Job Description
- Job Role Business Leader-Leadership and Management
- Experience (In Years) 0-3
- Job Location Cape Town
Job Description
Works with Regional Medical Directors to make sound, evidence based clinical decisions regarding the requested cases (treatments and procedures) for IP/OP and performs retrospective clinical reviews utilizing criteria set forth by the client and Medicare (CMS-Centers for Medicare and Medicaid Services) and perform outbound calls to providers.
- Good communication and interpersonal skills capable of maintaining strong relationships
- Strong organizational and multi-tasking skills
- Excellent analytical and problem-solving abilities
- Team-management and leadership skills
- Documentation management and ability to use project management tools
- Attention to details even under pressure
Time management skills with the ability to meet deadlines