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 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 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 mmunicate actuarial modelling analysis and investigations to relevant stakeholders clearly
Ensure 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 mmunicate actuarial modelling analysis and investigations to relevant stakeholders clearly
Ensure 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 automation opportunities using BPM software
Manage process improvement requirements and ensure that sessions with business and team members
Investigate system and process impacts and integration
Identify 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 mmunicate actuarial modelling analysis and investigations to relevant stakeholders clearly
Ensure Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and techniques
Understanding of healthcare and insurance industries