Education, Qualifications and Experience:

  • B Pharm
  • Registered with the SAPC
  • Previous experience in a managed healthcare environment an advantage
  • Computer literate in Windows packages essential especially Microsoft word and excel
  • Knowledge of medical aid industry an advantage


  • Telephonic authorisation of chronic medication according to Scheme specific protocols
  • Authorisation of chronic medication according to Prescribed Minimum benefit protocols
  • Retrospective review of chronic medication claims
  • Working with other healthcare personnel within the organisation
  • Liaising with outsourced providers and suppliers
  • Assisting doctors and pharmacists with telephonic queries and on-line prescriptions. Giving feedback on protocols (Prescribed Minimum Benefits) and DUR changes (DUR: Generic Substitution, Therapeutic substitution, Efficacy and Drug Interactions)
  • Manage ad hoc clinical projects as required
  • Compilation of the REF reports
  • Conduct DUR in an effective and professional manner
  • Maintain acceptable productivity levels in the running of the programme
  • Review clinical protocols and guidelines
  • Ensure effective communication amongst all stakeholders
  • Provide clinical expertise within the organization where required
  • Provide clinical support and guidance for disease management programmes.
  • Assist in the conceptualization, planning and implementation of new managed care products

Desired Skills:

  • DUR

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