Medical Aid Schemes Jobs in Johannesburg
Medical Advisor Sunninghill
Universal Health
Johannesburg
Universal Healthcare currently seeks a Medical Advisor. The Medical Advisor plays a critical role in ensuring the PBM or Clearing House setting. They provide medical expertise, review clinical policies and guidelines and collaborate with healthcare providers and schemes to optimize patient outcomes while managing costs Evaluate medical claims, escalations, pre-authorization requests, and appeals for medical necessity available to ensure that scheme funding decisions are based on best practice. Monitor medical literature and use
share this job on whatsappMedical Advisor Market Related
Universal HealthJohannesburg
Universal Healthcare currently seeks a Medical Advisor. The Medical Advisor plays a critical role in ensuring the PBM or Clearing House setting. They provide medical expertise, review clinical policies and guidelines and collaborate with healthcare providers and schemes to optimize patient outcomes while managing costs Evaluate medical claims, escalations, pre-authorization requests, and appeals for medical necessity available to ensure that scheme funding decisions are based on best practice. Monitor medical literature and use
Business Operations Specialist Sunninghill
Universal HealthJohannesburg
least 2 years experience in operations within a medical corporate environment Clinical experience with Private Hospital billing experience advantageous Scheme administration experience Experience with analysing
Business Operations Specialist Market Related
Universal HealthJohannesburg
least 2 years experience in operations within a medical corporate environment Clinical experience with Private Hospital billing experience advantageous Scheme administration experience Experience with analysing
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