Healthcare Consultant: Managed Services Expert

2 weeks ago


Pretoria, Gauteng, South Africa Qetello Holdings Full time

Job Summary

We are seeking a skilled Junior Pre-Auth Consultant to join our team at Qetello Holdings, where you will play a vital role in delivering high-quality managed healthcare services. This role requires a strong understanding of medical practices and the ability to negotiate effectively with healthcare providers.

Key Responsibilities:

  • Employ negotiation skills to facilitate the pre-authorisation process for our members.
  • Maintain accurate and detailed records of pre-authorisation requests.
  • Provide cost-effective managed healthcare services through email correspondence and other communication channels.
  • Utilise strong writing and communication skills in both English and Afrikaans to effectively interact with members.
  • Develop and maintain strong organisational skills, attention to detail, and ability to prioritise tasks effectively.
  • Collaborate with team members to achieve common goals and objectives.
  • Provide training and support to staff members on a regular basis.

Requirements:

  • Grade 12 qualification.
  • Ambulance Assistant or Auxiliary Nurse qualification.
  • Active HPCSA/SANC membership.
  • Minimum 5 years' clinical experience.

Competitive Remuneration Package:

  • Competitive salary commensurate with experience.
  • Exceptional benefits package, including life cover, disability benefits, funeral cover, and a pension fund.
  • Free parking and gym facilities on site.
  • Subsidised meals and refreshments.
  • Dynamic team environment with recognition programs and incentives.

About Qetello Holdings:

Qetello Holdings is a leading medical scheme committed to delivering high-quality healthcare services to our members. We offer a dynamic work environment with opportunities for professional growth and development.


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