Medical Advisor Oncology (12 months FTC Contract)
To provide an intermediate support level between case managers and the medical advisor in the Oncology Medical Advisors Team. To ensure that the scheme or organisation is protected from over-utilisation or inappropriate claiming by service providers that leads to abuse of member and scheme funds.
- To provide an intermediate support level between case managers and the medical advisor in the Oncology Medical Advisors Team
- Assist with high level queries and escalations, and the preparation of ex gratia cases, CMS complaints and other formal communication
- Assist the medical advisor with projects
- Assist in the preliminary drafting of formal documents (ex gratia, CMS responses, and medical letters).
- Liaise with providers regarding treatment requests and clinical information / updates
- Manage and clear cases referred to the medical advisor team
- Prepare and present cases for Hospicom
- Ensure ongoing maintenance of policies
- Support and educate the case managers on new drugs and diseases
- Prepare and submit monthly report on stats of work done
- Attend monthly clinops meetings and represent Oncology team.
Qualifications and Experience
Minimum 3 - 5 years managed health care experience (oncology experience essential)Professional Membership (advantageous)Competency Requirements
Knowledge and application of dispensing of meds, surgical material & proceduresAbility to provide appropriate medical direction and advisory servicesKnowledge and application of relevant legislationKnowledge of scheme rules and contractual negotiationsThe shortlisting process will only start once the application due date has been reached. The time taken to complete this process will depend on how far you progress and the availability of line managers.
Our Commitment to Transformation
AfroCentric is committed to transformation and embracing diversity. Our Employment Equity plan and targets will be considered as part of the recruitment process. This commitment is what drives us to achieve a diverse workplace with employment equity as a key goal to create an inclusive workforce, representative of the demographics of our society as well as people with disabilities.
Should you not hear from us within a month of applying, consider your application unsuccessful.
Seniority level
Mid-Senior levelEmployment type
ContractJob function
Consulting and Health Care ProviderIndustries
Public Health, Hospitals and Health Care, and Retail Health and Personal Care Products#J-18808-Ljbffr