Hiring Organization: Total Health Trust Ltd

Responsibilities

To ensure specific cases are managed in order to receive the best outcome
To facilitate the process of pre-authorizations and authorizations between the provider and the scheme and to give feedback to the relevant party concerned
To resolve all queries from providers and members on specific cases and within the agreed SLA
To vet specific case requests from providers and members to ensure that the treatment is cost-effective and in line with best practice
To ensure ongoing case management (including hospital visits) of high-risk members and specific hospital cases
Track and manage staff performance and co-ordination within the Case Management team
To advise members on individual benefits and how to best utilize these benefits
To adhere to and live the organizational values.

Qualifications

Medical Degree (Doctor)
Masters in Medicine or Public Health – (Advantageous)
3-5 years Experience
Experience in an HMO is an added advantage

Other requirements:

Good communication skills
Innovative and quick thinking capabilities
Innovativeness
Adaptive
Decision-Making skills
Integrity
Ability to work under pressure
Adaptive, expertise, Result-Oriented, Relationship Skill
Working with people
Strategic

How to Apply

Interested and qualified? Go to Total Health Trust Ltd on jobs.smartrecruiters.com to apply

Related Jobs