Consultant Medical Management

1 month ago


East London, South Africa Jobted ZA C2 Full time

Qualifications and Experience:

- Bachelors Degree/Advanced Diploma in Health Sciences /Medical related qualification.
- Registration with HPCSA/SANCA
- Relevant 3 years experience in a Medical related environment
- Conduct medical assessment and compile injury assessment reports.
- Conduct assessments and bill reviews on submitted claims, focusing on the appropriate level of care, the length of stay, and quality of care.
- Escalation of complex cases for multi-disciplinary review and adjudication.
- Participate in the consultations process on the implementation of medical claims processes.

Technical Competencies:

- Claims management process/ processes and systems.
- Medical product management
- Medical bill reviewing
- Medical case management
- Complex problem identification, solving and decision making Customer value proposition
- Strong clinical analytical capabilities
- Knowledge of motor vehicle accident legislation
- Planning, Organising and Coordinating.
- Personal Mastery.
- Judgement and Decision Making.
- Ethics and Values.
- Client Service Orientation.

Please note that if you have not received a response within 14 days of submitting your application that your application was unsuccessful.



  • East London, South Africa Nambiti Technologies Full time

    Purpose of the job: The Consultant: Medical Management is responsible to implement the medical management activities, medical exception handling and providing administration support in claims processing. Key Performance Areas Medical management Conduct medical assessment and compile injury assessment reports. Conduct assessments and bill reviews on submitted...


  • East london, South Africa Nambiti Technologies Full time

    Purpose of the job: The Consultant: Medical Management is responsible to implement the medical management activities, medical exception handling and providing administration support in claims processing. Key Performance Areas Medical management Conduct medical assessment and compile injury assessment reports. Conduct assessments and bill reviews on...


  • East London, South Africa Jobted ZA C2 Full time

    Purpose of the job: The Consultant: Medical Management is responsible to implement the medical management activities, medical exception handling and providing administration support in claims processing. Key Performance Areas Medical management - Conduct medical assessment and compile injury assessment reports. - Conduct assessments and bill reviews on...


  • East London, Eastern Cape, South Africa Nambiti Technologies Full time

    Nambiti Technologies is seeking an experienced Senior Medical Management Specialist to join our team.The ideal candidate will have a strong background in medical management, with at least 3 years of experience in a related environment. They will be responsible for implementing medical management activities, handling exceptions, and providing administration...


  • East London, South Africa AIDS Healthcare Foundation Full time

    **Job Summary** The Provincial Medical Manager directly oversees all medical activities, at all supported facilities in the located in the Province, covering all comprehensive sites and outposts within the Province, and oversees the expansion of Medical and Quality of care initiatives within the province ensuring delivery of high quality standard of care...


  • East London, South Africa Pertemps Medical Professionals Full time

    Diabetes & Endocrinology Consultant - £120+ Per Hour – East London Grade and Specialty: Diabetes & Endocrinology Consultant Location: East London Pay: Competitive hourly pay rates Client: NHS Start Date: ASAP Hours: Full-time 40hrs per week Duration: 3 months with a view to Extend Requirements: 1. Must hold GMC Licence to Practice 2. Right to...

  • Medical Receptionist

    7 months ago


    East London, South Africa Abantu Staffing Solutions Full time

    A general medical practice is seeking a Medical Receptionist with a passion for family orientated health care. This practice has been running since 1951 with a legacy of holistic patient centred care. There are 2 practices, in Southernwood and Beacon Bay. We have 9 general practitioners who rotate through both practices. Our GPs offer a comprehensive range...

  • Medical Officer

    2 weeks ago


    East London, South Africa AIDS Healthcare Foundation Full time

    **JOB SUMMARY** The incumbent, reporting to the Provincial Medical Manager and working closely alongside nurses, will be part of the roving team and expected to provide expert medical care, advice, diagnosis and treatment of patients in care at all AHF-supported clinics in Eastern Cape within the allocated district/subdistrict in the province, and sometimes...


  • East London, South Africa Aspen Pharma Group Full time

    Role Purpose To manage the medical affairs department, in alignment with the organizational strategy and objectives as per Aspen code of compliance and industry standards. To manage and oversee medical information, Promotional non promotional compliance and medical scientific support for the Aspen EME existing portfolio and input required for building a...

  • Medical Officer

    7 months ago


    East London, South Africa Truniq Professional Services Full time

    **Medical Officer (Investigator of Record)** **East London - 3-year fixed term contract (non-profit organization)** **Must be able to start in September** MBChB and HPCSA registration as a medical practitioner (independent practice). 3 or more years’ work experience in the clinical research environment. Proven experience as a Principal...


  • East London, South Africa Abantu Staffing Solutions Full time

    Position description / overview:A vacancy exists for a Medical Support Services Manager based in East London, and reporting to the Practice Manager. The successful candidate will be responsible for the overall management of the Support Department, encompassing patient bookings, reception, reporting, authorisations, porters, drivers, and Ultrasound Assistants...

  • Project Manager

    7 months ago


    East London, South Africa Hanani Project Management Solutions (PTY) Ltd Full time

    We are currently looking for graduates that want to start a career in Project Management. The position offered is that of a Graduate Consultant Intern. The intern program is a 12 month structured program. This position provides broad exposure to the project management consulting industry with in-depth applied training and exposure. You will be placed, as...


  • East London, South Africa Ikusasa Recruitment Group Full time

    **Role Purpose** Business Development Consultants are committed, driven, results oriented advisers who are able to work on their own as well as in a team environment writing business in accordance with targets laid down Business Development Consultants advise primarily on motor and household domestic insurance. Basic R 18000.00 to R 20000.00 plus uncapped...


  • East London, South Africa One to One Africa Full time

    **Project Management Consultant** **Position Title**: Project Management Consultant **Duration**: 2 Months **Location**: Remote **Reports to**: Project Lead/Head of Programmes One to One Africa is the South African-registered non-profit organization that works to transform the lives of families, especially children, women, and young people affected by...

  • Acc Medical Officer

    7 months ago


    East London, South Africa TB HIV Care Full time

    **Job Advert Summary**: **Purpose of the position** The primary purpose of the Medical Officer (MO) is to implement the Advanced Clinical Care (ACC) programme. The incumbent will be responsible for the development of annual work plans at district level, reports, training, case management and mentorship activities linked to ACC. The incumbent will work...


  • East London, South Africa Ikusasa Recruitment Group Full time

    We are looking Business Development Consultants for the insurance industry - Short Term insurance who are able to work on their own as well as in a team environment writing business in accordance with targets laid down Insurance Business Development Consultants to sell short term insurances, With a strong knowledge of lead generation. Be compliant in all...


  • East London, South Africa Ikusasa Recruitment Group Full time

    We are looking for Business Development Consultants who are committed, driven, results oriented advisers who are able to work on their own as well as in a team environment writing business in accordance with targets laid down Business Development Consultants for motor and household domestic insurance. Basic R 18000.00 plus uncapped commission plus medical...


  • East London, South Africa Ikusasa Recruitment Group Full time

    **Role Purpose** Business Development Consultants are committed, driven, results oriented advisers who are able to work on their own as well as in a team environment writing business in accordance with targets laid down Business Development Consultants advise primarily on motor and household domestic insurance. Basic R 15000.00 to R 18000.00 plus uncapped...

  • Product Consultant

    7 months ago


    East London, South Africa Smollan Full time

    We’re on the lookout for an experienced a Product Consultant on a fixed-term contract to create and increase brand awareness through maintaining pricing, shelf health, promotions, training of instore sales consultants and strong customer and client relationships in **East London**. **As a Product Consultant you will be responsbile for**: - Ensure product...


  • East London, South Africa F and G Sourcing Specialist Full time

    **F and G Sourcing Specialist **is assisting a reputable **Financial Services Client** that is seeking a skilled **IT Field Support Consultant** to join their company that is based in **East London.** The purpose of the job is to provide field (onsite at customers) and remote support & consultation to company’s customers in order to maintain and improve...