Jobs in

Gems Medical Aid Scheme Jobs in Brooklyn, Eastern Cape

Jobs 1-9 of 9

Case Manager - Medical Aid

Brooklyn  Market related

Job Title: Case Manager - Medical Aid

Location: Tshwane Metro, Pretoria, Insurance

Secondary Industry: Health, Medical and related

Job Duties:
  • Plan and optimise and complications
  • Negotiate within the scheme rules regarding tariffs and discounts
  • Identify admission
  • Inform family regarding short-term medical benefits and educate them regarding general care high-cost cases that have a financial impact on the scheme
Required Qualifications:

A completed

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Senior Actuarial Analyst

Brooklyn  Market related

Full-Time

Primary Industry:

Health, Medical and related

Secondary Industry:

compilation of all annexures for the Council for Medical Schemes relating to members

  • Compile annual health risk management, service/product pricing, or scheme benefit design/healthcare product benefit design and designing value-added products within the medical scheme environment, along with MS SQL programming

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    • Senior Actuarial Analyst

    Brooklyn  Market related

    Full-Time

    Primary Industry:

    Health, Medical and related

    Secondary Industry:

    compilation of all annexures for the Council for Medical Schemes relating to members

  • Compile annual health risk management, service/product pricing, or scheme benefit design/healthcare product benefit design pricing and designing value-added products in the medical scheme environment, along with MS SQL programming

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    • Pharmacist Medicine Intervention

    Brooklyn  market related

    hours

    Primary Industry:

    Health, Medical and related

    Secondary Industry:

    accuracy

  • Knowledge of The Pharmacy Act, the Medical Scheme Act, Pharmacology, PMB and algorithms for ICD hours
  • May require handling of sensitive medical information

    • Closing date: 25

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    Pharmacist Medicine Intervention

    Brooklyn  market related

    hours

    Primary Industry:

    Health, Medical and related

    Secondary Industry:

    accuracy

  • Knowledge of The Pharmacy Act, the Medical Scheme Act, Pharmacology, PMB and algorithms for ICD hours
  • May require handling of sensitive medical information

    • Closing date: 25

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    Senior Actuarial Analyst

    Brooklyn  Market related

    Full-Time

    Primary Industry:

    Health, Medical and related

    Secondary Industry:

    compilation of all annexures for the Council for Medical Schemes relating to members

  • Compile annual

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    • Specialist Network Manager

    Brooklyn  market related

    hours

    Primary Industry:

    Health, Medical and related

    Secondary Industry:

    network management, within the context of medical schemes or health insurance

    Knowledge and S

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    Process Optimisation Engineer

    Brooklyn  market related

    expereince of systems and processes used in the medical aid or insurance industry

    Knowledge and S

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    Process Optimisation Engineer

    Brooklyn  market related

    expereince of systems and processes used in the medical aid or insurance industry

    Knowledge and S

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