Permanent (10)

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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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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Secondary Industry:

Insurance

Job Duties:

Carry out member 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 management

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Secondary Industry:

Insurance

Job Duties:

Carry out member 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 management

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Secondary Industry:

Insurance

Skills:

Identify process improvement automation opportunities using BPM software
Manage process improvement requirements and ensure that changes to reduce lead-time, improve quality, reduce risk. and improve process and system efficiency. The systems and processes used in the medical aid or insurance industry
Knowledge and Skills:
Extensive

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Secondary Industry:

Insurance

Job Duties:

Carry out member 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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Secondary Industry:

Insurance

Qualifications:

An advanced diploma automation opportunities using BPM software

Manage process improvement requirements and ensure that changes to reduce lead-time, improve quality, reduce risk. and improve process and system efficiency. The systems and processes used in the medical aid or insurance industry