Permanent (10)

Job Title: Specialist Network Manager

Location:

Tshwane Metro, Pretoria, Brooklyn

Job Qualifications:

A relevant clinical or business related ND or Bachelor degree

Skills:< contracts with associated remuneration tiers and service level agreements
Collaborate with legal 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

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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 from all clients and service providers

Co-ordinate services and care for members to prevent re-admissions notes to doctors, members, and support staff

Identify and manage complicated and high-cost cases Knowledge and Skills:

Four years experience in Managed Healthcare with oncology and or experience in a

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Process Optimisation Engineer

Brooklyn

market related

information from a variety of sources to inform business process mapping and documentation

Identify BPM software

Manage process improvement requirements and ensure that business needs and decisions decisions are stored

Translate business analysts and business units discussions into process maps and procedures

Facilitate Kaizen sessions with business and team members

Investigate system and and addressed

Provide day to day support to the business unit and team members

Administer

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Process Optimisation Engineer

Brooklyn

market related

in Industrial Engineering, or A certificate in Business or Process Analysis

Skills:

Identify information from a variety of sources to inform business process mapping and documentation
Identify BPM software
Manage process improvement requirements and ensure that business needs and decisions decisions are stored
Translate business analysts and business units discussions into process maps and procedures
Facilitate Kaizen sessions with business and team members
Investigate system and

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Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and years relevant experience in managed care, health risk management, service/product pricing, or scheme benefit

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