Permanent (10)

Job Title: Specialist Network Manager

Location:

Tshwane Metro, Pretoria, Brooklyn

Job Bachelor degree

Skills:

Identify, evaluate and recruit healthcare providers with special assist with the claims monitoring process
Evaluate the performance of healthcare providers to ensure develop educational materials for members
Manage budget and ensure no deviations
Ensure Duties:
The Specialist Network Manager is responsible for identifying, evaluating, and recruiting healthcare

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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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Process Optimisation Engineer

Brooklyn

market related

strategy

Develop cost reduction frameworks

Evaluate processes in terms of industry best practises automation opportunities using BPM software

Manage process improvement requirements and ensure that

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Process Optimisation Engineer

Brooklyn

market related

strategy

Develop cost reduction frameworks

Evaluate processes in terms of industry best practises automation opportunities using BPM software

Manage process improvement requirements and ensure that

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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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