Position: Manager – Hospital Network and Relations Location: Centurion, Gauteng Position Purpose: We are seeking a highly skilled and dynamic Manager: Hospital Network to lead and optimise our hospital provider network across South Africa. In this
Position: Senior Specialist Clinical Policy Location: Centurion, Gauteng Position Purpose: The Senior Specialist: Clinical Policy leads the development and governance of clinical policies and benefit criteria. The role ensures decisions are based on strong evidence, regulatory
Position Purpose As a PLO, you will be the face of the organisation to healthcare providers, building strong relationships, resolving operational issues, supporting digital enablement, and ensuring providers understand and comply with network requirements. Your work
Position Purpose The Non-Disclosure Investigator is responsible for identifying and investigating suspected cases of member non-disclosure, misrepresentation, or omission of material medical information during the application process for medical scheme membership. The role is responsible for
Position Purpose: Policy Specialist: contributes to the development, maintenance, and continuous improvement of evidence‑based clinical policies, coverage criteria, and benefit rules across the organization. The role provides clinical and analytical support to ensure policy decisions are
Position Purpose: The Clinical Manager is responsible for making clinically sound funding decisions for complex cases in accordance with scheme rules and evidence‑based medicine principles. The role includes providing clinical guidance, supporting operational teams, engaging with
Position Purpose: As a Medical Advisor, you will be responsible for assessing and making funding decisions on clinically complex cases in line with scheme rules. You will apply evidence‑based medicine principles, ensure clinical governance, support operational
Position Purpose: Policy Specialist: contributes to the development, maintenance, and continuous improvement of evidence‑based clinical policies, coverage criteria, and benefit rules across the organization. The role provides clinical and analytical support to ensure policy decisions are
Position Purpose: To identify, investigate, and assist in the prevention of fraud, waste and abuse within the medical aid environment. This includes but is not limited to analysing healthcare provider claims, member behaviour and internal operations
Position: Clinical Quality Assurance Officer Location: Centurion, Gauteng Position Purpose : To ensure that clinical services meet established quality standards, regulatory requirements, and best practice clinical guidelines. This role drives measurable improvements in member care, clinical
Position Purpose: We are looking for a detail‑oriented and analytical Specialist: Healthcare Provider Networks to support the optimisation, performance monitoring, and day‑to‑day coordination of our healthcare provider network. In this role, you will work closely with
Position: Clinical Quality Assurance Officer Location: Centurion, Gauteng Position Purpose : To ensure that clinical services meet established quality standards, regulatory requirements, and best practice clinical guidelines. This role drives measurable improvements in member care, clinical
Position Purpose As a PLO, you will be the face of the organisation to healthcare providers, building strong relationships, resolving operational issues, supporting digital enablement, and ensuring providers understand and comply with network requirements. Your work
Position Purpose: We are looking for a detail‑oriented and analytical Specialist: Healthcare Provider Networks to support the optimisation, performance monitoring, and day‑to‑day coordination of our healthcare provider network. In this role, you will work closely with
Position: Manager – Hospital Network and Relations Location: Centurion, Gauteng Position Purpose: We are seeking a highly skilled and dynamic Manager: Hospital Network to lead and optimise our hospital provider network across South Africa. In this
Position: Specialist – Hospital Network and Relations Location: Centurion, Gauteng Position Purpose: We are looking for an analytical, detail‑oriented, and relationship‑driven Specialist: Hospital Network to support the management and optimisation of our hospital provider network. In
Position Purpose The Pharmacist Assistant supports the pharmaceutical and policy functions of the Health Policy Unit. The role assists pharmacists with medicine‑use evaluations, data extraction, administrative tasks, and implementation of evidence‑based clinical and benefit policies. This