Universal Healthcare Group seeks a Pathology SME to assess the diagnostic pathology consultations and claims from the pathology services in a medical aid environment. Continuous education relating to Pathology related of claims related to Pathology results to ensure that they are in line with medical scheme rules. Oversee
client operating in the medical insurance space is seeking a Medical Claims Clinical Auditor to join their hospital nursing experience. Previous exposure to clinical auditing is highly advantageous. Be available Responsibilities INTERNAL PROCESS Apply scheme rules, clinical policies and protocols to funding. Action allocated case managers for resolution. Act as clinical support to non-clinical hospital claim auditors in terms of of hospital tariff applications and clinical guidance (e.g. procedures, devices and drug utilization)
nursing experience.
Position: Medical R&D Specialist Location: JHB Industry: Re-Insurance REF: MVG/MR&D Re-insurance Re-insurance client is seeking a medically qualified incumbent passionate about leveraging research and development quantify the effects of health technologies and clinical advancements on mortality and morbidity at a population within a medical insurance, life insurance, or managed care environment Advantageous: Medical degree,
Finance qualification preferred, · Experience in the medical industry · Must have experience handling large
To evaluate and present applications for funding and structure deals that contribute towards unit objectives and industry development goals. This would include performing the financial and/or technical and/or marketing due diligence functions and ensuring risk identification and mitigation.
Manager: Medical Requirements who is accountable for all medical appointments, chase of medical requirements include but not limited to: • Following up on medical requirements daily • Making outbound calls and
client operating in the medical insurance space is seeking a Medical Claims Clinical Auditor to join their hospital nursing experience. Previous exposure to clinical auditing is highly advantageous. Be available Responsibilities INTERNAL PROCESS Apply scheme rules, clinical policies and protocols to funding. Action allocated case managers for resolution. Act as clinical support to non-clinical hospital claim auditors in terms of of hospital tariff applications and clinical guidance (e.g. procedures, devices and drug utilization)
Reference: CAW005512-MU-1 Tax Technician - Knysna - Western Cape An accounting firm in Knysna is looking looking for a Tax Technician to join their team. The candidate will work closely with the tax team under
Position: Medical R&D Specialist Location: JHB Industry: Re-Insurance REF: MVG/MR&D Re-insurance Re-insurance client is seeking a medically qualified incumbent passionate about leveraging research and development quantify the effects of health technologies and clinical advancements on mortality and morbidity at a population within a medical insurance, life insurance, or managed care environment Advantageous: Medical degree,