Clinical Case Manager jobs in Centurion

Position: Clinical Care Coordinator: PMB Reviews and Special Cases Location: Centurion, Gauteng Position Purpose: To provide expert clinical assessment and decision making in relation to Prescribed Minimum Benefit reviews, ex gratia applications, regulatory complaints, escalations, and non-disclosure investigations. Experience: 5 years relevant managed care, health risk and clinical customer...

- Introduction Momentum Health Solutions (MHS), an entity of Momentum Metropolitan Holdings; delivers sustainable, integrated health and wellness solutions that meet the needs of clients in the different segments and maximises lifetime client value. We build and maintain a culture of innovation and create value through unique insights of how to achieve specific outcomes by using a defined set of...

Introduction Momentum Health Solutions (MHS), an entity of Momentum Metropolitan Holdings delivers sustainable, integrated health and wellness solutions that meet the needs of clients in the different segments and maximize lifetime client value. We build and maintain a culture of innovation and create value through unique insights of how to achieve specific outcomes by using a defined set of...

*Structural Information Job number: * Job title: Manager: Business Case Management Job grade: M5 Group/ BU: Openserve Division: Openserve Span of control: 5-10 Reports to: Senior Management *Core Description * Responsible to manage/ deliver Business Case outputs as defined and in support of the Business Plan applicable to Openserve. *Job Responsibilities * - Responsible for the...

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Clinical Trial Manager - IQVIA Biotech Due to sponsor requirements for the role only candidates based in the listed location/s and with previous Global CTM experience will be considered. Any applications from candidates based outside of these locations will not be considered. Job Overview Clinical Trial Managers (CTM) are an integral part of clinical trial delivery, leading and working...

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 help companies...

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...

Role Purpose Provide senior specialist leadership for the Clinical Policy and Governance function within Health Risk Management by ensuring robust, evidence-based clinical policy, regulatory interpretation, and coding standards. The role is responsible for guiding health technology assessment, PMB and statutory interpretation, and clinical coding frameworks to inform benefit design, risk...

Project Leads are an integral part of clinical trial delivery, liaising with clinical teams to improve patients’ lives by bringing new drugs to the market faster. The Project Lead is an essential member of the core project team responsible for project delivery of clinical studies to meet contractual requirements in accordance with SOPs, policies and practices. Clinical Project Management is...

A leading retail pharmacy group is seeking a Pharmacy Manager to lead the pharmacy team and ensure high standards of service delivery and patient care. The role focuses on efficient dispensary operations, compliance with SAPC regulations, and fostering a high-performing team culture. Candidates must be registered pharmacists with relevant experience in people management and sound knowledge of...

Position Purpose: To manage the spending of member funds by means of clinical interventions and managed care protocols. Experience: At least 3 years general medical and surgical nursing experience in the private sector. ICU training and/or at least 1 year ICU nursing experience and 1 year hospital case management experience will be advantageous. In conjunction with above, at least 18 months...

A healthcare provider located in Centurion is seeking a Registered Nurse to ensure compliance with best practices in medical care and treatment. The ideal candidate will have a Matric certificate and 2-3 years of experience in the managed care industry. Responsibilities include maintaining quality customer service and managing calls effectively, while ensuring that scheme benefits are...

IQVIA™ is the leading human data science company focused on helping healthcare clients find unparalleled insights and better solutions for patients. Formed through the merger of IMS Health and Quintiles, IQVIA offers a broad range of solutions that harness the power of healthcare data, domain expertise, transformative technology, and advanced analytics to drive healthcare forward. Data Team...

Role Purpose Lead a team to support clients with requests, queries, escalations and documentation in accordance with agreed Service Level Agreements and legislative and compliance requirements. Requirements - Matric - Registered nurse / BPharm with at least a minimum of 3 years' experience - Registration with the professional bodies (SANC/SAPC) - At least 3 years demonstrated experience in a...

A leading healthcare analytics firm is seeking a Clinical Data Management Lead. This role involves managing and delivering end-to-end data management services and ensuring quality deliverables. The ideal candidate will have around 5 years of data management experience, with 3+ years as a project lead. Strong leadership, project management, and communication skills are essential. This position is...

A health management company based in South Africa is seeking a Professional Registered Nurse to manage the spending of member funds through clinical interventions. The role requires at least 3 years of nursing experience, with a focus on patient care coordination and compliance with medical standards. Candidates should be adept in assessing treatment plans and educating members on healthcare...

A global clinical research provider is seeking an Advanced Clinical Data Associate in Centurion, South Africa. The role involves providing updates on project status, acting as a liaison for the Clinical Data Manager, and mentoring staff. The ideal candidate should possess a Bachelor’s degree in Health or Science, with over three years of experience in data management and mandatory Rave...

Clinical Trial Manager - IQVIA Biotech * Please note: due to sponsor requirements for the role only candidates based in the listed location/s and with previous Global CTM experience will be considered. Any applications from candidates based outside of these locations will not be considered. Job Overview Clinical Trial Managers (CTM) are an integral part of clinical trial delivery, leading and...

A leading healthcare data science company is seeking a Data Team Lead to manage the delivery of data management services for complex projects. Responsibilities include providing leadership to the team, ensuring quality deliverables, and managing stakeholder communications. Candidates should have a Bachelor's Degree in a related field and at least 5 years of data management experience, including...