Job Title: Specialist Network Manager

Location:

Tshwane Metro, Pretoria, Brooklyn

Job healthcare providers with special emphasis on specialists
Conduct market analysis to identify potential with Marketing and Member Administration teams to develop educational materials for members
Manage scope of work

Job Duties:

The Specialist Network Manager is responsible for identifying healthcare providers with a special emphasis on specialists. They conduct market analysis to identify potential

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Senior Actuarial Analyst

Brooklyn

Market related

as required

Assist in maintaining and developing processes to monitor current projections and and experience

Review demographics and financial claims data on a monthly basis

Monitor management, service/product pricing, or scheme benefit design/healthcare product benefit design, including experience in pricing and designing value-added products within the medical scheme environment, along with

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Senior Actuarial Analyst

Brooklyn

Market related

as required

Assist in maintaining and developing processes to monitor current projections and and experience

Review demographics and financial claims data on a monthly basis

Monitor management, service/product pricing, or scheme benefit design/healthcare product benefit design, including including pricing and designing value-added products in the medical scheme environment, along with MS SQL

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Case Manager - Medical Aid

Brooklyn

Market related

Health, Medical and related

Job Duties:

Plan and optimise daily tasks to update cases on the nursing facilities
Initiate discharge planning early in hospital admission
Inform family icate with relevant parties about the discharge plan and benefits
Document all phone calls made manage complicated and high-cost cases that have a financial impact on the scheme

Required Qualifications:

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