Insurance Jobs Madison Group Limited Jobs Primary Responsibilities: Care Management, handling Outpatient, Optical and Dental preauthorizations, and communicating with providers, clients, and brokers on a timely basis for any undertakings, rejections, or relevant concerns and managing the 24-hour emergency line. Key Responsibilities: Skills and Competencies Required Knowledge & Work Experience Academic and Professional Qualifications required…
Banking Jobs, Absa Bank Jobs. Job Summary To provide efficient and effective customer service to customers with utmost level of consistency and quality, ensure customer excellence and facilitate access to quality, safe, effective and cost-efficient care for insured clients. Respond…
Insurance Jobs, Britam Jobs. Job Purpose: Controlling and Managing policies through case management to ensure quality and cost-effective care, client service, processing and payment of EMC claims. Key responsibilities Knowledge, experience and qualifications required How to Apply Click here to…
Insurance Jobs, Britam Jobs. Job Purpose: Supervising Health Care processes and procedures through the use of effective techniques to achieve the objectives of cost, Quality control and operational efficiency. Must Read>>>Why Your “Basic” CV Is Costing You Senior Roles Key…
IT Jobs, International Rescue Committee Jobs. This position will sit within the VPRU monitoring, evaluation, accountability, and learning (MEAL) team. Major Responsibilities: Provide centralized resources and support to ensure IRC teams have quality case management data systems and clear standards…
Customer Service Jobs. U.S. Embassy Jobs Major Duties Special Consular Services (40%) Read>>>Why AI Written CVs Are Discouraged by Hiring Managers Routine Consular Services (40%) Contact and Resource Development, Correspondence and translation (20%) Qualifications and Evaluations: Knowledge Read>>>3 Interview Red Flags…
Insurance Jobs, Cigna Jobs. Role Purpose Responsible to review and approve medical services requested by providers or customers according to medical necessity review guidelines. Will ensure customers receive the best quality care, diagnostics and treatment and avoid over or under-utilization…
Banking Jobs, Absa Bank Jobs. Job Summary To lead and oversee care management operations, including inpatient preauthorizations and utilization management, ensuring the delivery of high-quality, timely, and cost-effective healthcare. The role involves conducting clinical case reviews, coordinating communication with providers,…
Medical Jobs, Old Mutual Jobs. Job Description To control and manage medical benefit utilization through preauthorization and case management activities and ensure quality, appropriate cost-effective care and good customer service. Must Read>>>3 Interview Red Flags Recruiters Notice in the First…
Medical Jobs. Job Summary The role involves overseeing inpatient case management, coordinating with corporate clients, improving healthcare service delivery, and ensuring optimal client and stakeholder engagement for business growth and improved patient outcomes. Duties and Responsibilities Key Requirement Skills And…
Quality Assurance Officer – Health Job Job Description The Health Insurance QA Officer is responsible for ensuring the accuracy and compliance of health insurance claims processing within the organization. This role involves reviewing claims, identifying errors or issues, and implementing…
Case Management Officer Job. Medical Jobs in Kenya Job Purpose: Key Responsibilities: Key Performance Measures: Qualifications: Technical/ Functional competencies: Must Read>>Why You’re Failing Interviews (Even With a Good CV) – Fix This Now! How to Apply Click here to apply
Case Manager, Active Case Management Job. Medical Jobs in Kenya Job Ref. No: JHIL180 Role Purpose The primary purpose of the Case Manager, Active Case Management is to deliver end-to-end clinical oversight and case management for insured members requiring hospitalization….