Brooklyn
market related
Job Title: Specialist Network Manager
Location:
Tshwane Metro, Pretoria, Brooklyn
Job
directives
Utilise data analytical tools to assess network performance, identify trends, and make data-driven d
develop educational materials for membersManage budget and ensure no deviationsEnsure
workJob Duties:
The Specialist Network Manager is responsible for identifying, evaluating, and
regulatory compliance. The Specialist Network Manager serves as a primary point of contact for providers
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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
out member and supplier data analyses and forecasting
Improve the data warehouse reports in conjunction
conjunction with the BI departmentCollect data from relevant sources and perform actuarial analyses
experienceReview demographics and financial claims data on a monthly basisMonitor, analyse, and
regarding specific subsetsAnalyse hospital data on utilisation and alternative reimbursement model
Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and
share this job on whatsapp
Brooklyn
Market related
out member and supplier data analyses and forecasting
Improve the data warehouse reports in conjunction
conjunction with the BI departmentCollect data from relevant sources and perform actuarial analyses
experienceReview demographics and financial claims data on a monthly basisMonitor, analyse, and
regarding specific subsetsAnalyse hospital data on utilisation and alternative reimbursement model
Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and
share this job on whatsapp
Brooklyn
Market related
out member and supplier data analyses and forecasting
Improve the data warehouse reports in conjunction
conjunction with the BI departmentCollect data from relevant sources and perform actuarial analyses
experienceReview demographics and financial claims data on a monthly basisMonitor, analyse, and
regarding specific subsetsAnalyse hospital data on utilisation and alternative reimbursement model
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
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
automation opportunities using BPM software
Manage process improvement requirements and ensure that
share this job on whatsapp
Brooklyn
market related
automation opportunities using BPM software
Manage process improvement requirements and ensure that
share this job on whatsapp