pre authorization

Position Purpose: To ensure the accurate issuing of appropriate pre-authorisations that meets the requirements of clinical appropriateness, medical necessity and clinical risk management. Experience: A minimum of 2-3 years’ experience in Managed Healthcare will be advantageous. Qualifications: A formal nursing qualification and registration/enrolment...

Position Purpose: To ensure the accurate issuing of appropriate pre-authorisations that meets the requirements of clinical appropriateness, medical necessity and clinical risk management. Experience: A minimum of 2-3 years’ experience in Managed Healthcare will be advantageous. Qualifications: A formal nursing qualification and registration/enrolment...

Private Health Administrators (Pty) Ltd seeks a qualified nurse to issue accurate pre-authorisations, ensuring clinical appropriateness and risk management. A formal nursing qualification with SANC registration or equivalent healthcare credential is mandatory, with 2–3 years in managed healthcare preferred. The role involves data capture, call centre...

Private Health Administrators (Pty) Ltd seeks a qualified nurse to issue accurate pre-authorisations, ensuring clinical appropriateness and risk management. A formal nursing qualification with SANC registration or equivalent healthcare credential is mandatory, with 2–3 years in managed healthcare preferred.The role involves data capture, call centre...

Tafadzwa is recruiting a Consultant: Medical Management responsible for implementing medical management activities, exception handling and providing administrative support in claims processing. The role involves medical assessments, injury reports, claims pre-authorization, and multidisciplinary case reviews.You will maintain exception handling processes,...

Overview ISTA Personnel Solutions South Africa is a dynamic and fast-growing BPO company based in South Africa, specializing in providing top-tier operational support to U. S.-based companies. We are not a recruitment agency—we are a dedicated extension of our clients\' teams, delivering high-quality service with precision, efficiency, and a personal...

OverviewISTA Personnel Solutions South Africa is a dynamic and fast-growing BPO company based in South Africa, specializing in providing top-tier operational support to U.S.-based companies. We are not a recruitment agency—we are a dedicated extension of our clients\' teams, delivering high-quality service with precision, efficiency, and a personal...

The firm's design authority and its pursuit-shaping capability in one seat. You decide how solutions are built, and you shape how they are won. ABOUT CENTRAX DIGITAL Centrax Digital is an AI-first consulting and digital engineering firm operating from Bryanston, Sandton and Grand Prairie, Texas. We are a Level 1 B-BBEE, black woman-owned Advanced Zoho...

You make sure Centrax sells what it can deliver, at margins it can sustain. ABOUT CENTRAX DIGITAL Centrax Digital is an AI-first consulting and digital engineering firm operating from Bryanston, Sandton and Grand Prairie, Texas. We are a Level 1 B-BBEE, black woman-owned Advanced Zoho Partner. Our work spans AI and advisory, platforms, cloud and security,...

Job Opportunity: Senior Pre-Sales Engineer Are you ready to pioneer the future of energy solutions as a Senior Pre-Sales Engineer? Duties & Responsibilities Job & Company Description: My client is a world-renowned authority in the realm of energy optimization and automation solutions, operating on a global scale. They specialize in providing comprehensive...

Our well-known automotive dealership client based in Bryanston currently holds a vacancy for an experienced Used Sales Manager with a proven track record of selling not less than 30 vehicles per month, experience in buying vehicles, CMS Lead management, strong assertive leader to 6 staff members. MAIN PURPOSE OF JOB: The main purpose of this position is to...

Bestmed Medical Scheme Job DescriptionBestmed is a non-profit, mutual medical scheme registered with the Council for Medical Schemes. We have been providing healthcare to the lives of South Africans for over 60 years.Bestmed strives to be an employer of choice by:Creating a Personally Ours culture where we can all contribute in our unique way to make Bestmed...

Bestmed Medical SchemeBestmed is a non-profit, mutual medical scheme registered with the Council for Medical Schemes. We have been providing healthcare to the lives of South Africans for over 60 years.Bestmed strives to be an employer of choice by:Creating a Personally Ours culture where we can all contribute in our unique way to make Bestmed the best...

IntroductionJoin a high-performing medical aid scheme where your clinical expertise truly makes an impact. Thrive in a fast-paced, dynamic managed healthcare environment while delivering cost-effective managed care that improves member outcomes and satisfaction. Enjoy the rewards of meaningful work, professional growth, and being part of a team committed to...

Tenant Liaison Officer Internship Programme 2026 The Social Housing Regulatory Authority (SHRA) invites unemployed South African graduates under the age of 35 to apply for the Tenant Liaison Officer Internship Programme 2026 in Cape Town. Internship Application Closing Date: 15 September 2026 Internship Location: Cape Town, Western Cape, South Africa ...

Tenant Liaison Officer Internship Programme 2026The Social Housing Regulatory Authority (SHRA) invites unemployed South African graduates under the age of 35 to apply for the Tenant Liaison Officer Internship Programme 2026 in Cape Town.Internship Application Closing Date: 15 September 2026Internship Location: Cape Town, Western Cape, South AfricaThe...

Position Summary Our jobs aren’t just about giving guests a smooth check-in and check-out. Instead, we want to build an experience that is memorable and unique. Our Guest Experience Experts take the initiative to deliver a wide range of services that guide guests through their entire stay. They are empowered to move about their space and do what needs to...

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Billing & Authorization Specialist based in South Africa. Join a fully remote healthcare team supporting accurate, compliant, and efficient medical billing operations.In this role, you will oversee billing codes, insurance...

Tenant Liaison Officer Internship Programme 2026 The Social Housing Regulatory Authority (SHRA) invites unemployed South African graduates under the age of 35 to apply for the Tenant Liaison Officer Internship Programme 2026 in Cape Town. Internship Application Closing Date: 15 September 2026 Internship Location: Cape Town, Western Cape, South Africa The...

JOB DESCRIPTION: SENIOR TECHNICAL ARCHITECT Job Details Item Detail Position Title Senior Technical Architect (Services & Pre-Sales) Department Services Primary Location Johannesburg, South Africa Employment Type Permanent Reporting Line Services & Delivery, with dual alignment to Go-To-Market / Pre-Sales 1. Role Purpose The Senior Technical Architect is a...