RainCatchers Relationship Manager / Clinical Stakeholder Manager / Stakeholder Manager
RainCatchers
Relationship Manager / Clinical Stakeholder Manager / Stakeholder Manager
EASY APPLY
Introduction
Rx Health (Pty) Ltd is an accredited managed healthcare company with a head office in Pretoria Gauteng. We render various managed care services, including hospital utilisation, active disease risk management and medical advisory services to low income and closed medical scheme clients. We are looking for a Clinical Stakeholder Relationship Manager with the relevant experience to join our dynamic team.
Duties & Responsibilities
- Build and maintain relationships with all stakeholders (union groups, executives at contracted employer groups and healthcare service providers including hospitals and specialists)
- Establish and maintain productive, professional relationships with key personnel in assigned key customer accounts
- Establish and maintain a specialist healthcare provider network
- Coordinate and manage clinical service-related matters with all stakeholders
- Ensure clients expectations are met
- Coordinate the involvement of company personnel, including support, service and management of resources, in order to meet account performance objective
- Effective and holistic co-ordination of member care and management
- Perform site visits/ stakeholder contacts as required
- Attend to and resolve escalated member enquiries received from the various stakeholders within the agreed SLA
- Attend to general enquiries from healthcare service providers/members/employers/unions
- Handle all matters concerning assigned clients
- Administrative duties as required within the role
- Preparation of reports
- Remote benefit confirmation for any escalated pre-authorisation requests
- Effectively communicate with stakeholders, including members and healthcare service providers, re the outcome of  pre-authorisation requests and/ or update of cases investigated
Desired Experience & Qualification
- Grade 12
- Degree/Diploma in Nursing
- Must have a valid up to date SANC registration
- Minimum 5-years’ experience within a healthcare provider liaison/ key account role within a managed healthcare/ medical scheme or medical sales environment
- Excellent knowledge of pre-authorisation processes, healthcare service provider networks and other requirements within the medical scheme environment
- Valid driver’s license
Skills and Competencies
- People skills
- Public speaking and presentation skills
- Negotiation skills
- Proficient with MS Office (Power Point, Excel, Word, Outlook)
- Self-motivator and the ability to work independently
- Excellent verbal and written communication skills
- Ability to manage high levels of pressure, demands and emotionally charged sitiations
- High degree of accuracy and attention to detail
- Administration and reporting skills
- Patient advocacy focus
- Must be willing to travel
- Must be able to maintain confidentiality
- Excellent time management
Salary
- Market related CTC package that includes medical scheme and provident fund