Brooklyn
          
 market related          
                                                
Job Title: Specialist Network Manager
Location:
Tshwane Metro, Pretoria, Brooklyn
Job
                        gaps in the network
Negotiate provider contracts with associated remuneration tiers and service
                        te with legal and compliance teams to ensure contracts align with regulatory requirementsServe
                        develop educational materials for membersManage budget and ensure no deviationsEnsure
                        workJob Duties:
The Specialist Network Manager is responsible for identifying, evaluating, and
                                                
            
          
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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
                        members, and support staffIdentify and manage complicated and high-cost cases that have a financial
                        Knowledge and Skills: 
        
    
                
          
Brooklyn
          
 market related          
                                                tify process and system automation opportunities using BPM software
Manage process improvement
                        tigate system and process impacts and integrationIdentify and map process and system current
                        improve quality, reduce risk. and improve process and system efficiency. The incumbent must translate business
                        analysis. orFive to ten years expereince of systems and processes used in the medical aid or insurance
                        word, excell, outlook 
Familiar with ERP systems
Knowledge of Lean Six Sigma
Working
                                                
            
          
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Brooklyn
          
 market related          
                                                tify process and system automation opportunities using BPM software
Manage process improvement
                        tigate system and process impacts and integrationIdentify and map process and system current
                        improve quality, reduce risk. and improve process and system efficiency. The incumbent must translate business
                        analysis. orFive to ten years expereince of systems and processes used in the medical aid or insurance
                        word, excell, outlook 
Familiar with ERP systems
Knowledge of Lean Six Sigma
Preferred
                                                
            
          
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Brooklyn
          
 Market related          
                                                and developing processes to monitor current projections and experience
Review demographics and
                        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          
                                                and developing processes to monitor current projections and experience
Review demographics and
                        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          
                                                and developing processes to monitor current projections and experience
Review demographics and
                        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
                                                
            
          
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Brooklyn
          
 market related          
                                                and doctors
Manage operational and clinical tasks within Medicine ManagementRequired
                                                
            
          
 share this job on whatsapp