Brooklyn
market related
Job Title: Specialist Network Manager
Location:
Tshwane Metro, Pretoria, Brooklyn
Job
Qualifications:
A relevant clinical or business related ND or Bachelor degree
Skills:<
directives
Utilise data analytical tools to assess network performance, identify trends, and make data-driven d
develop educational materials for membersManage budget and ensure no deviationsEnsure
workJob Duties:
The Specialist Network Manager is responsible for identifying, evaluating, and
share this job on whatsapp
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
notes to doctors, members, and support staffIdentify and manage complicated and high-cost cases
Knowledge and Skills:
Brooklyn
Market related
out member and supplier data analyses and forecasting
Improve the data warehouse reports in conjunction
conjunction with the BI departmentCollect data from relevant sources and perform actuarial analyses
experienceReview demographics and financial claims data on a monthly basisMonitor, analyse, and
regarding specific subsetsAnalyse hospital data on utilisation and alternative reimbursement model
Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and
share this job on whatsapp
Brooklyn
Market related
out member and supplier data analyses and forecasting
Improve the data warehouse reports in conjunction
conjunction with the BI departmentCollect data from relevant sources and perform actuarial analyses
experienceReview demographics and financial claims data on a monthly basisMonitor, analyse, and
regarding specific subsetsAnalyse hospital data on utilisation and alternative reimbursement model
Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and
share this job on whatsapp
Brooklyn
Market related
out member and supplier data analyses and forecasting
Improve the data warehouse reports in conjunction
conjunction with the BI departmentCollect data from relevant sources and perform actuarial analyses
experienceReview demographics and financial claims data on a monthly basisMonitor, analyse, and
regarding specific subsetsAnalyse hospital data on utilisation and alternative reimbursement model
Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and
share this job on whatsapp
Brooklyn
market related
information from a variety of sources to inform business process mapping and documentation
Identify
BPM softwareManage process improvement requirements and ensure that business needs and decisions
decisions are storedTranslate business analysts and business units discussions into process maps and
proceduresFacilitate Kaizen sessions with business and team membersInvestigate system and
and addressedProvide day to day support to the business unit and team membersAdminister
share this job on whatsapp
Brooklyn
market related
in Industrial Engineering, or A certificate in Business or Process Analysis
Skills:
Brooklyn
market related
and doctors
Manage operational and clinical tasks within Medicine ManagementRequired
share this job on whatsapp
Brooklyn
market related
and doctors
Manage operational and clinical tasks within Medicine ManagementRequired
share this job on whatsapp