Chroniline Pharmacist

Pharmacist Assistant - QPB - Clicks Honeydew Village

To process clinical authorizations on various benefit types e.g., chronic, oncology, HIV rules etc for members of the medical schemes.

Implement and maintain Medical Scheme rule changes as and when they occur.

Key Performance Areas

To evaluate and authorise a minimum of 30 medicine applications according to scheme rules and clinical protocols SLA requirements (SLA of at least 80% and Service Level Efficiency (SLE) of at least 90%) following the process noted :

• Receives application via email or telephone and capture data on ChroniLine system
• Apply scheme rules and protocol : Complete authorization and provide feedback depending on method application received
• Ensure all information is recorded and noted on the ChroniLine system and filed as per SOP by completion of the authorization
• Escalate applications to specialist authorization team in order to facilitate medicine authorisations within SLA requirements

Support to Pharmacy Assistants

Queries

Ad hoc projects

Qualifications and Experience required

Knowledge and Attributes required

Recruitment will be done a per Company EE plan

Seniority level

Entry level

Employment type

Full-time

Job function

Health Care Provider

Industries

Health and Human Services

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