Medical Advisor
1 month ago
Medical Advisor are responsible for ensuring that the Scheme Administrator and Managed Healthcare Organisation adheres to clinical and safety standards. Medical Advisors are expected to engage with the Scheme Administrator, Managed Healthcare Organisation and treating healthcare professionals to ensure the highest quality of evidence based medical care is delivered to patients. They are expected to carry out their duties with patience and confidence.
Medical Advisor Responsibilities
- Ensuring that patients receive the highest standard of medical care.
- Encourage a high standard of performance from clinical staff.
- Ensuring that all healthcare regulations and safety standards are met.
- Keeping staff updated on new healthcare regulations.
- Ensuring appropriate risk management without compromising quality of care.
- Liaising between administration and medical staff.
- Participate in decision making on the Clinical Review Committee.
- Assist the Clinical Advisor with review, update, and feedback of clinical queries and escalations.
- Participate and review CMS circular for clinical input.
- Participate in annual CMS Accreditation submissions.
- Bi-annual review of all clinical protocols to ensure they are updated.
- Annual review of all formularies.
- Responsible for liaising with treating providers for admission updates, treatment plans, discharge or referral.
- Analyse healthcare spend and make recommendations for enhancements and or changes.
- Reporting to the Head of Clinical Operations.
KEY OUTCOMES
- Ensure delivery of appropriate cost efficient care without compromising quality of care.
- Ensure that, as a Managed Care Organisation, Prime Cure complies with all regulations by the respective governing bodies including Council for Medical Schemes.
- Provide clinical input into the appropriate care of patients.
Support Clinical Staff
- Supervise the clinical team including non-clinical staff to ensure that proper procedures are being followed and that evidence based medicine is being put into practice.
Develop and Maintain Clinical Policies, Procedures and Protocols
- Develop and maintain Clinical Protocols and SOPs.
- Regular review of medication formularies.
- Regular review of Maternity program
- Regular review of HIV program.
Review Patient Complaints
- Review patient complaints and concerns raised through all channels in the business.
- Review patient surveys, and adjust policies as necessary.
Qualifications
REQUIRED
Medical Degree
Valid registration with the relevant professional body – HPCSA.
Good Organisational Skills
Excellent Written and Verbal communication skills
Exceptional interpersonal skills
PMB or Medical Scheme Administration
PREFERRED
Master of Health Administration (MHA)
Master of Business Administration (MBA)
WORK EXPERIENCE:
4+ years Clinical Experience
Physicians with a strong understanding of medical procedures, equipment, and terminology.
TECHNICAL SKILLS OR KNOWLEDGE
REQUIRED
Decision Making Skills
Organisational Skills
Communication Skills
Negotiation Skills
Strategic Planning Skills
Ability to work well within a team
Ability to work under stress and tight deadlines
PREFERRED
Knowledge of the Healthcare Industry
Additional Information
- Accountability
- Action orientated
- Collaborative
- Communication
- Business writing skills
- Manage complexity
- Problem solving skills
- Decision thinking
- Encourages engagement
- Resilient and adaptive
- Resourceful
- Demonstrates self-awareness
- Purpose driven
- Significance and values orientated
-
Head- Medical Advisor
3 months ago
Johannesburg, South Africa Medical Placements Full timeThe incumbent’s role is to be the central player in the Clinical Advisory Services area to identify and ensure that optimal clinical decision making is made on every escalated case. The individual is directly responsible for aligning the teams within the division to fulfil strategic clinical needs within these sectors. Identifying and establishing best...
-
Medical Advisor
5 months ago
Johannesburg, South Africa Novo Nordisk Full timeAre you motivated by creating visible results? Are you enthusiastic about understanding the business and the people and driving innovation for the life-changing benefit of patients? Then, this is your moment to take the next step in your professional development in a globally expanding company. Join Novo Nordisk as Medical Advisor or Regional Medical Advisor...
-
Country Medical Advisor
3 months ago
Johannesburg, South Africa bioMérieux Full time**bioMerieux South Africa** **Country Medical Advisor** We are looking for a Medical Advisor who will work and grow within Medical Affairs unit. The Medical Advisor will contribute to the Medical Affairs activities in the country - in interaction with Regional Medical Affairs and will report directly to the General Manager. **What will your...
-
Medical Advisor, Oncology
3 months ago
Johannesburg, South Africa AstraZeneca Full timeDo you have expertise in, and passion for science working in Oncology and Rare Diseases and creating value for our customers and patients? If so, AstraZeneca might be the one for you!_ **ABOUT ASTRAZENECA** AstraZeneca is accelerating the expansion of our geographical footprint in Rare Diseases following the acquisition of Alexion in 2021. Rare diseases is...
-
Oncology Pharmaceutical Advisor
3 months ago
Johannesburg, South Africa Medical Placements Full timeThe PJP( Oncology advisor) is an empowered leader and the local face of Client. partners closely with all stakeholders directly touching the patient journey (in a given therapeutic or disease area), gaining a deep understanding of their needs in order to connect capabilities to co-create meaningful solutions. This role is locally embedded in the ecosystem,...
-
Medical Advisor
3 months ago
Johannesburg, South Africa Takeda Pharmaceutical Full timeTitle:_ Medical Advisor: Oncology - Location:_ _**_Johannesburg, South Africa_** _office._ - Field: Medical_ **About Takeda** At Takeda we strive to broaden access to treatment and enhance standards of care for people wherever they live. We focus on sustainably strengthening local health systems in low - and middle-income countries at every stage of the...
-
Senior Medical Advisor
1 month ago
Johannesburg, Gauteng, South Africa Abbott Laboratories Full timeAbout AbbottAbbott is a global healthcare leader, creating breakthrough science to improve people's health. We're always looking towards the future, anticipating changes in medical science and technology.Working at Abbott At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You will...
-
Senior Medical Advisor
1 month ago
Johannesburg, South Africa Abbott Laboratories Full timeAbout AbbottAbbott is a global healthcare leader, creating breakthrough science to improve peopleâs health. Weâre always looking towards the future, anticipating changes in medical science and technology.Working at Abbott At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life....
-
Medical Advisor Senior Manager
3 months ago
Johannesburg, South Africa Organon Full time**The Position** The Medical Advisor holds primary responsibility within the country for the development and execution of the Medical Affairs Plans in his/her therapeutic areas under the guidance and supervision of the Country Medical Lead. Additionally, the Medical Advisor provides Medical Affairs therapeutic area support through engaging with Scientific...
-
Senior Medical Advisor
1 month ago
Johannesburg, South Africa Abbott Full timeThe Opportunity This position works out of our Johannesburg offices, South Africa in the Established Pharmaceutical Division . In EPD, We are committed to bringing the benefits of our trusted medicines to more people in the world’s fastest-growing countries. Our broad portfolio of high-quality and differentiated branded generic medicines reaches...
-
Medical Advisor
3 months ago
Johannesburg, South Africa Aspen Pharma Group Full timeApplicants are invited for the above-indicated vacancy that exists in the **Medical Division (Oncology)**. The incumbent will report into the Affiliate Medical Sr Manager. **Company Description** We are a global specialty and branded pharmaceutical company, improving the health of patients across the world through our high quality and affordable medicines....
-
Regional Medical Advisor
5 days ago
Johannesburg, Gauteng, South Africa Novo Nordisk Full timeAbout the RoleWe are seeking a highly skilled and experienced Regional Medical Advisor to join our team at Novo Nordisk. As a key member of our Medical Affairs department, you will play a critical role in building and maintaining scientific understanding of our marketed products in Diabetes.Key ResponsibilitiesProvide scientific support for marketed products...
-
Regional Medical Advisor
3 months ago
Johannesburg, South Africa Novo Nordisk AS Full timeAre you motivated by creating visible results? Are you enthusiastic about understanding the business and the people and driving innovation for the life-changing benefit of patients? Then, this is your moment to take the next step in your professional development in a globally expanding company. Join Novo Nordisk as Regional Medical Advisor (RMA) and get a...
-
Medical Officer
5 months ago
Johannesburg, South Africa Clinix Health Group (Pty) Ltd Full time**Job Title: Medical Officer.** **Location: Clinix Tshepo-Themba, Dr SK Matseke, Botshelong-Empilweni, Naledi - Nkanyezi & Victoria Itokolle.** **Reports to: Hospital Manager. **Job Summary**: Serve as an advisor on health issues and disease control, provide medical support, discover inconsistencies, and investigate problems. **Minimum Qualifications and...
-
Regional Medical Advisor
2 weeks ago
Johannesburg, South Africa Novo Nordisk Full timeAre you motivated by creating visible results? Are you enthusiastic about understanding the business and the people and driving innovation for the life-changing benefit of patients? Then, this is your moment to take the next step in your professional development in a globally expanding company. Join Novo Nordisk as Regional Medical Advisor (RMA) and get...
-
Regional Medical Advisor
1 month ago
Johannesburg, South Africa Novo Nordisk Full timeAre you motivated by creating visible results? Are you enthusiastic about understanding the business and the people and driving innovation for the life-changing benefit of patients? Then, this is your moment to take the next step in your professional development in a globally expanding company. Join Novo Nordisk as Regional Medical Advisor (RMA) and get...
-
Financial Advisor
3 months ago
Johannesburg, South Africa Tych Business Solutions Full time**Job ID**: 84673**Date Posted**: Posted 6 hours ago**Location**: Johannesburg**Job Title**: FINANCIAL ADVISOR (X5) - JOHANNESBURG - GAUTENG We are looking for impressive Advisors to expand our dynamic team. More about the role: - Full back-office support. - Telemarketers making qualified appointments. - Comprehensive training and ongoing mentorship. -...
-
Service Advisor
3 months ago
Johannesburg South, South Africa Intercon Recruitment Full timeService Advisor - Johannesburg Dealership based in The Glen | Johannesburg is looking for a Service Advisor. Salary R10 000 - R14 000 basic, negotiable depending on experience, Incentives, Pension Fund & Medical Aid. **Requirements**: Must have Previous Motor Dealership Service Advisor experience Must have a valid drivers license. Matric, Clear ITC and...
-
Service Advisor
3 months ago
Johannesburg, South Africa GP Consult Full timeGauteng, JHB - Eastern Suburbs - R 15000 - R 16000 Monthly Basic Salary (Medical + Provident ) Service Advisor - Kempton Park - Greeting customers and assisting with queries - Opening of Estimates and Job cards for work to be done - Consulting with mechanics, foreman or technical advisors regarding necessary repairs and possible alternatives to expensive...
-
Clinical Advisor
3 months ago
Johannesburg, South Africa 3Sixty Health (Pty) Ltd Full time3Sixty Health has a great opportunity for a suitably qualified individual to fulfil the advertised position and join their team. 3Sixty Health is a black owned and managed, reputable and a major player in driving South African economy by investing in ‘’black excellence’’3Sixty Health is 100% black owned and black managed administrator as well as...