A healthcare management company in Gauteng seeks a candidate with 3-5 years of medical scheme administration experience. Key responsibilities include managing debt collections according to the Medical Schemes Act and ensuring client service delivery. Applicants should have a tertiary qualification in Finance. The role demands strong problem-solving skills, communication, and financial knowledge....
A leading health service provider in Gqeberha is seeking a Claims Administration Manager to oversee specialised claims processes. This role involves ensuring accuracy in claims processing, compliance with regulations, and leading a team focused on client service. The ideal candidate will have experience in medical scheme administration and a passion for improving processes. The successful...
Overview This executive role is pivotal in driving the Clinical Risk strategy, ensuring financial sustainability, operational excellence, and compliance with healthcare and governance frameworks. Key Purpose Lead the design, implementation, and monitoring of Client’s Clinical Risk and Managed Care strategies to promote clinical excellence, strengthen governance, and ensure long-term scheme...
A healthcare company is seeking a Registered Nurse with case management experience to ensure effective communication and reduce financial risks. Candidates should have a Grade 12 certificate, be registered with SANC, and possess a working knowledge of ICD-10 and CPT codes. Experience in a private hospital or medical scheme environment is essential. The role involves authorizing admissions,...
About Our Client: Our client is a leading medical scheme based in Pretoria, dedicated to providing comprehensive healthcare benefits to its members. They are committed to innovation, quality service, and the well-being of their clients. The role: Our client is seeking a Key Accounts Consultant to join their team on a permanent basis. The successful candidate will be responsible for service...
Job Description My client within Medical Schemes is looking for an experienced BA to join their team. Requirements: •Degree in Mathematics/Actuarial Science/Applied Mathematics/IT •5 years within a BI environment of which 3 years BI experience •SQL, Qlikview, Cognos experience •Essential to have medical schemes knowledge If you would like to apply for this position, please send transcripts...
A reputable Medical Aid is seeking Pre-Authorisation Consultants to join their team in Pretoria.Duties:- Client Relations: Assist the client by approving appropriate funding.- To deliver an effective Call centre service in order to achieve member satisfaction.- Risk Management: Reduce the risk associated with hospital and authorized cases- Telephone Etiquette: Answering telephone calls in a way...
Introduction- Through our client-facing brands Momentum Group, with Multiply (wellness and rewards programme), and our other specialist brands, including Guardrisk and Eris Property Group, the group enables business and people from all walks of life to achieve their financial goals and life aspirations. We help people grow their savings, protect what matters to them and invest for the future. We...
Job Vacancy: Principal Officer The Foodmed Medical Scheme currently has the above vacancy available in Cape Town. Desired Experience & Qualification - A post-graduate qualification, preferably in accounting, business management, law or medical. - At least ten (10) years experience in senior management, preferably in the medical scheme industry. Experience in the position of principal officer...
We exist to create positive change for people and the planet. Join us and make a difference too! Position Medical devices QMS auditor Location South Korea (home based) What duties you'll perform - As a RS Client Manager (Assessor) you'll be responsible for frequently travelling and having overnight stays across the South Korea. You'll assess ISO 13485 quality management systems, EU medical...
Overview Internal Advert - Associate: Medical Advisory Services The position of Associate: Medical Advisory Services is vacant. The Associate: Medical Advisory Services will report directly to the Clinical Health Policy Manager: Medical Advisory Services and forms part of the Healthcare Management Division. The position is based at GEMS Head Office in Pretoria. The total remuneration package...
A well-established orthopaedic surgical practice is seeking a professional and experienced Medical Receptionist for a maternity cover contract. The successful candidate will play a key role in ensuring smooth front-office operations while delivering exceptional patient care. Key Responsibilities - Welcome and assist patients courteously, both in person and telephonically - Register new patients...
A specialist SEO and AI search agency is seeking a Medical Writer to create and optimise medical content. This role requires experience in medical writing and at least a Bachelor's degree in a relevant discipline. Responsibilities include researching and writing copy while improving user experience with content. Benefits include a MacBook, flexible remote work, career development opportunities,...
A company in the retail operations sector is seeking a candidate in Roodepoort to handle medical aid claim rejections. The role requires excellent communication and problem-solving skills to resolve queries with both members and medical schemes efficiently. Applicants must have a National Senior Certificate and relevant experience with IT applications and pharmacy legislation. This position...
Company Description Kaelo provides essential healthcare solutions ensuring the physical and psychosocial wellbeing of all South Africans towards lasting social change. Kaelo meets the Healthcare needs of Corporate and Retail clients across South Africa — products offerings include Medical Insurance, Medical Aid, Gap Insurance, Kaelo Money and employee assistance programmes. Job...
Introduction- Utilise actuarial skills to assist the business with benefit design and associated health solutions for employer groups and retail members of an open medical scheme. In addition to assist in running the end to end benefit design process. This includes ensuring input from and, consultation with, all internal and external stake holders and to ensure readiness for implementation post...
We exist to create positive change for people and the planet. Join us and make a difference too! Job Title Technical Specialist- IVD (In Vitro Diagnostic) Location South Korea BSI is seeking R&D Scientists and Production Scientists to join our IVD Devices Team as a Technical Specialist and Scheme Manager for CE Marking clients. Specifically we are seeking people with knowledge of the design...
Job Vacancy: Principal Officer The Foodmed Medical Scheme currently has the above vacancy available in Cape Town. Desired Experience & Qualification - A post-graduate qualification, preferably in accounting, business management, law or medical. - At least ten (10) years experience in senior management, preferably in the medical scheme industry. Experience in the position of principal officer...
A challenging opportunity for a dynamic, quality orientated Service Manager with proven leadership and people management skills exists. To manage the day–to-day planning, operation and problem-solving of a team of consultants to meet with the required service level components, standards and targets in order to ensure delivery of a consistently superior customer experience. The Ideal Candidate...
A leading healthcare recruitment firm based in Gauteng is looking for a dynamic Service Manager to oversee daily operations of a team of consultants. The ideal candidate must hold a Grade 12 and Registered Nursing qualification, possess sound clinical knowledge, and have leadership experience. Responsibilities include effective communication, management of service levels, and training staff. This...