Brooklyn
market related
Job Title: Specialist Network Manager
Location:
Tshwane Metro, Pretoria, Brooklyn
Job
contact for providers facilitating effective communication and collaboration
Participate in the
the profiling process and meetings and assist with the claims monitoring processEvaluate the performance
develop educational materials for membersManage budget and ensure no deviationsEnsure
workJob Duties:
The Specialist Network Manager is responsible for identifying, evaluating, and
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Brooklyn
Market related
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
them regarding general care exclusionsCommunicate with relevant parties about the discharge plan
and document all relevant informationCommunicate clinical funding recommendations via hospital
members, and support staffIdentify and manage complicated and high-cost cases that have a financial
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Brooklyn
Market related
analyses modelling and reporting as required
Assist in maintaining and developing processes to monitor
comply with regulatory requirementsCommunicate actuarial modelling analysis and investigations
Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and
analytical and mathematical skillsExcellent communication and presentation abilitiesProficiency
ee years relevant experience in managed care, health risk management, service/product pricing, or scheme
share this job on whatsapp
Brooklyn
Market related
analyses modelling and reporting as required
Assist in maintaining and developing processes to monitor
comply with regulatory requirementsCommunicate actuarial modelling analysis and investigations
Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and
analytical and mathematical skillsExcellent communication and presentation abilitiesProficiency
ee years relevant experience in managed care, health risk management, service/product pricing, or scheme
share this job on whatsapp
Brooklyn
Market related
analyses modelling and reporting as required
Assist in maintaining and developing processes to monitor
comply with regulatory requirementsCommunicate actuarial modelling analysis and investigations
Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and
analytical and mathematical skillsExcellent communication and presentation abilitiesProficiency
share this job on whatsapp
Brooklyn
market related
and doctors
Manage operational and clinical tasks within Medicine ManagementRequired
regulations and procedures
Excellent communication and interpersonal skillsAbility to
share this job on whatsapp
Brooklyn
market related
and doctors
Manage operational and clinical tasks within Medicine ManagementRequired
regulations and procedures
Excellent communication and interpersonal skillsAbility to
share this job on whatsapp
Brooklyn
market related
automation opportunities using BPM software
Manage process improvement requirements and ensure that
collaboratively with different teams, excellent communication skills, proficiency in BPM software, and experience
share this job on whatsapp
Brooklyn
market related
automation opportunities using BPM software
Manage process improvement requirements and ensure that
collaboratively with different teams, excellent communication skills, proficiency in BPM software, and experience
share this job on whatsapp