qa pre authorisation

IntroductionThe Pre-Authorisation Nurse provides hospital utilisation management, education/training, and other clinically based activities as assigned, to coordinate care between the medical scheme/managed care organisation, members, providers and the community. Pre-Authorisation Department is a 24/7/365 days service centre. Staff work on compressed hours...

Bestmed Medical Scheme Job Description Bestmed 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 Gauteng has an opportunity available for a HBM Pre-Authorisation Consultant position in the Hospital Benefit Management Department. Job purpose: Delivering cost-effective managed healthcare services to accomplish member satisfaction. The successful candidate should have: Grade 12 Enrolled Nursing Minimum 5 years’ experience as a nursing...

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...

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...

Pivot Services in Centurion, Gauteng, South Africa, is looking for an analytical Pre-Authorisation Consultant within our Hospital Benefit Management group. The role leverages Clinical, Pre-Authorisation and Case Management experience to build effective relationships with members via telephony.You will handle pre-authorisation and case management in a call...

Bestmed Gauteng has an opportunity available for a HBM Pre-Authorisation Consultant position in the Hospital Benefit Management Department. Job purpose: Delivering cost-effective managed healthcare services to accomplish member satisfaction. The successful candidate should have: • Grade 12 • Enrolled Nursing • Minimum 5 years’ experience as a...

Pre-Authorisation Service Consultant My client in the financial services (private healthcare) industry is seeking a Pre-Authorisation Service Consultant to join their team in Gqeberha. The successful candidate will assist private healthcare clients telephonically by providing authorisation for cases that have already been loaded, while ensuring that all...

Added: 27 October 2026 Listing date: Not suppliedVerified listing Employer, application source and closing date checked before publication.About the RoleAn exciting opportunity for an analytical and attention-to-detail Pre- Authorisation Consultant exists in the Hospital Benefit Management group. The successful candidate will utilise their Clinical,...

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...

Discovery Limited in Cape Town seeks an Inhouse Pre-Auth Service Consultant to deliver world-class service to Members, Providers, Employer groups, Hospitals, and Brokers. You will manage benefit authorisations using clinical knowledge and scheme rules, while handling queries via multiple servicing channels to resolution.The role requires SA matric and a...

We are seeking a highly skilled and experienced QA Lead, the successful candidate will be responsible for leading test implementation, ensuring adherence to quality assurance principles and standards, and managing product risk throughout the product lifecycle. This role requires close collaboration with Business Analysis, Development, and Environment teams...

We are seeking a highly skilled and experienced QA Lead, the successful candidate will be responsible for leading test implementation, ensuring adherence to quality assurance principles and standards, and managing product risk throughout the product lifecycle. This role requires close collaboration with Business Analysis, Development, and Environment teams...

Overview Expleo South Africa is where bold ideas meet real-world impact. As a global leader in engineering, quality services, and management consulting, we help businesses accelerate digital transformation and shape the future. Joining Expleo means more than just a job — it’s an opportunity to grow, innovate, and collaborate on projects that redefine...

Discovery Limited - Discovery Health’s Inhouse Pre-Auth Service Consultant role focuses on delivering world-class service to Members, Providers, Employer groups, Hospitals and Brokers via telephone and other channels. You will manage benefit authorisations using clinical knowledge, ensuring accurate funding details and excellent customer experience. The...

A Financial Services business based in Hillcrest is seeking a QA Tester to start ASAP. Job Description Product knowledge Ability to learn and understand the requirements of the various Marriott products Ability to learn the rules around the various financial products and how they are applied in the various systems Process knowledge Develop a good...

Senior QA Engineer – Card Rails Location: Remote first. Head Office: Cape Town, South Africa; with offices in Johannesburg, Mauritius and Nairobi, Kenya. Department: Engineering – Card Rails Company: Peach Payments About Peach Payments: Peach Payments is a cutting‑edge fintech company shaping the future of digital payments across Africa. We...

Job Summary Design automation testing plans and develop automation test scripts for multiple technical products / services (pre, during & post deployment) in both 'Run & Change' contexts and align to chosen application testing frameworks & guidelines. Testing may apply to all or a combination of the following front-end, back-end, integration, performance,...

We are seeking a highly skilled and experienced QA Lead, the successful candidate will be responsible for leading test implementation, ensuring adherence to quality assurance principles and standards, and managing product risk throughout the product lifecycle. This role requires close collaboration with Business Analysis, Development, and Environment teams...