Permanent (10)

Hours

Full Time (9)

Specialist Network Manager

Brooklyn

market related

Job Title: Specialist Network Manager

Location:

Tshwane Metro, Pretoria, Brooklyn

Job and related

Secondary Industry:

Insurance

Qualifications:

A relevant clinical contracts with associated remuneration tiers and service level agreements

Collaborate with legal 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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Case Manager - Medical Aid

Brooklyn

Market related

Job Title: Case Manager - Medical Aid

Location: Tshwane Metro, Pretoria, hours

Primary Industry: Insurance

Secondary Industry: Health of cases that require input from management or the team

Manage telephonic calls and inquiries from from all clients and service providers

Co-ordinate services and care for members to prevent re-admissions members, and support staff

Identify and manage complicated and high-cost cases that have a financial

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Senior Actuarial Analyst

Brooklyn

Market related

and related

Secondary Industry:

Insurance

Job Duties:

Carry out member Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and healthcare and insurance industries
Three years relevant experience in managed care, health risk risk management, service/product pricing, or scheme benefit design/healthcare product benefit design,

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Senior Actuarial Analyst

Brooklyn

Market related

and related

Secondary Industry:

Insurance

Job Duties:

Carry out member Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and healthcare and insurance industries
Three years relevant experience in managed care, health risk risk management, service/product pricing, or scheme benefit design/healthcare product benefit design,

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Process Optimisation Engineer

Brooklyn

market related

and Internet

Secondary Industry:

Insurance

Skills:

Identify process improvement automation opportunities using BPM software
Manage process improvement requirements and ensure that systems and processes used in the medical aid or insurance industry
Knowledge and Skills:
Extensive

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Senior Actuarial Analyst

Brooklyn

Market related

and related

Secondary Industry:

Insurance

Job Duties:

Carry out member Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and techniques
Understanding of healthcare and insurance industries