Pharmacist Assistant Interventionist at Medscheme

• Jan 2021 - Present

Clinical Interventionist

• Dec 2014 - Dec 2021

• Adjudication and clinical interpretation of claims; • Manage all claims where clinical interpretation and intervention is required • Clinical enquiry resolution • Maintain a high level of inter-departmental understanding in order to deliver on professional service delivery o Continuously increase understanding of client and stakeholder needs, satisfaction and service delivery o Ensure all client service level requirements are met • Gather and distribute suitable clinical information • Ensure that adequate knowledge is shared as required and maintained within the research library • Provide advice and/or training as required o Create and maintain the SOPs, clinical protocols and processes • Assist with chronic medicine and disease management programmes as required • Understand interdependence of different systems and processes • Authorization of chronic medicine and treatment plans • Telephonic or written clinical intervention and assistance to beneficiaries and providers • Working with other healthcare personnel in the organization • Manage ad-hoc clinical projects as required • Cost containment • Support the identification, implementation and development of cost effective processes to increase efficiency and reduce cost drivers Show less

Portfolio Manager

• Apr 2007 - Dec 2015

• Managing of incoming HIV related queries • Resolving queries coming into the department. • Templating Extension group performance statistics for the team • Claiming of scripts for medical aids, and the escalation of relevant Clinical Queries where the Pharmacist/ manager intervention is needed or requested by a Doctor or a Patient • Arranging urgent deliveries • Loading of prescriptions • Managing junior employees in the department with regards to sick leave, annual leave • Assisting agents with medication explanation or the use of medication by explaining to the patient. • Assisting with complaints/queries were patients and Doctors request to speak to the manager. Show less

Basic Pharmacist Assistant

• Jun 2003 - Mar 2007

Assisting with management of a non-sterile or sterile medicine packaging of medicines, distribution and control of stock schedule 0 – schedule 5 medicine in appropriate containers following the interpretation and evaluation of the prescription by a pharmacist and packing of medication Assisting with management of a non-sterile or sterile medicine packaging of medicines, distribution and control of stock schedule 0 – schedule 5 medicine in appropriate containers following the interpretation and evaluation of the prescription by a pharmacist and packing of medication