PMB Specialist (Psych) Temp – Talent Pool needed at Discovery Limited

Key Purpose

• The processing of out of hospital PMB Psychotherapy applications in line with PMB protocols and in accordance with the benefit entry criteria. To assist and support the PMB Operations team with ad hoc projects and tasks.

Key Outputs

• Reviewing PMB Psych application forms from members & providers and making appropriate funding decisions by applying PMB protocols Working towards daily outputs of production and quality to ensure member satisfaction. Apply government stipulations in terms of PMB’s and treatment algorithms. Communication with members and providers surrounding PMB decision outcomes. Adhoc duties within the PMB team may be required.

Competencies

• Action Oriented: Enjoys working hard; is action oriented and full of energy for the things he/she sees as challenging; not fearful of acting with a minimum of planning; seizes more opportunities than others.
• Timely Decision Making: Makes decisions in a timely manner, sometimes with incomplete information and under tight deadlines and pressure; able to make a quick decision.
• Drive for Results: Can be counted on to exceed goals successfully; is constantly and consistently one of the top performers; very bottom-line oriented; steadfastly pushes self and others for results
• Time Management: Uses his/her time effectively and efficiently; values time; concentrates his/her efforts on the more important priorities; gets more done in less time than others; can attend to a broader range of activities.
• Written Communications: Is able to write clearly and succinctly in a variety of communication settings and styles; can get messages across that have the desired effect.
• Learning on the Fly: Learns quickly when facing new problems; a relentless and versatile learner; open to change; analyzes both successes and failures for clues to improvement; experiments and
• will try anything to find solutions; enjoys the challenge of unfamiliar tasks; quickly grasps the essence and the underlying structure of anything.

Qualifications & Experience

The following requirements are Essential:

• Matric
• Effective communication skills
• Computer literacy
• Administrator, Data Capture or Call Centre experience
• Medical Scheme or Insurance experience

The following requirements are advantageous:

• Discovery experience
• Understanding of DH product benefit, funding and policy rules
• Discovery systems knowledge
• Basic Clinical knowledge