18 Patient Care Management jobs in South Africa

Job Description:

PHARMAPRENEURS are seeking to recruit x 2 Registered Nurses or Allied Medical Graduate (currently registered with SANC, HPCSA, SAPC or equivalent) for Patient Educator position.

Region
: 1x KwaZulu – Natal (Position based in Pietermaritzburg Area) and 1 x Free State (Positioned based in Bloemfontein Area), South Africa

Responsibilities: (Main Highlights)

·   Patient Education, Adherence and Support – Renal

·   Support Patient Medical Aid Reimbursement Process

·   Manage Patient and Customer Databases, patient record keeping

·   Target Audience: Nephrologists, Nursing and Renal Dialysis Unit Staff, Courier Pharmacies, Path Labs

·   Private Sector Coverage

·   Establish, develop and maintain client and customer relationships

Requirements

·   Experience in the Healthcare Industry is a major advantage

·   South African citizen

·   Strong interpersonal and communication skills

·   In possession of a Valid South African Driver's License and have own transport

·   Computer literacy

·   Excellent knowledge of MS Office

·   Must be registered with SANC/HPCSA, SAPC or the necessary medical statutory body

Compensation:

To be discussed upon a successful interview

THIS IS AN EQUAL OPPORTUNITY PLACEMENT

To apply, please send your updated 2025 CV to: s

• Thank you

What will you do?

To form a component of the GEMS: clinical risk management/ fund management support structure. Conduct research and draft documentation and spearhead internal projects related to the work of the clinical risk or fund management teams. Support the Advanced Specialist: Strategic Sourcing with the development of the strategic sourcing strategy through the identification of cost drivers

drivers including gathering of relevant data from various sources.

• Provide effective and valuable input and guidance to the scheme to support the management of clinical risk
• Oversee the specific SPN relationship together with the fund manager and or senior/advanced clinical risk specialist
• The requirement is to ensure that all SPN operations concerns and requirements are communicated to the Fund managers for awareness and assist with actioning where required with internal role-players
• Perform the majority of medicines-related action items and tactical responses arising from the Scheme meetings
• Preparation of slides for various meetings to address medicines related agenda items and strategic inputs
• Presentation of slides at meetings and fielding of questions
• Handling of Scheme queries and tactical responses as they relate to all medicines matters, including but not limited to: Vaccination, MEL and MPL impact analyses, stock-outs and their impact, trend anomalies and expert panels
• Co-ordination and secretariat for Expert Panels
• Development of Medicine proposals
• Development of Medical Device proposals
• Ad-hoc analyses to support proposals
• Ad-hoc medicine requests
• Ad-hoc appliances request
• Participate in various strategic projects

Qualification and Experience:

• Qualified Pharmacist or Clinical Qualification
• 6 - 8 years' experience in managed care, claims, clinical coding and data analysis
• Knowledge of legislation, industry, PMB, NHI

Knowledge and Skills:

• Knowledge and application of relevant legislation
• Knowledge and application of processes and procedures
• Product and scheme rule knowledge

Turnaround Time

The 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 Transformation

AfroCentric 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.

Our Client helps people regain control of their health through functional testing and personalised nutrition. Their mission is to bring clarity and hope to those who have been failed by conventional medicine. They specialise in supporting individuals with gut health issues, IBS, and SIBO, combining scientific precision with genuine care.

Our Client is a small, purpose-driven team seeking a highly organised Operations & Patient Support Coordinator to streamline internal systems and support patients with empathy and efficiency. The successful candidate will play a key role in improving operational processes during the transition to a new healthcare management platform and will serve as a trusted first point of contact for clients.

• System Transition & Operations

• Support and coordinate our move to a new healthcare management platform

• Maintain data integrity and ensure a smooth process for the team and patients
• Identify and implement process improvements to enhance efficiency

• Patient Support

• Manage patient communication via email and phone

• Coordinate test orders, results delivery, and appointments
• Provide clear, compassionate assistance to clients navigating health challenges

• Proven administrative and customer service experience
• Strong organisation and attention to detail
• Excellent written and verbal communication skills
• Tech-savvy and comfortable learning new systems
• Ability to multitask calmly and work independently

Bonus Skills:

• Experience in project management or system implementation
• Background in healthcare, wellness, or nutrition
• Familiarity with CRM or practice management software

This is more than just a job — it's an opportunity to make a genuine impact. In this role, you'll help people find clarity, relief, and hope while contributing to how our client grows and operates.

Our Client helps people regain control of their health through functional testing and personalised nutrition. Their mission is to bring clarity and hope to those who have been failed by conventional medicine. They specialise in supporting individuals with gut health issues, IBS, and SIBO, combining scientific precision with genuine care.

Our Client is a small, purpose-driven team seeking a highly organised Operations & Patient Support Coordinator to streamline internal systems and support patients with empathy and efficiency. The successful candidate will play a key role in improving operational processes during the transition to a new healthcare management platform and will serve as a trusted first point of contact for clients.

Sun Pharmaceuticals Industries Inc. is the fourth largest generic pharmaceutical company in the world, and rapidly building our brand presence. We manufacture, market and distribute pharmaceuticals to the nation's largest wholesalers, distributors, warehousing and non-warehousing chain drugstores as well as managed care providers. Our goal is to continue to develop and market quality products that bring value to our customers and ultimately the patient. Current manufacturing capabilities allow Sun Pharma to develop products across most therapeutic categories.

At Sun Pharma we believe our people are an invaluable asset. Our culturally diverse workforce is one of our biggest strengths, along with the rich experience they bring across varied skill-sets. We are proud that our global workforce is bound by our common values.

Job Summary
The Senior Manager , Patient Support Services reports to the Director, Patient Support Services and Operations and is a key role within the patient services team, responsible for ensuring an optimal overall patient support service experience for healthcare providers (HCPs) and patients that leads to speed to therapy and high touch support. Responsibilities include identifying potential gaps in operational processes and providing immediate and long term solutions by effectively and expeditiously managing escalations and conducting routine audits. This individual will engage, collaborate and interact with internal stakeholders including Sales Leadership, Field Sales, Brand Marketing, Payer Marketing, Market Access, FRM Leadership and FRMs, the Training Department.

This role is accountable for managing Hub vendor performance and customer interactions. Will oversee that the programs are operating according to defined terms and conditions, ensuring Hub vendor performance aligns with contractual expectations, desired patient outcomes within budget parameters.

Responsibilities- Participates in New Program Design and Implementation
- Works with Operations Team to Improve Processes:
- Identify workflow inefficiencies and gaps through audits and call reviews.
- Propose and support implementation of process enhancements to improve speed to therapy and the overall hub experience.
- Identify ways to overcome access barriers such as obtaining authorization or medical exceptions for uncovered drugs
- Case Escalation Management:
- Manage daily inbound escalations for collaborating with the vendor escalation team to ensure timely resolution.
- Uncover root causes and propose immediate and long term solutions to AD, Patient Support Services Operations.
- Communicate resolution outcomes with key stakeholders.
- Case Auditing & Oversight:
- Conduct routine audits Audit to assess quality, accuracy, and compliance with hub processes.
- Oversee Free Goods Programs
- Ensure programs met and adhere to legal, regulatory and compliance standards.
- Monitor hub process and free goods dispensing pharmacy to ensure operational flows are being followed, recommend course corrections, when needed.
- Monitor and ensure program(s) terms and conditions are in line with competitors in the marketplace
- Manage Hub vendor Performance and Relationships

• Join weekly and ad hoc meetings with Hub vendor and specialty pharmacies to identify and close operational gaps.
• Monitor specialty pharmacy (SP) triages, including early access programs (EAP), patient assistance programs (PAP), and assist with pull through by engaging Field Reimbursement Manager.
• Oversee the hub vendor's interactions with HCPs, patients, insurer and specialty pharmacies

• Cross-functional Collaboration:

• Partner with Medical, Legal, Compliance, Field Reimbursement, Market Access, and Brand teams to ensure program alignment and compliance.

• Serve as a key stakeholder in vendor selection, contract negotiation, and ongoing relationship management for all programs.
• Develop and lead training for sales and FRM team (ability to put large amounts of information in a concise format and comfortable presenting in front of 50+ people.

Education & Qualifications

• Minimum of a Bachelor's degree, advanced degree preferred.
• Minimum of five (5) years of experience in patient services, case management, or hub operations
• Familiarity with specialty pharmacy workflows, EAP/PAP programs, and payer landscapes
• Strong understanding of legal, regulatory and compliance guidelines associated with free goods programs
• Strong analytical and auditing skills with the ability to identify patterns and recommend solutions
• Excellent communication and organizational skills
• Proficiency in CRM systems (e.g., Salesforce)
• Prior experience working with FRMs or SPLs
• Background in pharmaceutical or healthcare services industry
• Comfortable with a dynamic, fast-paced work environment

The presently-anticipated base compensation pay range for this position is $145,000 to $177,500. Actual base compensation may vary based on a number of factors, including but not limited to geographical location and experience. In addition, this position is part of the Incentive Compensation Bonus Plan. Employees are eligible to participate in Company employee benefit programs which include medical, dental and vision coverage; life insurance; disability insurance; 401(k) savings plan; flexible spending accounts; and the employee assistance program. Employees also receive various paid time off benefits, including vacation time and sick time.

The compensation and benefits described above are subject to the terms and conditions of any governing plans, policies, practices, agreements, or other materials or documents as in effect from time to time, including but not limited to terms and conditions regarding eligibility. If hired, employee will be in an "at-will position" and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company, or individual department/team performance, and market factors.

The preceding job description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees as assigned to this job. Nothing herein shall preclude the employer from changing these duties from time to time and assigning comparable duties or other duties commensurate with the experience and background of the incumbent(s).

We provide equal employment opportunities for all current employees and applicants for employment. This policy means that no one will be discriminated against because of race, religion, creed, color, national origin, nationality, citizenship, ancestry, sex, age, marital status, physical or mental disability, affectional or sexual orientation, military or veteran status, generic predisposing characteristics or any other basis prohibited by law.

Notice To Agency And Search Firm Representatives
Sun Pharmaceuticals (Sun) is not accepting unsolicited resumes from agencies and/or search firms for this job posting. Resumes submitted to any Sun employee by a third party agency and/or search firm without a valid written & signed search agreement, will become the sole property of Sun. No fee will be paid if a candidate is hired for this position as a result of an unsolicited agency or search firm referral.