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Head Medical Service and Provider Management

Company

Rand Mutual - RMA

Location

johannesburg, South-Africa

Type

Full-time

Job at a Glance

Reporting into the Managing Executive: Medical and Pensions Management, the incumbent will provide strategic leadership and clinical governance for medical services within the claims value chain, ensuring accurate medical liability adjudication, effective provider management, cost optimisation, optimal healthcare utilisation, and high-quality, cost-effective patient outcomes. They will drive excellence in provider relations, hospital utilisation, and medical claims processing. The incumbent will also be responsible for organising, coordinating, and supervising the department to achieve greater functional efficiency and for ensuring the continuous improvement of policies and strategic direction in line with best practice. They will also develop, establish, and manage key support networks and provide medical support to stakeholders. The incumbent will manage projects and programmes, and ensure the provision of medical advice and training to all stakeholder...

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