About Our Client: Our client, a prestigious medical scheme headquartered in Pretoria, has been at the forefront of providing exceptional healthcare benefits to its members. With a strong emphasis on innovation, quality service, and the overall well-being of their clients, they continue to expand and excel in their field. To further their commitment to excellence, they are in search of a highly skilled and passionate Communications Specialist to enhance their brand, marketing, and communications efforts.

Purpose of the position:
Medicine authorisations as per Scheme rules and protocols to ensure cost-effective reimbursement of medicine and medicine cost containment. Ensure medicine benefit allocations are applied and executed correctly according to Companys rules. To contain medicine costs within the budgeted amount by applying formularies, clinical protocols and evidence-based medicine for medicine authorisations

Functions:
Medicine authorisations as per Scheme rules and protocols to ensure cost-effective reimbursement of medicine and medicine cost containment.
Ensure medicine benefit allocations are applied and executed correctly according to our clients rules.
To contain medicine costs within the budgeted amount by applying formularies, clinical protocols and evidence-based medicine for medicine authorisations.
Making therapeutic & generic interventions
Provide Quality services to members and providers.
Successful implementation and execution of the MHC Complaints & Escalation process.

Skills:
Expertise in MS Word, Excel, Office, Outlook, and the Internet.
Exceptional proficiency in the English language, with a talent for writing, editing, and proofreading.
Superior organizational skills, with a keen eye for detail.
Excellent interpersonal and teamwork abilities, with a knack for building collaborative relationships.
The capacity to adapt to changes and make decisive, informed decisions.
Problem-solving skills, record-keeping proficiency, and adept project management.
Leadership qualities and the ability to inspire and foster positive interactions within the team.

Grade 12
B.Pharm Degree
Registered with South African Pharmacy Council (SAPC)
Minimum 2 years experience in Drug Utilisation Review (DUR) and related administrative processes.
Minimum 2 years recent experience working at a Medical Schemes or Managed Healthcare environment.

Remuneration:
A competitive salary that reflects experience and expertise.
An outstanding benefits package, including 23 days of annual leave, an 8-hour workday with a 30-minute break, comprehensive health coverage, and more.
Additional perks such as free parking, office Wi-Fi, a gym, subsidized dining, and wellness programs, among others.
A dynamic and supportive team environment, with recognition programs and incentives to celebrate achievements.

Join Our Client: This is an invitation to become an integral part of a team that prides itself on innovation, quality service, and making a real difference in the healthcare sector. Your contribution will not only support the organization`s success but also positively impact the lives of countless members.

Application Process: We welcome interested candidates to submit their CV and a cover letter, emphasizing their relevant skills and experiences that align with the functions and requirements of this role to Qetello
Pharmacist (Dur) position available in Gauteng, Pretoria. This job position was posted by Qetello. The job has been posted as a premium ad on 2025-03-29 at 13:04:51 in the Medical category

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