Brooklyn
          
 market related          
                                                
Job Title: Specialist Network Manager
Location:
Tshwane Metro, Pretoria, Brooklyn
Job
                        develop educational materials for members
Manage 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
                        members. Additionally, the Specialist Network Manager manages the budget, ensures operational efficiency
                                                
            
          
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Brooklyn
          
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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
                        staffIdentify and manage complicated and high-cost cases that have a financial impact on the schemeRequired
                        Council (SANC)
Experience, Knowledge and Skills:
 
        
    
                
          
Brooklyn
          
 Market related          
                                                current projections and experience
Review demographics and financial claims data on a monthly
                        Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and
                        industriesThree years relevant experience in managed care, health risk management, service/product pricing
                        product benefit design, including three years of experience in pricing and designing value-added products
                                                
            
          
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Brooklyn
          
 Market related          
                                                current projections and experience
Review demographics and financial claims data on a monthly
                        Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and
                        industriesThree years relevant experience in managed care, health risk management, service/product pricing
                                                
            
          
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Brooklyn
          
 Market related          
                                                current projections and experience
Review demographics and financial claims data on a monthly
                        Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and
                                                
            
          
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Brooklyn
          
 market related          
                                                and doctors
Manage operational and clinical tasks within Medicine ManagementRequired
                        (SAPC)Experience:
Minimum of 2 years of experience in clinical interventions
Experience in
                                                
            
          
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Brooklyn
          
 market related          
                                                and doctors
Manage operational and clinical tasks within Medicine ManagementRequired
                        (SAPC)Experience:
Minimum of 2 years of experience in clinical interventions
Experience in
                                                
            
          
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Brooklyn
          
 market related          
                                                automation opportunities using BPM software
Manage process improvement requirements and ensure that
                        or Process AnalysisExperience:
Three to five years experience of business process analysis
                        communication skills, proficiency in BPM software, and experience in facilitating Kaizen sessions
Microsoft
                                                
            
          
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Brooklyn
          
 market related          
                                                automation opportunities using BPM software
Manage process improvement requirements and ensure that
                        or Process AnalysisExperience:
Three to five years experience of business process analysis
                        communication skills, proficiency in BPM software, and experience in facilitating Kaizen sessions
Microsoft
                                                
            
          
 share this job on whatsapp