Pharmacist at Discovery Limited

Key purpose:

• To accurately assess CIB requests, in line with CIB products and in accordance with benefit entry criteria and established clinical protocols.

Key Outputs:

The successful candidate will be responsible for but not limited to:

•  Review requests for chronic conditions and medication in accordance with clinical protocols and standard operation procedures. .
•  Maintain acceptable daily turnaround times in the CIB workflow pools in accordance with CIB Quality standards
•  Apply government stipulations in terms of PMB’s and treatment algorithms
•  Identify and review cases falling outside of CIB protocols to ensure that funding exceptions are made appropriately.
•  Receive and process inquiries from providers related to adding/amending chronic medication
•  Call centre and operational support
•  Make outbound calls to obtain or confirm clinical information from providers and members
•  Interpret bulk data imports according to DH protocols and clinical criteria.
•  Review requests for unregistered medication
• Manage the Biologic review process
• Ad hoc project work

Qualifications & Experience:

The following requirements are essential:

• B. Pharm.
• Registered with South African Pharmacy Council (SAPC).
• 3 Years retail or courier pharmacy experience post Community Service.

The following requirements are Advantageous:

• Understanding of DH product and benefits
• Understanding of DH funding and policies
• Post graduate qualification