Position Purpose: To provide administrative and operational support to the Medical Advisory Unit by coordinating clinical workflows, managing case administration, maintaining accurate records, and supporting Medical Advisors, Clinical Managers, and Clinical Care Coordinators in the administration of clinical reviews, ex‑gratia requests, disputes, appeals, and managed care processes. The role ensures efficient case flow, accurate documentation, regulatory compliance, and effective communication between internal and external stakeholders. Experience Minimum 2–3 years’ administrative experience Experience in a managed care, medical scheme, healthcare, or clinical environment preferred Experience working with appeals, disputes, or healthcare administration processes advantageous Qualifications Grade 12 / Matric (essential) Certificate or Diploma in Healthcare Administration, Office Administration, or related field (advantageous) Accountabilities Administrative Support Provide comprehensive administrative support to the Medical Advisory Unit Indexing Capture, update, and maintain accurate clinical and case information on internal systems Clinical Case Administration Assist with the administration of: Clinical exceptions Appeals and disputes Ex‑gratia requests Verify completeness of supporting clinical and administrative documentation Follow up on outstanding information from providers, members, or internal departments Communication and Stakeholder Support Professionally communicate with: Members Healthcare providers Hospitals Internal stakeholders Respond to administrative and process‑related queries Escalate urgent, high‑risk, or clinically complex matters appropriately Compliance and Record Management Ensure all documentation and records are maintained in accordance with: Company policies POPIA requirements Regulatory and audit standards Maintain confidentiality of member clinical and personal information Support audit preparation and retrieval of documentation Key Performance Areas Accuracy and quality of data capturing and record management Adherence to turnaround times (TATs) Timely coordination of clinical and regulatory cases Quality and completeness of case documentation Compliance with audit and regulatory requirements Responsiveness to stakeholder queries and requests Key Competencies Experience Clinical administration support within managed healthcare, medical schemes administration, or healthcare funding environment Stakeholder engagement, provider liaison, and customer service administration Regulatory, compliance, records, and document management Healthcare systems administration and confidential information management Knowledge Knowledge of the South African healthcare and medical schemes environment Basic understanding of: Medical Schemes Act Managed care principles Clinical funding and authorisation processes Healthcare terminology and clinical documentation Confidentiality, information governance, and POPIA requirements Administrative and records management principles Customer service and stakeholder communication principles Computer literacy, including Microsoft Office applications and healthcare administration systems Skills Strong administrative, organisational, coordination, and follow‑up skills Excellent verbal and written communication, including professional telephone etiquette High attention to detail, accuracy, data capturing, and records management Effective time management, prioritisation, and ability to meet strict deadlines under pressure Problem‑solving and analytical thinking Strong stakeholder engagement and interpersonal skills Ability to work independently and collaboratively within a multidisciplinary team Proficiency in Microsoft Office, particularly Word, Excel, and Outlook Ability to navigate managed care or healthcare administration systems Adaptability and willingness to learn new systems and processes Customer service orientation with a member‑centric approach Note: Company reserves the right to close the advert before specified closing date. #J-18808-Ljbffr