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 admission

Inform family regarding short-term medical benefits and educate them regarding general care exclu relevant parties about the discharge plan and benefits

Document all phone calls made to relevant 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

basis

Monitor, analyse, and interpret compliance with benefit utilisation regarding specific subsets

Analyse 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 three years of experience in pricing and designing value-added

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Senior Actuarial Analyst

Brooklyn

Market related

basis

Monitor, analyse, and interpret compliance with benefit utilisation regarding specific subsets

Analyse 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

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