Case Data Captures Jobs in Brooklyn, Gauteng

Brooklyn

Market related

Job Title: Case Manager - Medical Aid

Location: Tshwane Metro, Pretoria, Duties:

Plan and optimise daily tasks to update cases on the hospital list within the 8-hour turnaround time
Follow up on long-term and high-cost cases of hospitalised and home care patients
Identify low the escalation process for the referral of cases that require input from management or the team
Manage staff
Identify and manage complicated and high-cost cases that have a financial impact on the scheme

Required

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Pharmacist Medicine Intervention

Brooklyn

market related

application escalations to the Clinical Committee for cases outside of clinical protocols

Load medicine

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Pharmacist Medicine Intervention

Brooklyn

market related

application escalations to the Clinical Committee for cases outside of clinical protocols

Load medicine

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Senior Actuarial Analyst

Brooklyn

Market related

out member and supplier data analyses and forecasting

Improve the data warehouse reports in conjunction conjunction with the BI department

Collect data from relevant sources and perform actuarial analyses experience

Review demographics and financial claims data on a monthly basis

Monitor, analyse, and regarding specific subsets

Analyse hospital data on utilisation and alternative reimbursement model and presentation abilities

Proficiency in data analysis and reporting

Knowledge of actuarial

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Senior Actuarial Analyst

Brooklyn

Market related

out member and supplier data analyses and forecasting

Improve the data warehouse reports in conjunction conjunction with the BI department

Collect data from relevant sources and perform actuarial analyses experience

Review demographics and financial claims data on a monthly basis

Monitor, analyse, and regarding specific subsets

Analyse hospital data on utilisation and alternative reimbursement model and presentation abilities

Proficiency in data analysis and reporting

Knowledge of actuarial

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Senior Actuarial Analyst

Brooklyn

Market related

out member and supplier data analyses and forecasting

Improve the data warehouse reports in conjunction conjunction with the BI department

Collect data from relevant sources and perform actuarial analyses experience

Review demographics and financial claims data on a monthly basis

Monitor, analyse, and regarding specific subsets

Analyse hospital data on utilisation and alternative reimbursement model and presentation abilities

Proficiency in data analysis and reporting

Knowledge of actuarial

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Utilise data analytical tools to assess network performance, identify trends, and make data-driven d ensures adherence to company policies. They utilise data analytical tools to assess network performance, communication skills

Ability to analyse data and make data-driven decisions

Familiarity with

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