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LetsLink is assisting a Private Hospital based in Centurion to employ a Billings Manager.
The incumbent will be responsible for the financial risk management of the hospital, by ensuring accurate and timeous billing of all patient accounts. The incumbent will do so by managing the Case Managers, File Assessors and the Confirmations Staff. The Billings Manager will also be responsible for ensuring effective patient liaison and dispute resolution.
Key accountabilities and responsibilities:
Ensure effective patient liaison and dispute resolutionEnsuring daily, weekly and monthly tasks as per Billing Manager level of task documentMonitoring and maintenance of the DNYB and delayed weightingMonitoring and maintenance of PIP casesMonitoring and maintenance of high cost medication as per policyMonitoring and maintenance of claim rejectionsMaintain set targets as indicated on the BSCMonitoring and reporting on MHC varianceMonitoring of ADCLIN system to ensure clinical appropriatenessEnsure accuracy of ICD 10 AND CPT 4 codingAnalysis of billing errors with appropriate action plansManagement of ARS and other contracts and associated reportingEnsuring SOP’s are up to dateEffective management of cancelled casesManage results on all auditsImplement changes effectivelyMotivation of system enhancements and adaptationsManage credit control queries as per communication policyEnsure effective communication and follow through with medical aidsManage associated administrative tasksAssist with any other duties assigned by the Pharmacy Manager from time to timeAssume responsibility for own personal and professional developmentKeep up to date with the hospitals evolving policies and procedures
Skills Required:
Grade 12 or Equivalent NQF Level 4 qualifications Qualified Registered Nurse registered with SANC3-5 years experience in a similar roleAdvanced computer literacy Sound knowledge of Private Hospital Pharmacy business operations Sound knowledge of medical/healthcare billings and tariff guidelinesApplication of clinical knowledge in the risk management of patients
Interested candidates who meet the above criteria are requested to e-mail a detailed CV to vacancy@letslink.co.za or apply directly through this platform. To learn more, please contact Gary on +27(0)110261907
Please view our website: www.letslink.co.za
https://www.ditto.jobs/job/gumtree/3640500707?source=gumtree
18h
1
Duties & Responsibilities
Primary Key Performance Areas:
Manage the ETQA Division:
1. Implement, monitor, maintain and improve the organisation’s Quality Management System.
2. Implement, monitor, maintain and improve the organisation’s Assessment and Moderation System.
3. Implement, monitor, maintain and improve a stock control system for learning material and portfolios of evidence.
4. Monitor the performance of Practitioners against internal quality standards and against external compliance requirements.
5. Source Practitioners for the facilitation, assessment and moderation of learner portfolios of evidence.
6. Implement, monitor, maintain and improve a Practitioner Development Programme for permanent and contract Practitioners.
7. Manage the learner enrolment and registration process on the organisation’s Learner Management System and on SETA systems.
8. Manage logistics, in relation to “the life of a portfolio of evidence”.
9. Communicate and liaise with SETAs; build and maintain a professional business relationship with SETAs and Quality Councils in recognition of their role in the compliance process, and that they are important stakeholders in the organisation’s success.
10. Provide input into other functional areas of the organisation.
11. Quality assure learning material prior to printing.
12. Plan for and give effect to employee development, for subordinates in own area of responsibility.
13. Monitor daily operations in the ETQA Division in relation to policy and quality standards.
14. Reconcile learner attendance, attainment, retention, conduct and performance.
15. Provide input into the strategic direction of the organisation insofar as giving life to the country’s National Development Plan (NDP) and Sector Skills Plans.
Desired Experience & Qualification
Required experience
Minimum of 5 years experience within the ETD fieldPrevious experience in Education and Training Quality Assurance Administration / Management – preferably in the SETA, Private and Public provider spaceExperience in academic planning, academic administration, and quality assurance in educationVast knowledge and experience across the SETA domain, Quality assuring bodies, Outcomes-Based Education, NQF implementation, training, and development consultingMinimum of 3 years successful EM’s at the SETA’sCurriculum developmentMin 5 years as an assessor and/ or moderator
MINIMUM EDUCATION REQUIREMENTS
MatricNational Diploma or degree in the field of Education and Training (ODETDP), including but not limited to modules related to Education Management, Quality Management, Systems Thinking, Learning Material Development.
REQUIRED SKIL...
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19h
1
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Bookings Agent Salary – R7 500 per month basic + CommissionA Well-established firm within the automotive industry has an exciting opportunity for an out-going person with a sales type of personality and excellent communications skills to join their team in the Pretoria-East area.Purpose of the job: Phoning leads and making appointments – NO COLD CALLINGMinimum requirements:Must have excellent communications skillsOut-going type of personalityMust be confident and able to talk over the phoneWorking hours: Monday - Friday 08:00 – 17:00 and Saturday 09:00 – 12:00Friendly and customer orientated type of person Duties will include but is not limited to:Phoning leads and making appointments for Buyers/Assessors to go and buy potential carsGeneral administration duties
https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly9lbi16YS53aGF0am9icy5jb20vY29vcG9iX19jcGxfX18xMTA5XzcwNTk3X180OTc/dXRtX3NvdXJjZT1ndW10cmVlJnV0bV9tZWRpdW09ZmVlZCZrZXl3b3JkPQ==&jid=1178634&xid=1109_70597
2y
1
Programme Administrator ( Nated) JB1383Pretoria City OR MenlynMarket RelatedThe Programme Administrator is responsible for all the administrative tasks associated with the NATED programmes that are offered at the campus. Aligned to policies and procedures, the Programme Administrator provides both administrative and functional support to the campus lecturer Programme Coordinators to ensure quality programme delivery at campus and a quality student administrative service and experienceRequirements:National Diploma in office management or relevant qualificationMinimum 1 -2 years experience as Office administrator specifically within a tertiary academic environment or experience as an assessorExperience in role of a Programme Administrator is beneficialTyping speed of 25 wpmComputer literate MS Outlook, MS Word and MS ExcelMain purpose:To assist the faculty HODs with administration dutiesCompiling of monthly reports and newslettersCompiling all documentation for site visitsEmail and telephone programme assistance to campuses and franchisesOther academic administration as the need arisesAssisting each faculty head daily with various tasks of the day/weekGiving programme assistance to campuses via email and telephoneGenerating exams to and from campusesLiaise with book suppliers etcEditing of SOPs ( Standard operations procedures)Editing of booklistsEditing of manuals and typing of studying guidesAssisting with events on campusWeekly student attendance register updating manually on ICASCapturing marks on the mark sheet template and on ICASIssuing DOE resultsDealing with student complaintsAssisting with printing of assignments, test and examsInvigilating when neededStock control for stationery and textbooks issues out to academic and admin staffCompiling monthly reports and newsletters at the end of each semesterAssessing academic files and issuing evaluation reportsCompiling all documentation for site visitsHandling claims and paymentsHosting PACS (Programming advisory committees)Capturing assessment marksUpdating student recordsICAS update on risk studentsDaily academic administration
https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly9lbi16YS53aGF0am9icy5jb20vY29vcG9iX19jcGxfX18xMTA5Xzc1Mzg1X180OTc/dXRtX3NvdXJjZT1ndW10cmVlJnV0bV9tZWRpdW09ZmVlZCZrZXl3b3JkPQ==&jid=1192957&xid=1109_75385
2y
1
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Centurion - To apply best-practice methodologies in the designing, training and monitoring of the effectiveness of claims assessing within the claims team and ensure optimal technical skills development of the claims assessors and other relevant role players. Experience and QualificationsMatricDegree in Health Sciences (Occupational Therapy, Physiotherapy, Psychology) highly recommended.5+ years’ experience in life insurance claims.Relevant insurance knowledge and knowledge of applicable regulatory requirements and legislations (required). Responsibilities:Assist with development and execution of an industry renowned claims assessment methodology across Death, Critical Illness, Income Protection and Lump Sum Disability benefits through continuous development interventions primarily for assessors based on current best industry and company practices and technological enablers.Ensure that assessment methodology and execution are in line with legislation and best practices within the financial management field in order to optimise the claims assessment skill development of assessors.Understand the regulatory framework, insurance related court decisions and/or determinations by regulatory bodies, governing bodies etc. that could impact the way claims are processed or handled.Collaborate with business stakeholders to determine the product and technical assessing approach and implement the execution of training interventions.Partner and collaborate with both internal and external stakeholders, not limited to product development, underwriting, CMO, reinsurance partners to improve claims’ training assessment interventions.Manage the quality of training interventions for groups and individuals to ensure the correct skills, knowledge and behaviours are embedded.Analyse technical assessment quality and make recommendations for improvement of assessor’s skills.Assist with the quality audit of claims assessment and align assessing needs, training and development in order to improve assessor’s skills.Recommend training opportunities (formal and informal) aligned to assessor/team skills gaps, in order to enhance processes and increase effectivenessManage and implement training activities with the specific aim to increase and improve assessing skill and efficiencies.Coach and guide assessors and other role players to improve outcomes and interpretation of claims assessment.Sign off assessments within the delegated authority level and required service levels aligned to product and policy requirements.Assist with continuous improvement efforts through the identification of opportunities, cost reduction, improvement on the quality of claims decisions and systems enhancement.Providing insight, knowledge, assistance and provide testing support where necessary as part of the development and maintenance of all claims systems to improve quality and efficiency.Give input about claims policies, practices, forms and documentation to ensure that our risk management standards
https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly9lbi16YS53aGF0am9icy5jb20vY29vcG9iX19jcGxfX18xMjY2XzQ2Mzc4X180OTc/dXRtX3NvdXJjZT1ndW10cmVlJnV0bV9tZWRpdW09ZmVlZCZrZXl3b3JkPQ==&jid=1174975&xid=1266_46378
2y
1
Private School needs a Qualified Moderator - Pta-EastMush have a B.Ed Adult and Community EducationEducation ManagementQualified Assessor - conduct assesmenst and learning outcomesManage academic quality assurance and promotion procedures and systemsManage academic registration and accreditation processesPeople ManagemnetCustomer Service
https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly9lbi16YS53aGF0am9icy5jb20vY29vcG9iX19jcGxfX18xMTA5XzYyOTg1X180OTc/dXRtX3NvdXJjZT1ndW10cmVlJnV0bV9tZWRpdW09ZmVlZCZrZXl3b3JkPQ==&jid=1150184&xid=1109_62985
2y
1
Job Purpose To focus on the design, development and implementation of the Learning and Development (L&D) and Organisational Development (OD) programmes, with specific focus on learning in the business, and management of the Learning Practice. Develop a talent management strategy incorporating performance management and leadership development. Main Responsibilities Focuses on the development and implementation of a learning strategy for the provision of learning through the creation of relevant, programmes, required technical and the general process training to ensure capability buildingManage the learning and Development departmentExamines the needs of the business and identify the learning and training programmes that will meet these needs and produce measurable resultsDevelop and apply continuous improvement in Apprentice programsDevelop Learning Material for PrintersDevelop Learning Material for ArtisansCollaborates with the business to source learning solutions and to facilitate the alignment of generic learning with business specific learningEvaluate and measure the current learning provided by utilizing integrated and coherent measurements and evaluation techniquesProactively Plan and implement Mandatory Occupational and Safety Training Train Subject Matter Expects and train the AssessorsManage the implementation of leadership development and learner management programsEnsure coordination, completion and submission of the Work Skills Plan (WSP) and Annual Training Report (ATR) in line with business and SETA requirements and optimise skills development grantsDevelop and implement the organisational development (OD) initiatives which links individuals to the company purpose and strategy, leadership development and employee engagement to foster a high-performance culture through continuous learning and improvementDevelop Change Management Framework that guides consistent management of change across the businessConduct engagement surveys, analyse findings, develop action plan and drive the implementation of initiatives that support cultural and behavioral change Requirements Masters Degree in Industrial Psychology or Masters in Humanities or any relevant Masters degree or Doctorate8-10 years experience in managing learning and development, organisational development and leadership developmentKnowledge and Skills Development of training materials (SOPs, Work Instructions, Competency guides)Workplace Skills plan (WSP) and Annual Training Report (ATR) Change Management Competency Acquisition programmes Best practice organisation development principles and methodologies
https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly9lbi16YS53aGF0am9icy5jb20vY29vcG9iX19jcGxfX18xMTA4XzY3OTkyX180OTc/dXRtX3NvdXJjZT1ndW10cmVlJnV0bV9tZWRpdW09ZmVlZCZrZXl3b3JkPQ==&jid=1248078&xid=1108_67992
2y
1
SavedSave
Join this Insurance Listed Firm as an IT Risk Manager today. This role provides strong support to the Chief Information Technology Officer interms of effective information technology governance, enterprise riskmanagement, regulatory compliance and internal control as it impacts theGroup Technology function, including its relationships and service deliverymodel to the greater Group.This role is a first line role, and carries a dotted line to the Group Head of ERMin order to ensure integration, consistency and alignment of goals and effortswithin the Groups federated ERM governance model.This role provides leadership and direction (in line with the Group Head ofERM), execution and oversight for the information technology governance,enterprise risk management, regulatory compliance and internal controlprogrammes within information technology.This role requires constant review and adaptation as appropriate to local andglobal industry best practices, rules and regulations, frameworks andstandards for these areas. This role will provide subject matter expertise andpractical application to the business and operating model. The ability tointerpret theoretical frameworks and guidance into practical and correctapplication across the corporate infrastructure, including alignment tothe Groups various programmes, is integral to this role.This role is a member of the Group Technology Management Committee.Qualifications & Experience:Honours Degree in Information Technology, ComputerEngineering, Computer Science and/or IT Risk Management.Preference for Honours Degree in Computer Engineering.COBIT 5 certified (Foundation and Assessor)ITIL (Foundation) certificationCertification in any of the following will be an advantageous:CRISC, CISA, CISSP, CISM, CIA7 to 10 years experience with relevant IT, risk, auditing,governance and compliance experience and/or managementexperience.Requires in-depth knowledge of information technologyissues, techniques and implications across all existingcomputer platforms.Training in relevant security standards and good practices,such as ISO 27001, ISO 27002 and COBIT.Understand the risks associated with: operating systems,databases, applications/interfaces; network devices, webtechnologies, teamwork typology encryption, middleware.Experience in Information Security with a solid knowledge ofinformation security risks.Excellent understanding of risk management concepts andmeasurements.Working knowledge of Risk Management Systems andMeasurement Tools.Accuracy in terms of risk calculations and ratios.Business continuity and IT disaster recovery managementexposure.Strong relationship building qualities.Insight into all regulatory requirements related to informationtechnology.Experience in
https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly9lbi16YS53aGF0am9icy5jb20vY29vcG9iX19jcGxfX18xMTA5XzQ4Mzc5X180OTc/dXRtX3NvdXJjZT1ndW10cmVlJnV0bV9tZWRpdW09ZmVlZCZrZXl3b3JkPQ==&jid=1125783&xid=1109_48379
2y
1
*Programme Administrator (HET) JB1767*
*Programme Administrator (HET) JB1767*
Pretoria City
Market Related
The Programme Administrator is responsible for all the administrative tasks associated with the HET programmes that are offered at the campus. Aligned to policies and procedures, the Programme Administrator provides both administrative and functional support to the campus lecturer Programme Coordinators to ensure quality programme delivery at campus and a quality student administrative service and experience
*Requirements*:
Degree in office management or relevant qualification
Minimum 1 -2 years’ experience as Office administrator specifically within a tertiary academic environment or experience as an assessor
Experience in role of a Programme Administrator is beneficial
Typing speed of 25 wpm
Computer literate MS Outlook, MS Word and MS Excel
*Main purpose:*
To assist the faculty HODs with administration duties
Compiling of monthly reports and newsletters
Compiling all documentation for site visits
Email and telephone programme assistance to campuses and franchises
Other academic administration as the need arises
Assisting each faculty head daily with various tasks of the day/week
Giving programme assistance to campuses via email and telephone
Generating exams to and from campuses
Liaise with book suppliers etc
Editing of SOPs ( Standard operations procedures)
Editing of booklists
Editing of manuals and typing of studying guides
Assisting with events on campus
Weekly student attendance register updating manually on ICAS
Capturing marks on the mark sheet template and on ICAS
Issuing DOE results
Dealing with student complaints
Assisting with printing of assignments, test and exams
Invigilating when needed
Stock control for stationery and textbooks issues out to academic and admin staff
Compiling monthly reports and newsletters at the end of each semester
Assessing academic files and issuing evaluation reports
Compiling all documentation for site visits
Handling claims and payments
Hosting PACS (Programming advisory committees)
Capturing assessment marks
Updating student records
ICAS update on risk students
Daily academic administration
*Requirements:*
Degree in office management or relevant qualification
Minimum 1 -2 years’ experience as Office administrator specifically within a tertiary academic environment or experience as an assessor
Experience in role of a Programme Administrator is beneficial
Typing speed of 25 wpm
Computer literate MS Outlook, MS Word and MS Excel
Market Related
*Requirements:*
Degree in office management or relevant qualification
Minimum 1 -2 years’ experience as Office administrator specifically within a tertiary academic environment or experience as an assessor
Experience in role of a Programme Administrator is beneficial
Typing speed of 25 wpm
Computer literate MS Outlook, MS Word and MS Excel
https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly9lbi16YS53aGF0am9icy5jb20vY29vcG9iX19jcGxfX18xNTU1XzU3NjI5X180OTc/dXRtX3NvdXJjZT1ndW10cmVlJnV0bV9tZWRpdW09ZmVlZCZrZXl3b3JkPQ==&jid=1246132&xid=1555_57629
2y
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