Permanent (10)

Job Title: Specialist Network Manager

Location:

Tshwane Metro, Pretoria, Brooklyn

Job 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 members. Additionally, the Specialist Network Manager manages the budget, ensures operational efficiency

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Case Manager - Medical Aid

Brooklyn

Market related

Job Title: Case Manager - Medical Aid

Location: Tshwane Metro, Pretoria, 8-hour turnaround time

Follow up on long-term and high-cost cases of hospitalised and home care of cases that require input from management or the team

Manage telephonic calls and inquiries from hospital admission

Inform family regarding short-term medical benefits and educate them regarding general members, and support staff

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

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Process Optimisation Engineer

Brooklyn

market related

reduction frameworks

Evaluate processes in terms of industry best practises and identify areas of automation opportunities using BPM software

Manage process improvement requirements and ensure that

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Process Optimisation Engineer

Brooklyn

market related

reduction frameworks

Evaluate processes in terms of industry best practises and identify areas of automation opportunities using BPM software

Manage process improvement requirements and ensure that

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Senior Actuarial Analyst

Brooklyn

Market related

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

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