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Remuneration and Benefits Manager
5 days ago
Companies & Intellectual Property Commission Pretoria, South Africa**INTERNAL ADVERTISEMENT** · *** · **Remuneration and Benefits Manager** · **Job Grade: P7** · **Ref No.**:R050001** · **Job Purpose**: · To effectively advise on and manage the remuneration and benefits framework and human resource records within the CIPC · **Key performance are ...
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Hospital Benefits Management Specialist
1 week ago
Tych Business Solutions Pretoria, South Africa**Job ID**: 58560**Date Posted**: Posted 6 hours ago**Location**: Pretoria, Gauteng**Job Title**: HOSPITAL BENEFITS MANAGEMENT SPECIALIST - PERSONS WITH DISABILITIES - PRETORIA · **Duties**: · - The Specialist is required to provide support to Manager for effective oversight of a ...
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Specialist: Ambulatory Benefits Management
1 week ago
Source and Select Pretoria, South Africa**Are you ready to accelerate your career?** · Unlock Your Potential at Gems - Join Our Elite Team of Healthcare Professionals · GEMS is currently seeking a highly skilled **Specialist in Ambulatory Benefits Management** to join their esteemed Healthcare Management team. This pos ...
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Ambulatory Benefits Management Specialist
1 week ago
Tych Business Solutions Pretoria, South Africa**Job ID**: 58557**Date Posted**: Posted 6 hours ago**Location**: Pretoria, Gauteng**Job Title**: AMBULATORY BENEFITS MANAGEMENT SPECIALIST - PERSONS WITH DISABILITIES - PRETORIA · **Duties**: · - Support the Scheme's strategic objectives and mandates in developing and implementi ...
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Hospital Benefits Management Specialist
1 week ago
Tych Business Solutions Pretoria, South Africa**Job ID**: 58560**Date Posted**: Posted 4 days ago**Expiration date**: June 9, 2023**Location**: Pretoria, Gauteng**Job Title**: HOSPITAL BENEFITS MANAGEMENT SPECIALIST - PERSONS WITH DISABILITIES - PRETORIA ...
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Ambulatory Benefits Management Specialist
1 week ago
Tych Business Solutions Pretoria, South Africa**Job ID**: 58557**Date Posted**: Posted 4 days ago**Expiration date**: June 9, 2023**Location**: Pretoria, Gauteng**Job Title**: AMBULATORY BENEFITS MANAGEMENT SPECIALIST - PERSONS WITH DISABILITIES - PRETORIA ...
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Compensation & Benefits Manager
23 hours ago
Unique Personnel East Rand, South Africa**Job Number** · - 72248 · **Job Type** · - FT Contract · **Job Title** · - Compensation & Benefits Manager · **Computer Skills** · - MS Excel,MS PowerPoint,SAP/R3,K-Success,MS Office Suite · **Industry** · - Mining · **City** · - Ekurhuleni (East Rand) · **Province** · - Gauteng ...
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Payroll & Benefits Manager
1 week ago
Barron Edenvale, South Africa**JOB PURPOSE** · The purpose of the Payroll & Benefits Manager is to manage, direct, control and process the company's payroll function and develop payroll standards and practices that results in good payroll governance, and oversee employee compensation and benefits, compensati ...
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Remuneration & Benefits Manager
1 day ago
Murray & Roberts Bedfordview, South Africa**Listing reference**: mr_001544**Listing status**: Online- · **Position summary** · **Job category**:Compensation and Benefits**Location**:Bedfordview · - **Contract**:Permanent**Remuneration**:Market Related**Introduction**Job description** · - Resource and manage the remunerat ...
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Compensation & Benefits Manager
1 week ago
Key Careers Midrand, South Africa**Introduction** · Our client is looking to employ an experienced HR Compensation and Benefits Manager in their Human · Resources department. · The successful incumbent will be responsible for amongst other the following; · **Duties & Responsibilities** · **Responsible for the ma ...
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Manager: Compensation and Benefits
1 week ago
FlySafair Kempton Park, South AfricaGauteng, Kempton Park · - (Market related) · Safair Operations, operating as FlySafair, has a vacancy for a · **Manager**: · **Compensation and Benefits **at our · ** **head office in · ** Bonaero Park**. The successful applicant · ** **will report to the · **Executive Manager: H ...
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Compensation & Benefits Manager
4 days ago
JTI Gauteng, South AfricaWe are JTI, Japan Tobacco International, and we are present in 130 countries. We have spent years innovating, creating new and better products for the consumers to choose from . This is our business. But not only. Our business is our people. Their talent. Their potential. We bel ...
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Employee Benefits Accounts Manager
1 week ago
StaffCentral Consulting Midrand, South Africa**Job Duties/Responsibilities will include**: · Designing a remuneration strategy, policy and solutions in collaboration with key stakeholders · Developing, maintaining and updating salary scales and models based on best practices · Implementing a job evaluation and grading proce ...
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H2R Africa Pretoria, South AfricaOne of our clients int he Healthcare industry has a vacancy open for a Specialist - Pharmaceutical Benefit Management to join their team. · Purpose of the position: · To perform drug utilisation review and actively manage and co-ordinate the approval of a members chronic medicin ...
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H2R Pretoria, South Africa Full timeOne of our clients int he Healthcare industry has a vacancy open for a Specialist - Pharmaceutical Benefit Management to join their team. · Purpose of the position: · To perform drug utilisation review and actively manage and co-ordinate the approval of a member's chronic medici ...
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Senior Manager
1 day ago
Tych Business Solutions Pretoria, South Africa**Job ID**: 53663**Date Posted**: Posted 1 week ago**Location**: Pretoria**Job Title**: SENIOR MANAGER - CLINICAL RISK MANAGEMENT - PERSONS WITH DISABILITIES - PRETORIA · **Duties**: · - Manage, set up and drive the Clinical Risk and Medicine Benefits management programme interna ...
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Senior Manager
23 hours ago
Tych Business Solutions Pretoria, South AfricaThe position of Senior Manager: Clinical Risk Management is vacant. The Senior Manager: Clinical Risk Management will report directly to the Chief Healthcare Officer and forms part of the Healthcare Division. The position is based in Head Office in Pretoria. · The total remunerat ...
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General Manager: Remuneration
1 week ago
Fempower Personnel Pretoria, South AfricaKey Responsibilities · Develops, Implements, Maintains and Enforces the Remuneration & Benefits Strategy · Analyse the Corporate Plan and roadmap to understand the needs in terms of people issues to determine skills attraction and retention mechanisms · Conducts market research t ...
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Deputy Director: Remuneration, Benefits and
3 days ago
University of Pretoria Pretoria, South AfricaRESPONSIBILITIES: · Reporting to the Director-Human Resources the successful incumbent will be a member of the Human Resources Management team. The incumbent will also be responsible for providing strategic and operational leadership and management of Remuneration, Benefits and O ...
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Medical Advisor
1 week ago
Stafflink Recruitment Solutions Pretoria, South Africa**About the role**: · Medical company has a key opportunity for a medical adviser, reporting to the Head: Operations, to contribute to the effective management of clinical risk and the cost-effective and appropriate utilisation of scheme benefits. · **Qualifications and experienc ...
Pharmaceutical Benefit Management - Pretoria, South Africa - H2R Africa
Description
PLEASE DO NOT APPLY IF YOU DO NOT QUALIFY IN FULL.
FULL JOB SPEC AVAILABLE ON REQUEST.
Registered Qualified Pharmacist Assistant (Post Basic).
(Basic pharmacist assistant will not be considered for the position)
Valid registration with SAPC.
To perform drug utilisation review and actively manage and coordinate the approval of a members chronic medicine and to ensure that he/ she has access to this treatment within the available scheme benefit and medicine formulary.
To participate in the clinical review of existing treatment and, where appropriate, assist with motivation for exceptional funding for non-formulary medicines and to engage with various stakeholders both internal and external.
Perform drug utilization review (DUR) on all new and/ or changed in chronic and acute prescriptions in accordance with the relevant medicine formulary.
Communicate DUR to prescriber / member / pharmacy.
Identify and intervene on any drug interactions between disease conditions and medicine.
Assist with treatment counselling and disease management interventions for members who are registered on the HIV active disease risk management programme.
Resolve any medicine price queries with the relevant clearing houses/ pharmacy benefit manager (PBM).Inform clearing houses (PBM) of prescription.
Follow up on additional information requested from clearing houses to complete members chronic registration and medicine authorization.
Be able to assist the medical scheme with paper claim pricing for member reimbursement.
Managing CPAP and stoma requests and loading of authorisation.
Prepare complex cases for clinical review for exceptional funding by the medical.
Follow up on weekly medicine claim rejections to ensure. members are registered and have access to medications.