LetsLink Medical Recruitment
Healthcare, Medical and Pharmaceutical Industry
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Wellness Specialist (Managed Healthcare) – Johannesburg.
LetsLink Medical Recruitment Agency is assisting one of the leading health insurance product providers in South Africa to recruit a Wellness Specialist.
Requirements:
- Matric
- Registered Pharmacy Assistant
- Valid membership of the South African Pharmacy Council
- Claims and Forensic Risk management certification (will be an advantage)
Skills and experience:
- At least 5 years’ experience as a registered Pharmacy Assistant.
- Sound understanding of the South African Health Industry, benefits, options, etc.
- MIP Application System experience and advantage.
- Ability to liaise with external parties – clinicians and members
- 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.
- Good understanding of evidence-based medicine principles and embracing health economic principles and tools.
- A good understanding of the principles of healthcare funding design will be an advantage.