Brooklyn
market related
Job Title: Specialist Network Manager
Location:
Tshwane Metro, Pretoria, Brooklyn
Job
teams to ensure contracts align with regulatory requirements
Serve as a primary point of contact
develop educational materials for membersManage budget and ensure no deviationsEnsure
scope of workJob Duties:
The Specialist Network Manager is responsible for identifying
regulatory compliance. The Specialist Network Manager serves as a primary point of contact for providers
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Brooklyn
Market related
Job Title: Case Manager - Medical Aid
Location: Tshwane Metro, Pretoria,
Industry: Health, Medical and related
Job
Duties:
- Plan and optimise daily tasks to update
referral of cases that require input from management or the team
- Manage telephonic calls and inquiries
members, and support staff
- Identify and manage complicated and high-cost cases that have a financial
financial impact on the scheme
Required Qualifications:
A completed degree or diploma as a registered
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Brooklyn
market related
related
Secondary Industry:
Insurance
Job Duties:
- Perform clinical interventions including
doctors
- Manage operational and clinical tasks within Medicine Management
Required Qualif
facility
Regular office hours May require handling of sensitive medical information
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Brooklyn
Market related
related
Secondary Industry:
Insurance
Job Duties:
- Carry out member and supplier data
actuarial analyses modelling and reporting as required
- Assist in maintaining and developing processes
utilisation reports to comply with regulatory requirements
- Communicate actuarial modelling analysis
Enterprise risk management frameworks, Medihelp policies guidelines and directives
Required Qualifications:
A
ee years relevant experience in managed care, health risk management, service/product pricing, or scheme
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Brooklyn
Market related
related
Secondary Industry:
Insurance
Job Duties:
- Carry out member and supplier data
actuarial analyses modelling and reporting as required
- Assist in maintaining and developing processes
utilisation reports to comply with regulatory requirements
- Communicate actuarial modelling analysis
Enterprise risk management frameworks, Medihelp policies guidelines and directives
Required Qualifications:
A
ee years relevant experience in managed care, health risk management, service/product pricing, or scheme
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Brooklyn
market related
African Pharmacy Council (SAPC)
Job Duties:
- Perform clinical interventions including
doctors
- Manage operational and clinical tasks within Medicine Management
Required Qualif
facility
Regular office hours May require handling of sensitive medical information
share this job on whatsapp
Brooklyn
Market related
related
Secondary Industry:
Insurance
Job Duties:
- Carry out member and supplier data
actuarial analyses modelling and reporting as required
- Assist in maintaining and developing processes
utilisation reports to comply with regulatory requirements
- Communicate actuarial modelling analysis
Enterprise risk management frameworks, Medihelp policies guidelines and directives
Required Qualifications:
A
s role is office-based with occasional travel required for meetings or training.
Closing
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Brooklyn
market related
opportunities using BPM software
Manage process improvement requirements and ensure that business needs
SOPs and a process repositoryJob Duties:
The post aims to identify, implement, and
discussions into process maps and procedures
Required Qualifications:
An advanced diploma in
office working conditions, occasional travel may be required
Closing date: 25 July 2024
share this job on whatsapp
Brooklyn
market related
opportunities using BPM software
Manage process improvement requirements and ensure that business needs
SOPs and a process repositoryJob Duties:
The post aims to identify, implement, and
discussions into process maps and procedures
Required Qualifications:
An advanced diploma in
office working conditions, occasional travel may be required
Closing date: 25 July 2024
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