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Core Network Manager Performance Jobs in Brooklyn, Gauteng

Jobs 1-10 of 10

Specialist Network Manager

Brooklyn  market related

Job Title: Specialist Network Manager

Location:

Tshwane Metro, Pretoria, Brooklyn

Job market analysis to identify potential gaps in the network
  • Negotiate provider contracts with associated claims monitoring process
  • Evaluate the performance of healthcare providers to ensure adherence to directives
  • Utilise data analytical tools to assess network performance, identify trends, and make data-driven d decisions
  • Prepare regular reports on key performance indicators and present findings to leadership

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    • Case Manager - Medical Aid

    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 staff
  • Identify and manage complicated and high-cost cases that have a financial Knowledge and Skills:
    • Four years experience in Managed Healthcare with oncology and or experience in a experience in a similar role
    • Ability to manage and prioritise workload effectively
    • Strong

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    • Senior Actuarial Analyst

    Brooklyn  Market related

    department

  • Collect data from relevant sources and perform actuarial analyses modelling and reporting as utilisation and alternative reimbursement model performance
  • Ensure the compilation of all annexures 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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    • Senior Actuarial Analyst

    Brooklyn  Market related

    department

  • Collect data from relevant sources and perform actuarial analyses modelling and reporting as utilisation and alternative reimbursement model performance
  • Ensure the compilation of all annexures 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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    • Pharmacist Medicine Intervention

    Brooklyn  market related

    Industry:

    Insurance

    Job Duties:

    • Perform clinical interventions including Drug Utilisation and doctors
    • Manage operational and clinical tasks within Medicine Management

    Required

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    Senior Actuarial Analyst

    Brooklyn  Market related

    department

  • Collect data from relevant sources and perform actuarial analyses modelling and reporting as utilisation and alternative reimbursement model performance
  • Ensure the compilation of all annexures Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and

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    • Pharmacist Medicine Intervention

    Brooklyn  market related

    Council (SAPC)

    Job Duties:

    • Perform clinical interventions including Drug Utilisation and doctors
    • Manage operational and clinical tasks within Medicine Management

    Required

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    Creditors Clerk Brooklyn, Milnerton

     The Talent ExpertsSouth Africa  R15 000 - R25 000 per month

    You'll play a crucial role in our finance team, managing accounts payable tasks with precision and efficiency Additionally there is the chance of earning a performance related bonus. Join us and be part of a team

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    Process Optimisation Engineer

    Brooklyn  market related

    automation opportunities using BPM software

  • Manage process improvement requirements and ensure that

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    • Process Optimisation Engineer

    Brooklyn  market related

    automation opportunities using BPM software

  • Manage process improvement requirements and ensure that

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