Permanent (10)

Hours

Full Time (9)

Specialist Network Manager

Brooklyn

market related

Job Title: Specialist Network Manager

Location:

Tshwane Metro, Pretoria, Brooklyn

Job and related

Secondary Industry:

Insurance

Qualifications:

A relevant clinical Administration teams to develop educational materials for members

Manage budget and ensure no work

Job Duties:

The Specialist Network Manager is responsible for identifying, evaluating, and regulatory compliance. The Specialist Network Manager serves as a primary point of contact for providers

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Case Manager - Medical Aid

Brooklyn

Market related

Job Title: Case Manager - Medical Aid

Location: Tshwane Metro, Pretoria, hours

Primary Industry: Insurance

Secondary Industry: Health of cases that require input from management or the team

Manage telephonic calls and inquiries from members, and support staff

Identify and manage complicated and high-cost cases that have a financial Knowledge and Skills:

Four years experience in Managed Healthcare with oncology and or experience in a

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Senior Actuarial Analyst

Brooklyn

Market related

and related

Secondary Industry:

Insurance

Job Duties:

Carry out member as required
Assist in maintaining and developing processes to monitor current projections and Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and healthcare and insurance industries
Three years relevant experience in managed care, health risk risk management, service/product pricing, or scheme benefit design/healthcare product benefit design,

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Senior Actuarial Analyst

Brooklyn

Market related

and related

Secondary Industry:

Insurance

Job Duties:

Carry out member as required
Assist in maintaining and developing processes to monitor current projections and Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and healthcare and insurance industries
Three years relevant experience in managed care, health risk risk management, service/product pricing, or scheme benefit design/healthcare product benefit design,

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Process Optimisation Engineer

Brooklyn

market related

and Internet

Secondary Industry:

Insurance

Skills:

Identify process improvement within Medihelp to execute the strategy
Develop cost reduction frameworks
Evaluate processes automation opportunities using BPM software
Manage process improvement requirements and ensure that current and to be processes
Liaise with development departments to ensure process changes are identified systems and processes used in the medical aid or insurance industry
Knowledge and Skills:
Extensive

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Senior Actuarial Analyst

Brooklyn

Market related

and related

Secondary Industry:

Insurance

Job Duties:

Carry out member as required
Assist in maintaining and developing processes to monitor current projections and Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and techniques
Understanding of healthcare and insurance industries

Preferred Qualificati

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Process Optimisation Engineer

Brooklyn

market related

and Internet

Secondary Industry:

Insurance

Qualifications:

An advanced diploma within Medihelp to execute the strategy

Develop cost reduction frameworks

Evaluate processes automation opportunities using BPM software

Manage process improvement requirements and ensure that current and to be processes

Liaise with development departments to ensure process changes are identified systems and processes used in the medical aid or insurance industry