Job Title: Specialist Network Manager

Location:

Tshwane Metro, Pretoria, Brooklyn

Job gaps in the network
Negotiate provider contracts with associated remuneration tiers and service te with legal and compliance teams to ensure contracts align with regulatory requirements
Serve develop educational materials for members
Manage budget and ensure no deviations
Ensure work

Job Duties:

The Specialist Network Manager is responsible for identifying, evaluating, and

Job Title: Case Manager - Medical Aid

Location: Tshwane Metro, Pretoria, and optimise daily tasks to update cases on the hospital list within the 8-hour turnaround time

Follow patients

Identify the need for patient and hospital visits where possible and give documented fee of cases that require input from management or the team

Manage telephonic calls and inquiries from facilities

Initiate discharge planning early in hospital admission

Inform family regarding short-term

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Senior Actuarial Analyst

Brooklyn

Market related

utilisation regarding specific subsets

Analyse hospital data on utilisation and alternative reimbursement Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and ee years relevant experience in managed care, health risk management, service/product pricing, or scheme

share this job on whatsapp

Senior Actuarial Analyst

Brooklyn

Market related

utilisation regarding specific subsets

Analyse hospital data on utilisation and alternative reimbursement Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and ee years relevant experience in managed care, health risk management, service/product pricing, or scheme

share this job on whatsapp

Senior Actuarial Analyst

Brooklyn

Market related

utilisation regarding specific subsets

Analyse hospital data on utilisation and alternative reimbursement Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and

share this job on whatsapp