To ensure that the scheme or organisation is protected from over-utilisation or inappropriate claiming service providers that leads to abuse of member and scheme funds Accountabilities Continuous improvement: management: Assess all high risk or high cost medical procedures to ensure appropriate authorisation training / support to identified stakeholders Provide medical advisory services to relevant parties Ensure that device industry Ability to provide appropriate medical direction and advisory services Knowledge and application
To ensure that the scheme or organisation is protected from over-utilisation or inappropriate claiming service providers that leads to abuse of member and scheme funds Accountabilities Continuous improvement: management: Assess all high risk or high cost medical procedures to ensure appropriate authorisation training / support to identified stakeholders Provide medical advisory services to relevant parties Ensure that device industry Ability to provide appropriate medical direction and advisory services Knowledge and application
To ensure that the scheme or organisation is protected from over-utilisation or inappropriate claiming service providers that leads to abuse of member and scheme funds Accountabilities Continuous improvement: management: -Assess all high risk or high-cost medical procedures to ensure appropriate authorisation / support to identified stakeholders -Provide medical advisory services to relevant parties -Ensure that device industry -Ability to provide appropriate medical direction and advisory services -Knowledge and
To ensure that the scheme or organisation is protected from over-utilisation or inappropriate claiming service providers that leads to abuse of member and scheme funds Accountabilities Continuous improvement: management: -Assess all high risk or high-cost medical procedures to ensure appropriate authorisation / support to identified stakeholders -Provide medical advisory services to relevant parties -Ensure that device industry -Ability to provide appropriate medical direction and advisory services -Knowledge and
provided by the organisation by: -providing client schemes with meaningful strategic health risk management Client schemes to promote and streamline the financial and operational interests of client schemes and align
standard and within deadline - Handle and resolve medical and claim related fund queries - Identify high administration of all aspects of the service. -Perform Medical Surveillance and personal health assessments -Perform financial and risk assessment methodology -Knowledge of scheme rules and contractual negotiations Skill -Customer
application of disease management Knowledge of scheme rules and contractual negotiations Skill: Communication
application of disease management Knowledge of scheme rules and contractual negotiations Skill: Communication
nomination updates and medical aid option changes. Perform the administration of medical aids and capturing capturing of medical aid applications for employees. Competency Requirements: Skill -MS Office applications -Coordination
nomination updates and medical aid option changes. Perform the administration of medical aids and capturing capturing of medical aid applications for employees. Competency Requirements: Skill -MS Office applications -Coordination