Clinical Authorizer

Job SummaryWe are seeking a skilled Clinical Authorization Specialist to join our Pre-Authorization Call Centre team. As a key member of our team, you will be responsible for authorizing hospital authorization requests, ensuring that requirements of clinical appropriateness, medical necessity, and clinical risk management are met.Key ResponsibilitiesApply...

As a Clinical Authorization Specialist at Palesa Mbali Group, you will play a crucial role in ensuring that hospital authorization requests are processed efficiently and effectively. Your primary responsibility will be to review and authorize requests, ensuring that they meet the necessary clinical criteria, medical necessity, and risk management...

Job Title: Prospective ReviewerAt Palesa Mbali Group, we are seeking a highly skilled and experienced Prospective Reviewer to join our Pre-Authorization Call Centre team.Key Responsibilities:Authorize hospital authorization requests by applying coding principles, medical scheme rules, and benefits, as well as managed care policies and processes.Capture...

Job Title: Prospective ReviewerAt Palesa Mbali Group, we are seeking a highly skilled and experienced Prospective Reviewer to join our Pre-Authorization Call Centre team.Key Responsibilities:Authorize hospital authorization requests by applying coding principles, medical scheme rules, and benefits, and managed care policies and processes.Capture accurate...

{"title": "Clinical Trials Medical Officer", "subtitle": "Join our team at the University of Cape Town Lung Institute", "content": "We are seeking a highly skilled and experienced Clinical Trials Medical Officer to join our team at the University of Cape Town Lung Institute. The successful candidate will be responsible for the clinical management of study...

Job OverviewAs a Regulatory and Site Activation Manager at IQVIA, you will play a critical role in ensuring the successful delivery of site activation and maintenance activities for selected studies or multi-protocol programs. Your expertise will be instrumental in overseeing the scope of work, budget, and resources to meet project timelines.Key...

Job Overview:As a key member of our team at IQVIA, the Regulatory and Site Activation Manager will be responsible for the delivery of site activation, maintenance, and regulatory activities for selected studies or multi-protocol programs. This role will oversee the execution of site activation and maintenance, ensuring adherence to project timelines and...

Job Overview As a key member of the IQVIA team, you will be responsible for leading the delivery of site activation, maintenance, and regulatory activities for selected studies or multi-protocol programs. This will involve overseeing the scope of work, budget, and resources, as well as pre-award activities.Key ResponsibilitiesOversee the execution of site...

{"Job Description":{"title":"Head of Regulatory Advocacy","company":"HR Genie","location":"","industry":"Pharmaceuticals","job_type":"Full-time","experience":"7-10 years","education":"Bachelor's degree in Pharmacy, Life Sciences, or a related field (required). Advanced degree (Masters or PhD) in Regulatory Affairs, Pharmaceutical Sciences, or a related...

Job Title: Head of Regulatory AdvocacyWe are seeking a highly experienced professional to lead our regulatory advocacy and market access efforts. As the Head of Regulatory Advocacy, you will be responsible for developing and executing strategies to navigate regulatory environments, promote policy frameworks, and secure market access for pharmaceutical...

Job Title: Rehabilitation Admissions ConsultantImmploy is seeking a highly skilled Rehabilitation Admissions Consultant to join our team. As a key member of our rehabilitation team, you will be responsible for coordinating the admission process for patients referred to our rehabilitation unit.Key Responsibilities:Travel and Conduct Patient Assessments:...

Job Title: Rehabilitation Admissions ConsultantImmploy is seeking a highly skilled Rehabilitation Admissions Consultant to join our team. As a key member of our rehabilitation team, you will be responsible for coordinating the admission process for patients referred to our rehabilitation unit.Key Responsibilities:Travel and Conduct Patient Assessments:...

Job Title: PharmacistWe are seeking a skilled Pharmacist to join our team at Heritage Manor in Somerset West. As a key member of our multidisciplinary team, you will play a vital role in providing top-notch pharmaceutical services to our patients and residents.Job Summary:The successful incumbent will be responsible for dispensing medicines, evaluating...

Key ResponsibilitiesWe are seeking a highly skilled Rehabilitation Admissions Consultant to join our team at Immploy. As a key member of our team, you will be responsible for:Conducting patient assessments at acute hospitals or homes and coordinating rehabilitation admissions for all patient referrals.Liaising with funders to obtain authorization for...

**Clinical QA Administrator** - Permanent Part-time position available:_ Workability (Pty) Ltd is looking for a part-time clinical quality assurance agent to review physio and occupational therapy pre-authorization requests, assessments and reporting. Based in Cape Town. - Qualified Occupational Therapist or Physiotherapist - 2-3 years clinical experience,...

**Description** **Description** **Who is USP?** The U.S. Pharmacopeial Convention (USP) USP is an independent scientific organization that collaborates with the world's top experts in health and science to develop quality standards for medicines, dietary supplements, and food ingredients. USP's fundamental belief that **Equity = Excellence** manifests in...

**Prospective Reviewer (Pre-Authorization Call Centre)** The Prospective Reviewer role within the pre-authorization call centre, is responsible for authorizing hospital authorization requests ensuring that requirements of clinical appropriateness, medical necessity and clinical risk management are met. **Key Activities**: - Capture accurate...

Prospective Reviewer (Pre-Authorization Call Centre) The Prospective Reviewer role within the pre-authorization call centre, is responsible for authorizing hospital authorization requests ensuring that requirements of clinical appropriateness, medical necessity and clinical risk management are met. Key Activities:Authorizing hospital authorization requests...

Prospective Reviewer (Pre-Authorization Call Centre)   The Prospective Reviewer role within the pre-authorization call centre, is responsible for authorizing hospital authorization requests ensuring that requirements of clinical appropriateness, medical necessity and clinical risk management are met.   Key Activities: Authorizing hospital authorization...

Prospective Reviewer (Pre-Authorization Call Centre) The Prospective Reviewer role within the pre-authorization call centre, is responsible for authorizing hospital authorization requests ensuring that requirements of clinical appropriateness, medical necessity and clinical risk management are met. Key Activities:Authorizing hospital authorization requests...

Prospective Reviewer (Pre-Authorization Call Centre) The Prospective Reviewer role within the pre-authorization call centre, is responsible for authorizing hospital authorization requests ensuring that requirements of clinical appropriateness, medical necessity and clinical risk management are met. Key Activities:Authorizing hospital authorization requests...

**Description** **Description** **Who is USP?** The U.S. Pharmacopeial Convention (USP) USP is an independent scientific organization that collaborates with the world's top experts in health and science to develop quality standards for medicines, dietary supplements, and food ingredients. USP's fundamental belief that **Equity = Excellence** manifests in...

Prospective Reviewer (Pre-Authorization Call Centre) The Prospective Reviewer role within the pre-authorization call centre, is responsible for authorizing hospital authorization requests ensuring that requirements of clinical appropriateness, medical necessity and clinical risk management are met. Key Activities: - Authorizing hospital authorization...

**Main Tasks and Responsibilities** The following duties are normal for this position. The omission of specific statements of the duties does not exclude them from the classification if the work is similar, related, or a logical assignment for this classification. **Essential Functions** **Leadership** - Demonstrates a professional respect and commitment...

**Introduction** Momentum Health Solutions, an entity of Momentum Metropolitan Holdings delivers sustainable,integrated health solutions that meet the needs of clients in the different segments and maximise lifetime client value. We build andmaintain a culture of innovation,and create value through unique insights of how to achieve specific outcomes by...

Description Kenvue is currently recruiting for: **Senior Regulatory Affairs Specialist** This position reports into the Senior Manager: Regulatory Affairs and is based in Cape Town, South Africa. **Who We Are** At Kenvue, we realize the extraordinary power of everyday care. Built on over a century of heritage and rooted in science, we’re the house of...

Case manager Key Responsibilities: - Provide appropriate clinical information to medical aids - Code all patients with ICD10 and CPT4 codes - Accompany Managed Care Organisation Case Managers on ward rounds - Assist with final authorization of patient files - Control costs for patients - Consult with all service suppliers regarding treatment and phone for...

Minimum Requirements:MBChBRegistration with Health Professions Council of South Africa (HPCSA)5 years experience within a clinical trials environment as a sub-investigator, which should include writing study protocolsExperience working on industry-sponsored trials (5-years or more)Must have produced academic outputs (at least two first author...

Minimum Requirements:MBChBRegistration with Health Professions Council of South Africa (HPCSA)5 years experience within a clinical trials environment as a sub-investigator, which should include writing study protocolsExperience working on industry-sponsored trials (5-years or more)Must have produced academic outputs (at least two first author...

Minimum Requirements: MBChB Registration with Health Professions Council of South Africa (HPCSA) 5 years experience within a clinical trials environment as a sub-investigator, which should include writing study protocols Experience working on industry-sponsored trials (5-years or more) Must have produced academic outputs (at least two first author...

Description recruiting for: **Senior Regulatory Affairs Specialist** This position reports into Head of Regulatory Operations and is based at Cape town, Western Cape. **Who We Are** At Kenvue, we realize the extraordinary power of everyday care. Built on over a century of heritage and rooted in science, we’re the house of iconic brands - including...

**Christopher Group is looking for a Solicitor to join their team!!** **Overall responsibility**: - Drafting technical letters of advice / instructions to clients, experts, and third parties. - Drafting standard and technical witness statements. - Corresponding with Defendants and the Courts. - Keeping a clear and accurate note of all calls on our case...

**Position Description** **Job Title**:Director, Community Engagement **Location**: Cape Town or Remote in South Africa, Nairobi Kenya **Reports to**: Senior Director, Global Clinical Operations **Position Summary**: Are you passionate about Clinical Research and eager to make a difference in a mission-driven organization? IAVI is seeking an experienced...

Job Summary: In this role, you will provide expert guidance on underwriting and risk assessment, helping the team make informed decisions about the coverage limits for various veterinary procedures. The successful candidate will play a key role in shaping policies and ensuring claims are resolved accurately and fairly, based on sound veterinary knowledge....