Clinical Pre Auth Team Lead

2 months ago


Durban, KwaZulu-Natal, South Africa MMI Holdings Ltd Full time
Job Title: Clinical Pre Auth Team Leader

Momentum Health Solutions, a leading provider of integrated health solutions, is seeking a highly skilled Clinical Pre Auth Team Leader to join our team.

Job Summary:

The Clinical Pre Auth Team Leader will be responsible for coordinating and monitoring a beneficiary's in and out of hospital healthcare needs to manage quality and costs in line with clinical guidelines and protocols.

Key Responsibilities:
  • Lead and manage a team of healthcare professionals to ensure effective coordination of healthcare services
  • Develop and implement strategies to improve quality and cost efficiency of healthcare services
  • Collaborate with funders, hospitals, and service providers to ensure seamless delivery of healthcare services
  • Monitor and analyze healthcare data to identify trends and areas for improvement
  • Develop and maintain relationships with key stakeholders to ensure effective communication and collaboration
Requirements:
  • Matric qualification
  • Registered nurse or BPharm with at least 3 years' experience
  • Registration with the professional bodies (SANC/SAPC)
  • At least 3 years' demonstrated experience in a team leader or leadership role
  • Previous experience or knowledge of the healthcare industry, financial services, and insurance will be an added advantage
Competencies:
  • Business acumen
  • Advanced Excel skills
  • Report writing skills
  • Client/stakeholder commitment
  • Drive for result
  • Leads change and innovation
  • Motivating and inspiring team
  • Self-awareness and insight
  • Diversity and inclusiveness
  • Growing talent


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