Permanent (10)

Job Title: Case Manager - Medical Aid

Location: Tshwane Metro, Pretoria, Insurance

Secondary Industry: Health, Medical and related

Job Duties:

Plan and optimise of cases that require input from management or the team
Manage telephonic calls and inquiries from admission
Inform family regarding short-term medical benefits and educate them regarding general care document all relevant information
Communicate clinical funding recommendations via hospital authorisation

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Job Title: Specialist Network Manager

Location:

Tshwane Metro, Pretoria, Brooklyn

Job hours

Primary Industry:

Health, Medical and related

Secondary Industry:

ance

Qualifications:

A relevant clinical or business related ND or Bachelor degree

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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Pharmacist Medicine Intervention

Brooklyn

market related

hours

Primary Industry:

Health, Medical and related

Secondary Industry:

urance

Job Duties:

Perform clinical interventions including Drug Utilisation Review application escalations to the Clinical Committee for cases outside of clinical protocols
Load medicine and doctors
Manage operational and clinical tasks within Medicine Management

Required e:

Minimum of 2 years of experience in clinical interventions

Experience in the PBM environment

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Pharmacist Medicine Intervention

Brooklyn

market related

hours

Primary Industry:

Health, Medical and related

Secondary Industry:

(SAPC)

Job Duties:

Perform clinical interventions including Drug Utilisation Review application escalations to the Clinical Committee for cases outside of clinical protocols
Load medicine and doctors
Manage operational and clinical tasks within Medicine Management

Required e:

Minimum of 2 years of experience in clinical interventions

Experience in the PBM environment

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Primary Industry:

Health, Medical and related

Secondary Industry:

compilation of all annexures for the Council for Medical Schemes relating to members

Compile annual 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 and designing value-added products within the medical scheme environment, along with MS SQL programming

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Senior Actuarial Analyst

Brooklyn

Market related

Full-Time

Primary Industry:

Health, Medical and related

Secondary Industry:

compilation of all annexures for the Council for Medical Schemes relating to members

Compile annual 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 pricing and designing value-added products in the medical scheme environment, along with MS SQL programming

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