Permanent (10)

Job Title: Specialist Network Manager

Location:

Tshwane Metro, Pretoria, Brooklyn

Job 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 regulatory compliance. The Specialist Network Manager serves as a primary point of contact for providers members. Additionally, the Specialist Network Manager manages the budget, ensures operational efficiency

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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

Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and experience in managed care, health risk management, service/product pricing, or scheme benefit design/healthcare product benefit design, including three years of experience in pricing and designing value-added products

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Senior Actuarial Analyst

Brooklyn

Market related

Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and experience in managed care, health risk management, service/product pricing, or scheme benefit design/healthcare design/healthcare product benefit design, including pricing and designing value-added products in the medical scheme

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