To ensure that the scheme or organisation is protected from over-utilisation or inappropriate claiming by service providers that leads to abuse of member and scheme funds Accountabilities Continuous improvement: Provide clinical inputs on ex-gratia funding requests -Open, review and resolve all clinical queries and assessments through providing a clinical decision or requesting more information w...
VACANCY: Medical Operations Manager REPORTING TO: Accountable Manager LOCATION: Africa or South Africa Starlite Aviation is seeking a passionate and strategic Medical Operations Manager to join our team in Africa or South Africa. In this critical role, you will be responsible for leading the medical team and optimizing the medical services we provide to a diverse clientele. You will play a key ro...
The main purpose of this position: To effectively manage a sales team to sell specialized surgical instruments and power systems to new and existing business accounts Build and maintain strong working relationships with KOL's and hospital personnel to maximize sales growth To ensure that the company is optimally positioned as a key preferred supplier within the surgical instrument and power syste...
The main purpose of this position: To effectively manage a sales team to sell specialized surgical instruments and power systems to new and existing business accounts Build and maintain strong working relationships with KOL's and hospital personnel to maximize sales growth To ensure that the company is optimally positioned as a key preferred supplier within the surgical instrument and power syste...
To ensure that the scheme or organisation is protected from over-utilisation or inappropriate claiming by service providers that leads to abuse of member and scheme funds Accountabilities Continuous improvement: Provide clinical inputs on ex-gratia funding requests -Open, review and resolve all clinical queries and assessments through providing a clinical decision or requesting more information w...
Are you based in the United States? Select your country to see jobs specific to your location.Information Security Specialist at The Council for Medical Schemes - Gauteng, SandtonINFORMATION SECURITY SPECIALIST (12-MONTH FIXED-TERM CONTRACT)The gross monthly package is R75,000.The purpose of the job is to plan, manage, and administer CMS network security. Ensure all network components aremanaged ...
Position Purpose:To facilitate the setting of quality standards, policies, and procedures (clinical and non-clinical) for area. Ensure adherence to audit requirements, reporting and planning through evaluation, and coaching internal resources.Experience:5 years experience in the Managed Care environment in pre-authorisation call centre/ hospital case management or hospital claims. Working experie...
Build a successful career with usOverall purpose of the roleAssessing disability claims for validity taking into account the medical/clinical information, the job requirements and the policy contract. Case managing claimants through interaction with stakeholders aimed at facilitating successful return to work. Working closely with the administrative team and collaborating with internal stakeholde...
Ref: JR 415690 - GroupIT e-Res Systems Administrator Employer Description Inbound Tour Operator in JHB North Job Description Inbound tour operator is looking for a systems reservations administrator who will also be required to maintain and give training on a point-of-sale and a stock control system Responsibilities System (CRS/PMS/POS) training internally & lodges/boats. Database administration ...
Position Purpose:To facilitate the setting of quality standards, policies, and procedures (clinical and non-clinical) for area. Ensure adherence to audit requirements, reporting and planning through evaluation, and coaching internal resources.Experience:5 years' experience in the Managed Care environment in pre-authorisation call centre/ hospital case management or hospital claims. Working experi...
Position Purpose: To facilitate the setting of quality standards, policies, and procedures (clinical and non-clinical) for area. Ensure adherence to audit requirements, reporting and planning through evaluation, and coaching internal resources. Experience: 5 years' experience in the Managed Care environment in pre-authorisation call centre/ hospital case management or hospital claims. Working exp...
The Senior Administrator coordinates the postgraduate studies and information management portfolio and implements interventions to support academic staff and postgraduate students across the University. The incumbent reports to the Director and enforces postgraduate studies policies and procedures. The position services the institutional Higher Degrees Committee structures and works with partners...
To ensure that the scheme or organisation is protected from over-utilisation or inappropriate claiming by service providers that leads to abuse of member and scheme funds Accountabilities Continuous improvement: Provide clinical inputs on ex-gratia funding requests Open, review and resolve all clinical queries and assessments through providing a clinical decision or requesting more information wh...
To ensure that the scheme or organisation is protected from over-utilisation or inappropriate claiming by service providers that leads to abuse of member and scheme funds Accountabilities Continuous improvement: Provide clinical inputs on ex-gratia funding requests Open, review and resolve all clinical queries and assessments through providing a clinical decision or requesting more information wh...
To ensure that the scheme or organisation is protected from over-utilisation or inappropriate claiming by service providers that leads to abuse of member and scheme funds.Experience:8 years Managed Care experience preferred.Qualifications:Accountabilities:- Provide clinical inputs on ex-gratia funding requests - Open, review and resolve all clinical queries and assessments through providing a cli...
Position Purpose: To facilitate the setting of quality standards, policies, and procedures (clinical and non-clinical) for area. Ensure adherence to audit requirements, reporting and planning through evaluation, and coaching internal resources. Experience: 5 years experience in the Managed Care environment in pre-authorisation call centre/ hospital case management or hospital claims. Working expe...
Position Purpose:To facilitate the setting of quality standards, policies, and procedures (clinical and non-clinical) for area. Ensure adherence to audit requirements, reporting and planning through evaluation, and coaching internal resources.Experience:5 years' experience in the Managed Care environment in pre-authorisation call centre/ hospital case management or hospital claims. Working experi...
Employer Description Inbound Tour Operator in JHB North Job Description Inbound tour operator is looking for a systems reservations administrator who will also be required to maintain and give training on a point-of-sale and a stock control system. Responsibilities System (CRS/PMS/POS) training internally & lodges/boats. Database administration and support globally. Agent and Rate Management. Mai...
Employer Description Inbound Tour Operator in JHB North Job Description Inbound tour operator is looking for a systems reservations administrator who will also be required to maintain and give training on a point-of-sale and a stock control system. Responsibilities System (CRS/PMS/POS) training internally & lodges/boats. Database administration and support globally. Agent and Rate Management. Mai...
Our client has an opportunity available for a Gap and Medical Insurance Salesperson.Requirements:Matric or SAQA accredited- essential.FAIS accreditation and qualification would be advantageous.Regulatory exam 5 would be advantageous.1 years telephonic sales experience- essential.Medical insurance and Gap Sales experience- advantageous. Responsibilities:Set clear objectives for each sales call and...
Ref: JR 415690 - GroupIT e-Res Systems Administrator Employer Description Inbound Tour Operator in JHB North Job Description Inbound tour operator is looking for a systems reservations administrator who will also be required to maintain and give training on a point-of-sale and a stock control system Responsibilities System (CRS/PMS/POS) training internally & lodges/boats. Database administration ...
NEW WORK IN at a leading medical administration solutions hub in Pretoria; is seeking an Intermediate Full Stack C# Developer to join their dynamic team. The current need is for driven and technically strong Intermediate Full Stack C# DeveloperYou will pay a key role in enhancing and maintaining their systems, as well as contributing to the development of their latest product which is pioneering ...
Co-ordinating Nurses Required - Philippines**** AN OPPORTUNITY NOT TO BE MISSED!**** International SOS' Assistance Centre based in the Philippines is looking for nurses to join their team of co-ordinating doctors and nurses to provide professional, effective medical assistance services to patients and clients internationally. An extremely exciting opportunity for nurses looking to change their cu...
The successful candidate will manage and coordinate the entire stem cell transplant process to ensure a positive outcome for both patient and donor.Requirements:Fluent in German and EnglishIdeally a BSc Degree, but degrees in Social Sciences, Law, Project Management will also be considered.1 - 2 Years work experience, in a high pressure environment.Good understanding of IT/CRM systems, generally ...
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