Brooklyn
market related
Job Title: Specialist Network Manager
Location:
Tshwane Metro, Pretoria, Brooklyn
Job
accreditation standards
Ensure adherence to all Medihelp policies guidelines and directivesUtilise
develop educational materials for membersManage budget and ensure no deviationsEnsure
workJob 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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Brooklyn
Market related
Job Title: Case Manager - Medical Aid
Location: Tshwane Metro, Pretoria,
input from management or the team
Manage telephonic calls and inquiries from all clients and
benefitsDocument all phone calls made to relevant partiesComplete and document all relevant inf
members, and support staffIdentify and manage complicated and high-cost cases that have a financial
Knowledge and Skills:
Brooklyn
Market related
model performance
Ensure the compilation of all annexures for the Council for Medical Schemes relating
return for submission to the CMSCompile all utilisation reports to comply with regulatory re
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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Brooklyn
Market related
model performance
Ensure the compilation of all annexures for the Council for Medical Schemes relating
return for submission to the CMSCompile all utilisation reports to comply with regulatory re
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
Brooklyn
Market related
model performance
Ensure the compilation of all annexures for the Council for Medical Schemes relating
return for submission to the CMSCompile all utilisation reports to comply with regulatory re
Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and
share this job on whatsapp
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
Brooklyn
market related
automation opportunities using BPM software
Manage process improvement requirements and ensure that
share this job on whatsapp
Brooklyn
market related
automation opportunities using BPM software
Manage process improvement requirements and ensure that
share this job on whatsapp