Intermediate Clinical Risk Manager

Sandton, Gauteng
Posted 11 days ago
Logo SEIGO STAFFING
Company:
SEIGO STAFFING
Company Description:
SEIGO staffing is a provider of HR services, Recruitment, Payroll services and Temporary Employment Services (TES). As an innovative 21st century staffing agency within diverse industries, we offer services within Finance, Mining, Engineering, ICT and Administrative roles. We are based in Sandton Johannesburg and have a presence throughout South Africa.
Contract Type:
Full Time
Experience Required:
3 to 4 years
Education Level:
Grade 12
Number of vacancies:
1

Job Description

Applicants must have the following requirements:
Must have a Diploma in Nursing.
Must have Claims and Forensic Risk Management Certification.
Must be registered with the Association of Certified Fraud Examiners (ACFE SA).
Must have a valid membership of SANC.
Must have 4+ years of experience in provider utilisation and fraud management.
Must have experience in leading and managing clinical teams.
Must have experience within a managed care or health insurance environment.
Must have knowledge of SA’s medical terrain - legislation, and growth opportunities.
Must have knowledge of evidence-based medicine principles and embrace health economic principles and tools.
Must be proficient in Microsoft Office Suite.
If you don't hear back from us within two weeks, please consider your application unsuccessful.