Care Specialist - Cape Town

Position Purpose:To enable the management of the patient is appropriate according to medicine formulary, clinical protocols and guidelines with specific focus on chronic disease management and overall special touch cases. Holistically identifying and handling complex care requests for the patient and their support structures.Experience:2 years Managed Healthcare Operations advantageous3 years Allied Health Professional Experience essentialQualifications:Allied Healthcare professional(physiotherapist's qualification). Relevant and active registration with regulatory bodyAccountabilitiesClient Service Delivery & QualityFollow procedures and collaborate with peers and leaders for optimal service delivery.Compliance & Risk ManagementMaintain legal, statutory, and regulatory compliance.Adhere to operational risk and governance frameworks; escalate issues when necessary.Financial ManagementContribute to departmental cost-saving initiatives to meet financial targets.Operating ModelCollaborate across teams to meet delivery objectives.Resolve performance issues and escalate unresolved problems.Support successful delivery by meeting targets.Operational Implementation of StrategyStay informed on operational changes due to external factors.Deliver work aligned with quality standards and departmental priorities.Apply best practices and seek continuous improvement.Operational LeadershipPerform within Human Capital policies and frameworks.Participate in coaching, mentoring, and development.Promote diversity and align behavior with Afrocentric values.Stakeholder ManagementBuild and maintain effective relationships with customers and stakeholders.Address complaints in line with policies to ensure stakeholder satisfaction.Position-Specific OutputsManage Care Service RequestsService stakeholders across all channels until requests are resolved.Educate on digital self-help tools and deliver a seamless, intuitive experience.Identify & Handle Complex Care RequestsEnsure optimal clinical outcomes through correct benefit and treatment plan usage.Manage authorizations and case management holistically.Resolve complex service requests effectively.Manage Excellent ExperiencesProvide accurate, consistent information that meets quality standards.Drive customer satisfaction and continuous improvement.Share ideas and collaborate for peer learning.Drive Brand LoyaltyAct as a brand ambassador, delivering experiences that reflect Afrocentric’s values.KnowledgeCustomer service operationsHealth legislation and regulatory frameworksHealthcare facilities industryPrivate health care industryApplication of service processesCustomer preferences and personality stylesSkillsProblem solvingEngagement copingCustomer engagementExcellent administration skillsActive listening skillsAgility, resilience, and adaptabilityGeneral administrationCustomer careProficiency in Microsoft SuiteWritten and verbal communication skillsComputer technology skillsTime management skillsNumerical abilityQuality-driven mindsetTurnaround TimeThe 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 TransformationAfroCentric 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.