Healthcare Insurance: Medical Service Provider

2 weeks ago


Durban, South Africa BQuad Solutions Full time

Business Development Consultant required to develop integrated medical service provider networks within the KZN region for a rapidly growing primary healthcare insurance provider.

Duties & Responsibilities
- Development of integrated medical service provider networks within the KZN region identifying any access gaps
- Building relationships with various medical service providers through regular visits over an extensive area
- Meeting targets and regulatory requirements
- Development of action plans to support provider practices to ensure high quality services to members
- Provider education and evaluation of practices to ensure compliance to high levels of member care
- Contract compliance and resolving provider concerns/issues
- Negotiate contracts on an individual or group basis for provider network, casualty and hospital contracts
- Ensure a seamless provider experience within the organisation
- Handle all customer queries
- Take action regarding excessive costs charged by providers and continually assess and manage risk
- Monthly management reports

Desired Experience & Qualification
- Matric and Commercial Diploma a minimum (FAIS compliant qualification or significant progress towards this)
- RE 5 and Class of Business
- Minimum 2 years experience in a similar role
- Health industry, insurance options and benefits knowledge
- Proven track record of meeting targets
- Understanding of medical providers claims administration systems and business operations in order to solve issues
- Claims risk profiling
- MS Office (Word and Excel) a MUST
- Extensive provincial travelling to all medical service providers within the network (on the road role not office based, though home office set up advantageous)

Package & Remuneration

R35 000.00 CTC (including Medical Insurance and Provident Fund)

**Salary**: Up to R35,000.00 per month



  • Durban, South Africa BQuad Solutions Full time

    Duties & Responsibilities - Development of integrated medical service provider networks within the KZN region identifying any access gaps - Building relationships with various medical service providers through regular visits over an extensive area - Meeting targets and regulatory requirements - Development of action plans to support provider practices to...


  • Durban, South Africa AngelCare Full time

    Position: Medical Receptionist Company Overview: Msuez Uk is a leading healthcare provider dedicated to providing high-quality medical care to patients. Our team of experienced healthcare professionals is committed to delivering compassionate and personalized care to our patients. We are currently seeking a dynamic and customer-oriented Medical Receptionist...


  • Durban, South Africa AngelCare Full time

    Position: Medical Receptionist Company Overview: Msuez Uk is a leading healthcare provider dedicated to providing high-quality medical care to patients. Our team of experienced healthcare professionals is committed to delivering compassionate and personalized care to our patients. We are currently seeking a dynamic and customer-oriented Medical Receptionist...


  • Durban, South Africa Watershed Consulting Full time

    Our client in the healthcare insurance space is looking for a Provider Network Consultant in the KZN area. Responsibility: - Develop integrated networks with quality providers yielding a geographically competitive, broadly accessible, stable network that achieves company objectives. - Evaluate practices in analysing member care, and trend quality...


  • Durban, South Africa Medical Aid, Bank, Insurance, Invest & Vitality Full time

    Overview Discovery Health (KZN Service Team) Learnership: Long Term Insurance About Discovery Discovery's core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional individuals who understand and support our core purpose and whose own values align with those of Discovery. Our fast-paced and dynamic...


  • Durban, South Africa Numsa Financial Services Full time

    Numsa Financial Services (NFS) is an authorised Financial Services Provider (FSP) accredited by the Financial Sector Conduct Authority (FSCA) and the Council of Medical Schemes (CMS). NFS was established in 2010, with the aim of providing members of the National Union of Metalworkers of South Africa(NUMSA) with affordable financial services products,...


  • Durban, South Africa Sanlam Full time

    Sanlam Corporate forms part of Sanlam Life and Savings Cluster which offers retail and corporate life insurance, health and investment products in South Africa. Our vision is to be the preferred partner to Corporate and Public Sector by providing an awesome client experience and comprehensive solutions that enable the financial resilience and prosperity of...

  • Pharmacy Technician

    3 days ago


    Durban, South Africa La Lucia Medical Healthcare Hospital Full time

    Advert Ref: RMQ814 Advert Title: Pharmacist Technician Area: La Lucia, Durban Advert Type: Full-Time Working Hours: 40 Hours Time Conditions: Dayshift **Salary**: R18,000 - R31,000 Pharmacy Technician Role Summary: We are looking to hire a Pharmacy Technician to be responsible for handling customer transactions and inventory at our pharmacy. You will...

  • Caregiver

    3 days ago


    Durban, South Africa La Lucia Medical Healthcare Hospital Full time

    Advert Ref: RMQ802 Advert Title: Caregiver Area: La Lucia, Durban Advert Type: Full-Time Working Hours: 40 Hours Time Conditions: Dayshift **Salary**: R7,000 - R12,000 Caregiver Role Summary: We are seeking an attentive and trustworthy Caregiver to join our staff in providing excellent care to our patients. The Caregiver will plan and follow a daily...


  • Durban, South Africa nedbank Full time

    A leading financial services company in South Africa is looking for a Technical Claims Assessor to manage long-term insurance claims. The successful candidate will be responsible for ensuring accurate assessments and prompt payment of claims while building effective relationships with clients and stakeholders. This role requires a strong background in...