Salary : R508k – R510k
Location : Johannesburg & Cape Town
Position Purpose:
Deliver and enable excellence in all service moments to all stakeholders (Members, Providers, Employer groups, Personalised clinical servicing through the Omni channel experience focusing on the overall care quality of interaction between our customers and the brand. Providing holistic care that is personalised and accessible, managing the care journey end to end Committing to our service care charter striving to continuously make a positive difference
Key Responsibilities:
Client Service Delivery and Quality
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- Follow procedures and cooperate with peers and leaders for the best possible service delivery.
Compliance and Risk Management
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- Maintain defined legal, statutory, and regulatory compliance at required standards.
- Comply with operational risk and governance structures, measures, and frameworks.
Financial Management
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- Contribute to cost savings within the department to assist with financial goals.
Operating Model
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- Accurately assess medicine benefit forms and process according to clinical guidelines.
- Assess pharmaceutical updates and intervene where applicable.
- Correctly maintain and update patient profiles.
- Ensure treatment plans are technically accurate and communicated with patients and doctors.
- Meet delivery objectives through working with other team members within and linked to the department/project.
- Resolve operational performance variations and problems, escalating unresolved issues to higher levels.
- Ensure delivery targets/objectives are met and operate in a supportive manner to achieve successful delivery.
Operational Implementation of Strategy
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- Keep up to date with operational changes.
- Deliver in a manner that supports and meets operational quality standards.
- Perform according to defined operational best practice and identify and implement opportunities for continuous delivery improvement.
Operational Leadership
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- Deliver personal performance within Human Capital frameworks and policies.
- Engage in development, coaching, and mentoring.
- Support transformation through valuing diversity.
- Behave in alignment with the employer’s values.
Stakeholder Management
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- Ensure appropriate, active, and informative relationships with customers and relevant stakeholders.
- Address customer or stakeholder complaints in alignment with policies and procedures, ensuring customer/stakeholder buy-in.
Minimum Requirements:
- Grade 12 / Matric / NQF level 4 (Essential)
- 2 years Managed Healthcare Operations experience
- 3 years Clinical experience
- Registered Pharmacist/Nurse or other healthcare professional. Relevant and active registration with regulatory body
Qualities and Skills:
- Computer Literacy: Advanced proficiency in computer literacy and applications.
- Knowledge: Health Care Industry, health legislation and regulatory, application of service processes, customer service, customer preferences, and personality styles.
- Technical: Microsoft Suite, using technology comfortably, channel experience.
- Skills: Customer care, administration, problem-solving, excellent interpersonal skills, engagement coping, excellent verbal and written communication, excellent administration, time management, active listening, numerical, teamwork.
Application Deadline: 31st March 2024