Group Schemes Negotiator Jobs in Brooklyn, Gauteng

Brooklyn

Market related

re-admissions and complications

Negotiate within the scheme rules regarding tariffs and discounts

Identify high-cost cases that have a financial impact on the scheme

Required Qualifications:

A completed communication and interpersonal skills

Excellent negotiation skills

Knowledge of hospital procedures

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Senior Actuarial Analyst

Brooklyn

Market related

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

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

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Senior Actuarial Analyst

Brooklyn

Market related

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

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

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Specialist Network Manager

Brooklyn

market related

identify potential gaps in the network

Negotiate provider contracts with associated remuneration analysis to identify potential gaps in the network, negotiate provider contracts, and collaborate with legal network management, within the context of medical schemes or health insurance