Brooklyn
market related
Job Title: Specialist Network Manager
Location:
Tshwane Metro, Pretoria, Brooklyn
Job
hoursPrimary Industry:
Health, Medical and related
Secondary Industry:
Insura
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
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Brooklyn
Market related
Job Title: Case Manager - Medical Aid
Location: Tshwane Metro, Pretoria,
hours
Primary Industry: Insurance
Secondary Industry: Health, Medical
and optimise daily tasks to update cases on the hospital list within the 8-hour turnaround time
Follow
patientsIdentify the need for patient and hospital visits where possible and give documented fee
of cases that require input from management or the teamManage telephonic calls and inquiries from
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Brooklyn
Market related
Full-Time
Primary Industry:
Health, Medical and related
Secondary Industry:
Insurance
Job
utilisation regarding specific subsets
Analyse hospital data on utilisation and alternative reimbursement
Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and
insurance industriesThree years relevant experience in managed care, health risk management, service/product
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Brooklyn
Market related
Full-Time
Primary Industry:
Health, Medical and related
Secondary Industry:
Insurance
Job
utilisation regarding specific subsets
Analyse hospital data on utilisation and alternative reimbursement
Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and
insurance industriesThree years relevant experience in managed care, health risk management, service/product
share this job on whatsapp
Brooklyn
Market related
Full-Time
Primary Industry:
Health, Medical and related
Secondary Industry:
Insurance
Job
utilisation regarding specific subsets
Analyse hospital data on utilisation and alternative reimbursement
Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and
techniquesUnderstanding of healthcare and insurance industriesPreferred Qualifications:
Progress
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Brooklyn
market related
hours
Primary Industry:
IT and Internet
Secondary Industry:
Insurance
An advanced diploma in Industrial Engineering, or A certificate in Business or
frameworks
Evaluate processes in terms of industry best practises and identify areas of improvementGather
automation opportunities using BPM softwareManage process improvement requirements and ensure that
Qualifications:An advanced diploma in Industrial Engineering or a certificate in Business or Process
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Brooklyn
market related
hours
Primary Industry:
IT and Internet
Secondary Industry:
Insurance
Evaluate processes in terms of industry best practises and identify areas of improvementGather
automation opportunities using BPM softwareManage process improvement requirements and ensure that
Qualifications:An advanced diploma in Industrial Engineering or a certificate in Business or Process
processes used in the medical aid or insurance industry
Knowledge and Skills:
Extensive
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Brooklyn
market related
hours
Primary Industry:
Health, Medical and related
Secondary Industry:
Insurance
Job
and doctors
Manage operational and clinical tasks within Medicine ManagementRequired
share this job on whatsapp
Brooklyn
market related
hours
Primary Industry:
Health, Medical and related
Secondary Industry:
Insura
and doctors
Manage operational and clinical tasks within Medicine ManagementRequired
share this job on whatsapp