Service Provider Practice Consultant

About the position

Service Provider Practice Consultant
Ref: SPPCP/BM/LM
Salary: Market related
Location: Pretoria

Medical scheme based in Pretoria seeks to employ a suitably qualified candidate in support to the healthcare providers on the network, expand the network and promote the scheme.

Key responsibilities:

• Proactive Management for short paid claims and Overcharged Claims.
• Increase referrals to top-ranked specialists.
• Quarterly Q & A sessions for staff from the relevant departments.
• Specialists Contracting and Research Management.
• Support Managers and team Leaders in tasks.
• Quality Assurance.

Key requirements:

• Grade 12
• Medical (e.g. Nursing) or business related degree
• A minimum of 3 years recent experience in health related/ medical scheme environment
• Minimum of 3 years experience in interacting with Specialists by applying clinical knowledge or experience to medical aid related queries.
• The ability to travel to Cape Town when required by management.

To apply submit application to response "at" [URL Removed]

Supporting documentation required:

• Copy of Matric Certificate
• Copy of degree
• Comprehensive CV detailing your related experience

Desired Skills:

• A minimum of 3 years recent experience in health related/ medical scheme environment

Desired Work Experience:

• 2 to 5 years

Desired Qualification Level:

• Degree