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LetsLink Medical Recruitment Agency is assisting one of the leading health insurance product providers in South Africa to recruit a Clinical Risk Manager. Requirements: MatricRegistered Nursing diplomaValid membership of SANCClaims and Forensic Risk management certificationRegistration with the Association of Certified Fraud Examiners (ACFE SA) Skills and experience: At least four (4) years’ experience in provider utilization and fraud management.A thorough understanding of SA’s medical terrain - legislation, growth opportunities, etc.Strong interpersonal skills and the ability to engage various parties appropriately for optimal outcomes.Strong analytical and problem-solving skills and pays attention to detail.Superior judgment, negotiation, and decision-making skills.Strong ethics and a high level of personal and professional integrity.Ability to liaise with external parties – clinicians and members.Ability to manage a multidisciplinary team.Excellent verbal and writing communication skills.Computer literate – proficient in MS Office suite.Sound understanding of evidence-based medicine principles and embracing health economic principles and tools. Location: Gauteng Closing date: 30 September 2022 Interested candidates who meet the above criteria are requested to e-mail a detailed CV to ( vacancy @ letslink. co . za ) or to contact Gary on +27(0)110261907 Correspondence will only be conducted with short listed candidates. Should you not hear from us within 7 days, please consider your application unsuccessful. Please view our website: www . letslink . co . za By applying for this position and providing us with your CV and other personal information, you are consenting to the information being used for the specific purpose for which it was provided, which is recruitment purposes and possible appointment purposes (Should you be successful). Please note that your information will be processed for recruitment purposes only or for such purposes relating to assessing the establishment of the employment relationship with yourself, and this will be done in accordance with the applicable data protection and privacy legislation. We confirm that such information will not be used for any other purpose without your prior consent. If your application is not successful, we retain your CV and other information provided for a period of 24 months after which it will be destroyed in a secure manner. If you object to your information being used in accordance with the aforementioned clauses, please indicate your objection and we will... https://www.ditto.jobs/job/gumtree/1723580125?source=gumtree

Bryanston

Case Manager Managed Healthcare - Johannesburg

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LetsLink Medical Recruitment Agency is assisting one of the leading health insurance product providers in South Africa to recruit a Case Manager. Requirements: MatricRegistered Nursing diplomaValid membership of SANCClaims and Forensic Risk management certificationRegistration with the Association of Certified Fraud Examiners (ACFE SA) Skills and experience: At least 2-3 years’ experience in a similar role.MIP Application System experience and advantage.Sound understanding of the South African Health Industry, benefits, and options, etc.ICD codes, modifiers, and RPL tariff knowledge and understanding.Ability to liaise with external parties – clinicians and members.Ability to work within an established team.Excellent oral and written communication skills.Customer-centric attitude.Excellent analytical skills and pays attention to detail.Computer literate - MS Office suite, i.e., Word, Excel.A good understanding of claims risk profiling.Experience in claims auditing. Location: Johannesburg Gauteng Closing date: 29 April 2022 Interested candidates who meet the above criteria are requested to e-mail a detailed CV to ( vacancy @ letslink. co . za ) or to contact Gary on +27(0)110261907 Correspondence will only be conducted with short listed candidates. Should you not hear from us within 7 days, please consider your application unsuccessful. Please view our website: www . letslink . co . za By applying for this position and providing us with your CV and other personal information, you are consenting to the information being used for the specific purpose for which it was provided, which is recruitment purposes and possible appointment purposes (Should you be successful). Please note that your information will be processed for recruitment purposes only or for such purposes relating to assessing the establishment of the employment relationship with yourself, and this will be done in accordance with the applicable data protection and privacy legislation. We confirm that such information will not be used for any other purpose without your prior consent. If your application is not successful, we retain your CV and other information provided for a period of 24 months after which it will be destroyed in a secure manner. If you object to your information being used in accordance with the aforementioned clauses, please indicate your objection and we will immediately destroy your personal information in a secure manner. https://www.ditto.jobs/job/gumtree/816031602?source=gumtree

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