Job Title: Specialist Network Manager

Location:

Tshwane Metro, Pretoria, Brooklyn

Job pate in the profiling process and meetings and assist with the claims monitoring process
Evaluate develop educational materials for members
Manage budget and ensure no deviations
Ensure work

Job Duties:

The Specialist Network Manager is responsible for identifying, evaluating, and regulatory compliance. The Specialist Network Manager serves as a primary point of contact for providers

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Job Title: Case Manager - Medical Aid

Location: Tshwane Metro, Pretoria, of cases that require input from management or the team

Manage telephonic calls and inquiries from members, and support staff

Identify and manage complicated and high-cost cases that have a financial Knowledge and Skills:

Four years experience in Managed Healthcare with oncology and or experience in a experience in a similar role
Ability to manage and prioritise workload effectively
Strong

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Senior Actuarial Analyst

Brooklyn

Market related

analyses modelling and reporting as required

Assist in maintaining and developing processes to monitor Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and ee years relevant experience in managed care, health risk management, service/product pricing, or scheme

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Senior Actuarial Analyst

Brooklyn

Market related

analyses modelling and reporting as required

Assist in maintaining and developing processes to monitor Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and ee years relevant experience in managed care, health risk management, service/product pricing, or scheme

share this job on whatsapp

Senior Actuarial Analyst

Brooklyn

Market related

analyses modelling and reporting as required

Assist in maintaining and developing processes to monitor Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and

share this job on whatsapp