Clinical Benefit Medical Advisor - Funding Decisions

Discovery Limited; Gauteng; On-site; ZAR 600 000 - 800 000; Full time

Job summary

A healthcare service provider in Gauteng is seeking a Medical Advisor to make funding decisions for complex clinical cases. The ideal candidate will have a medical degree and HPCSA registration. Responsibilities include providing clinical support, communicating decisions, and maintaining relationships with external healthcare providers. Candidates should possess strong communication skills and a sound knowledge of managed care. Experience in a private hospital or clinic is essential. This role offers competitive remuneration in a dynamic environment.

Qualifications

• Minimum of two years experience in a private hospital or clinic.
• Previous Medical Advisor or managed healthcare experience is advantageous.

Responsibilities

• Provide clinical support to the Medical Review team and other business areas.
• Ensure workflow pools and TWT are met.
• Participate in key clinical forums internally and externally.

Skills

Knowledge of managed care environment

Communication skills in English

Proficient in Microsoft Excel

Education

Qualified Medical Doctor

Full and Current HPCSA registration

Matric

Tools

ICD-10 clinical coding knowledge

Job description

A healthcare service provider in Gauteng is seeking a Medical Advisor to make funding decisions for complex clinical cases. The ideal candidate will have a medical degree and HPCSA registration. Responsibilities include providing clinical support, communicating decisions, and maintaining relationships with external healthcare providers. Candidates should possess strong communication skills and a sound knowledge of managed care. Experience in a private hospital or clinic is essential. This role offers competitive remuneration in a dynamic environment.