Introduction- Utilise actuarial skills to assist the business with benefit design and associated health solutions for employer groups and retail members of an open medical scheme. In addition to assist in running the end to end benefit design process. This includes ensuring input from and, consultation with, all internal and external stake holders and to ensure readiness for implementation post...
About Our Client: Our client is a leading medical scheme based in Pretoria, dedicated to providing comprehensive healthcare benefits to its members. They are committed to innovation, quality service, and the well-being of their clients. The role: Our client is seeking a Key Accounts Consultant to join their team on a permanent basis. The successful candidate will be responsible for service...
Job Description My client within Medical Schemes is looking for an experienced BA to join their team. Requirements: •Degree in Mathematics/Actuarial Science/Applied Mathematics/IT •5 years within a BI environment of which 3 years BI experience •SQL, Qlikview, Cognos experience •Essential to have medical schemes knowledge If you would like to apply for this position, please send transcripts...
Senior Data & Technical Marketing Analyst My client is committed to turning data into actionable insights that shape healthcare strategy and innovation. With our new AWS data platform enabling advanced analytics, we are seeking a Senior Data & Technical Marketing Analyst to strengthen our client-facing analytics and technical marketing capability. This role will sit at the intersection of data...
Junior Data Analyst My client is committed to leveraging data to drive meaningful insights and innovation. Using the latest analytics tools and processes, we can maximise our offerings and deliver unparalleled service and support. To propel our progress, we’re seeking an experienced data analyst to join our Innovation team, as part of our medical scheme benefit option design team, where you will...
Job Advert Summary:Minimum Requirements:Must be a Medical Doctor registered with Health Professions Council of South Africa (HPCSA). Medical indemnity insurance will be an added advantage. Must have sound knowledge of the Medical Aid Industry, Rules & Regulations, and other related legislation. Sound knowledge of PMB guidelines and Industry knowledge would be an added advantage. Excellent...
Dis-Chem Pharmacies requires a Medical Aid Administrator at our Head Office in Midrand. You will be required to capture high volumes of Medical aid payments and to collect outstanding monies from the Medical Schemes, be a support function to the stores and actively assist with claims. Minimum Requirements… Essential: - Grade 12 / Matric - Minimum of 2 years relevant...
A reputable Medical Aid is seeking an Administrator to join their PMB team. Job purpose: - Administration of PMB and CDL treatment plan authorisations. Requirements: - Grade 12 / Matric - 1 - 3 years' experience working in a Medical Aid environment using Administrative systems - Fair knowledge of the Medical Schemes Act, PMB legislation, ICD -10 and CPT coding - An understanding of technical...
Our client, a non-profit, medical scheme is seeking a Medical Advisor: Advisory, Risk and Quality Management in the Faerie Glen area.Duties include the following, but not limited to:- Provide clinical advice to Bestmed and its member regarding hospital benefit and risk management.- Support and advice for Disease Management and Managed Care Programmes.- Assess individual cases in accordance with...
Our client within the Financial Sector has a Senior Administrative Assistant position available. This person must implement and coordinate suitable processes and procedures to ensure the effective and efficient administration of the branch. This person will be an assistant to the Financial Advisor and must be experienced, have good internet skills, and be fluent in both English and Afrikaans....
Position Overview: Managing practices assigned to the Bureau Officer in accordance with the job functions as set out below. Essential Job Functions: Reconciliation of receipts and payments onto the VeriClaim system within two working days from receiving the documentation from all allocated practices. Registering new Bureau practitioners on medical schemes websites. Obtaining funder remittances...
Introduction A leading company in the medical scheme and private healthcare sector is looking for an experienced Corporate Health Manager to join their dynamic Centurion office. The Corporate Health Manager plays a critical role within the business development team, focusing on enhancing sales and market penetration of the Scheme in key target segments. This role will lead a team of consultants...
Company Description AECOM is seeking a Senior Engineer - Mechanical (DATA Centres) to be based in South Africa's Enterprise Capabilities office in Centurion. This position will support a team locally based in South Africa and Global Teams. As a part of AECOM's culture, it offers a flexible hybrid work arrangement which accommodates both office and out-of-office work schedules. About Enterprise...
We are looking for an outstanding Business Intelligence candidate with broad technical skills to build analytic and reporting capabilities to deliver on strategic analytical/reporting projects, define/produce end-to-end metrics that inform product and business decisions and identify new opportunities through data-driven insights. The ideal candidate relishes working with large volumes of data,...
Introduction The Corporate Health Consultant will manage and grow relationships between the Scheme and stakeholders, ensuring exceptional service delivery and client satisfaction. This role is responsible for providing expert advice and support to brokers and corporate clients, driving sales, and ensuring client satisfaction within the designated industry/sector. Duties & Responsibilities Role...
An established medical billing bureau in Pretoria-East is looking to appoint a detail-oriented Medical Debtors Clerk to support its claims and billing operations. This position is suited to an experienced individual with a strong background in medical billing and debtors management who thrives under pressure and meets strict deadlines. The role focuses on accurate claim submission and follow-up,...
A reputable Medical Aid is seeking a clinically qualified Practice Consultant to join their team in Pretoria. Duties: - Provide optimal support to the healthcare providers on the network. - Expand the network and promote the Scheme. Requirements: - Grade 12 - Medical Degree - Minimum 3 years in a health related or Medical Aid Scheme environemnt - Minimum 3 years client service/medical rep...
A reputable Medical Aid Scheme is seeking a Direct Sales Consultant to join their team in Pretoria. Duties: - Responsibility and accountability for the positioning of the Scheme of choice for prospective members within the desired profile and successfully registering the member on the correctly matched option. - The job has to be performed in line with regulations and treating customers...
Medical Billing Claims Administrator Location: Mooikloof, Pretoria East Salary: Market Related Specialisation: Specialist Medical Billing (Private Practice & Bureau) About the Opportunity A well-established Medical Bureau based in Pretoria East is looking for a Medical Billing Claims Administrator with recent, hands-on experience in specialist billing. This role is ideal for someone who...
A reputable Medical Aid is seeking an experienced Medical Aid Claims Assessor to join their HBM team in Pretoria. (Office based) Requirements: - Grade 12 - Staff/Enrolled or Registered Nurse (SANC) - Minimum 5 years’ experience as a Nursing Practitioner - Minimum 1 year experience gained in the medical funding industry - 1 year Medical Aid claims auditing experience (Essential) Duties: -...