Intermediate Clinical Risk Manager
Job Description
Applicants must have the following requirements:
Must have a Diploma in Nursing.
Must have Claims and Forensic Risk Management Certification.
Must be registered with the Association of Certified Fraud Examiners (ACFE SA).
Must have a valid membership of SANC.
Must have 4+ years of experience in provider utilisation and fraud management.
Must have experience in leading and managing clinical teams.
Must have experience within a managed care or health insurance environment.
Must have knowledge of SA’s medical terrain - legislation, and growth opportunities.
Must have knowledge of evidence-based medicine principles and embrace health economic principles and tools.
Must be proficient in Microsoft Office Suite.
If you don't hear back from us within two weeks, please consider your application unsuccessful.
Skills Required
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Job Detail
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Job IdJD1431586
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IndustryMedical/Healthcare/Hospital
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Total Positions1
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Job Type:Full Time
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Salary:Depends
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Employment StatusPermanent
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Job LocationSandton, South Africa
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EducationDiploma
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Experience4 - Years
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Apply BySep 29, 2025
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Job Posting DateMay 29, 2025