Government Employees Medical Scheme (GEMS) Jobs

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To apply, click on the link at the end of the posts and all the best with your applications

Provider Liaison Officer – North West

Introduction

Internal Advert: Provider Liaison Officers (North West x3)

The position of Provider Liaison Officer is vacant. The Provider Liaison Officer reports directly to the Manager: Provider Liaison Office and forms part of the Healthcare Management Division. This position is based in North West

The remuneration package for this position is R 978 410 per annum, based on qualifications and experience.

The closing date for applications will be Tuesday, 27 January 2026. 


Duties & Responsibilities

The Provider Liaison Officers will be required to provide support to the Manager: Provider Liaison Office through the implementation of the following Key Performance Areas (KPAs):

  • Support the Manager: Provider Liaison Office in the management of the Managed Care Organisations that are contracted by the Scheme
  • Participate in the review of the providers efficiency reports
  • Provide substantiated commentary on the quality of network services and provider compliance to the Scheme network agreements
  • Represent the Healthcare Management Division at SPN and Stakeholder Engagements and promote network participation by healthcare providers
  • Provide substantiated commentary on the quality of network services and provider compliance with Scheme network agreements
  • Provide periodic reports relating all stakeholder engagements to the Manager: Provider Liaison Office
  • Ensure continuous education on GEMS strategy, systems, processes and product to the providers within the assigned region
  • Serve as a single point of contact for escalations related to claims and authorizations issues from the providers within the assigned region.
  • Perform a secretariat function for the provider relations engagements
  • Support other Scheme Division’s in managed care activities
  • Fulfil various stakeholder engagements as directed by the Chief Healthcare Officer

Desired Experience & Qualification

Qualification requirements are:

  • At least a 3-year Diploma / Degree or equivalent NQF level 6 in Clinical Sciences or related fields
  • At least 5 years work experience in the healthcare funding/medical scheme industry
  • Must have experience in provider relations management
  • Experience in case/ claims management
  • Must have experience in the development and presentation of management reports

Skills / Behavioural Competencies:

  • Computer literacy and MS Office skills
  • Sound Quantitative and qualitative analysis skills with ability to manage priorities
  • Have ability to work well as part of a team
  • Be responsible and reliable
  • Have diligent work ethics with attention to detail
  • Excellent communication and writing skills
  • Have sound planning/project management skills
  • Be a self-starter
  • Own transport essential

Click here to apply

Provider Liaison Officer X3 – Mpumalanga

Introduction

Internal Advert: Provider Liaison Officers (Mpumalanga x3)

The position of Provider Liaison Officer is vacant. The Provider Liaison Officer reports directly to the Manager: Provider Liaison Office and forms part of the Healthcare Management Division. This position is based in Mpumalanga

The remuneration package for this position is R 978 410 per annum, based on qualifications and experience.

The closing date for applications will be Tuesday, 27 January 2026. 


Duties & Responsibilities

The Provider Liaison Officers will be required to provide support to the Manager: Provider Liaison Office through the implementation of the following Key Performance Areas (KPAs):

  • Support the Manager: Provider Liaison Office in the management of the Managed Care Organisations that are contracted by the Scheme
  • Participate in the review of the providers efficiency reports
  • Provide substantiated commentary on the quality of network services and provider compliance to the Scheme network agreements
  • Represent the Healthcare Management Division at SPN and Stakeholder Engagements and promote network participation by healthcare providers
  • Provide substantiated commentary on the quality of network services and provider compliance with Scheme network agreements
  • Provide periodic reports relating all stakeholder engagements to the Manager: Provider Liaison Office
  • Ensure continuous education on GEMS strategy, systems, processes and product to the providers within the assigned region
  • Serve as a single point of contact for escalations related to claims and authorizations issues from the providers within the assigned region.
  • Perform a secretariat function for the provider relations engagements
  • Support other Scheme Division’s in managed care activities
  • Fulfil various stakeholder engagements as directed by the Chief Healthcare Officer

Desired Experience & Qualification

Qualification requirements are:

  • At least a 3-year Diploma / Degree or equivalent NQF level 6 in Clinical Sciences or related fields
  • At least 5 years work experience in the healthcare funding/medical scheme industry
  • Must have experience in provider relations management
  • Experience in case/ claims management
  • Must have experience in the development and presentation of management reports

Skills / Behavioural Competencies:

  • Computer literacy and MS Office skills
  • Sound Quantitative and qualitative analysis skills with ability to manage priorities
  • Have ability to work well as part of a team
  • Be responsible and reliable
  • Have diligent work ethics with attention to detail
  • Excellent communication and writing skills
  • Have sound planning/project management skills
  • Be a self-starter
  • Own transport essential

Click here to apply

Provider Liaison Officer X4 – Limpopo

Introduction

Internal Advert: Provider Liaison Officers (Limpopo x4)

The position of Provider Liaison Officer is vacant. The Provider Liaison Officer reports directly to the Manager: Provider Liaison Office and forms part of the Healthcare Management Division. This position is based in Limpopo

The remuneration package for this position is R 978 410 per annum, based on qualifications and experience.

The closing date for applications will be Tuesday, 27 January 2026. 


Duties & Responsibilities

The Provider Liaison Officers will be required to provide support to the Manager: Provider Liaison Office through the implementation of the following Key Performance Areas (KPAs):

  • Support the Manager: Provider Liaison Office in the management of the Managed Care Organisations that are contracted by the Scheme
  • Participate in the review of the providers efficiency reports
  • Provide substantiated commentary on the quality of network services and provider compliance to the Scheme network agreements
  • Represent the Healthcare Management Division at SPN and Stakeholder Engagements and promote network participation by healthcare providers
  • Provide substantiated commentary on the quality of network services and provider compliance with Scheme network agreements
  • Provide periodic reports relating all stakeholder engagements to the Manager: Provider Liaison Office
  • Ensure continuous education on GEMS strategy, systems, processes and product to the providers within the assigned region
  • Serve as a single point of contact for escalations related to claims and authorizations issues from the providers within the assigned region.
  • Perform a secretariat function for the provider relations engagements
  • Support other Scheme Division’s in managed care activities
  • Fulfil various stakeholder engagements as directed by the Chief Healthcare Officer

Desired Experience & Qualification

Qualification requirements are:

  • At least a 3-year Diploma / Degree or equivalent NQF level 6 in Clinical Sciences or related fields
  • At least 5 years work experience in the healthcare funding/medical scheme industry
  • Must have experience in provider relations management
  • Experience in case/ claims management
  • Must have experience in the development and presentation of management reports

Skills / Behavioural Competencies:

  • Computer literacy and MS Office skills
  • Sound Quantitative and qualitative analysis skills with ability to manage priorities
  • Have ability to work well as part of a team
  • Be responsible and reliable
  • Have diligent work ethics with attention to detail
  • Excellent communication and writing skills
  • Have sound planning/project management skills
  • Be a self-starter
  • Own transport essential

Click here to apply

We wish you all the best with your applications

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