our members. Your expertise in pre-authorization and negotiation skills will be essential in facilitating the pre-authorization process.

Key Responsibilities
  • Employ negotiation skills to facilitate the pre-authorization process.
  • Maintain accurate record-keeping and documentation of pre-authorization requests.
  • Provide cost-effective managed healthcare services primarily through email correspondence.
  • Utilize strong writing skills in both English and Afrikaans to effectively communicate with members.
  • Utilize computer skills and knowledge of MS Word, MS Excel, MS Office, Outlook, and Internet applications.
  • Demonstrate strong organizational skills, attention to detail, and ability to prioritize tasks effectively.
  • Maintain strong interpersonal communication skills and effectively work within a team environment.
  • Demonstrate a caring attitude and behavior towards members.
  • Adapt to change and management decisions to achieve common goals.
  • Utilize problem-solving techniques to address member queries and concerns.
  • Provide training to staff on a continual basis and demonstrate leadership skills.
  • Take responsibility for tasks and foster good interpersonal relationships with staff.
Requirements
  • Grade 12 qualification.
  • Ambulance Assistant or Auxiliary Nurse.
  • Active HPCSA/SANC Membership.
  • Minimum 5 years clinical related experience.
What We Offer
  • Competitive salary commensurate with experience.
  • Exceptional benefits program including 23 days of annual leave, 8-hour workday with a 30min break, life cover, disability benefits, funeral cover, pension fund, medical aid, and more.
  • Office perks: free parking, Wi-Fi, landline phone allowance, on-site gym, subsidized meals, free refreshments, Athletics Club, Pilates, and wellness programs.
  • Dynamic team interactions, recognition programs, and incentives.
How to Apply

Interested candidates should submit their CV and cover letter, highlighting their experience related to the job functions and skills listed above to Qetello Holdings with REF Pre Auth. If you do not hear back from us within 2 weeks of applying, please consider your application unsuccessful.

", "lang_code": "en-US"}

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