Brooklyn
market related
Job Title: Specialist Network Manager
Location:
Tshwane Metro, Pretoria, Brooklyn
Job
develop educational materials for members
Manage budget and ensure no deviationsEnsure
workJob 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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Brooklyn
Market related
Job Title: Case Manager - Medical Aid
Location: Tshwane Metro, Pretoria,
of cases that require input from management or the team
Manage telephonic calls and inquiries from
members, and support staffIdentify and manage complicated and high-cost cases that have a financial
Knowledge and Skills:
Brooklyn
Market related
relevant sources and perform actuarial analyses modelling and reporting as required
Assist in maintaining
data on utilisation and alternative reimbursement model performanceEnsure the compilation of all
regulatory requirementsCommunicate actuarial modelling analysis and investigations to relevant stakeholders
Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and
and reportingKnowledge of actuarial modelling and forecasting techniquesUnderstanding
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Brooklyn
Market related
relevant sources and perform actuarial analyses modelling and reporting as required
Assist in maintaining
data on utilisation and alternative reimbursement model performanceEnsure the compilation of all
regulatory requirementsCommunicate actuarial modelling analysis and investigations to relevant stakeholders
Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and
and reportingKnowledge of actuarial modelling and forecasting techniquesUnderstanding
share this job on whatsapp
Brooklyn
Market related
relevant sources and perform actuarial analyses modelling and reporting as required
Assist in maintaining
data on utilisation and alternative reimbursement model performanceEnsure the compilation of all
regulatory requirementsCommunicate actuarial modelling analysis and investigations to relevant stakeholders
Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and
and reportingKnowledge of actuarial modelling and forecasting techniquesUnderstanding
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Brooklyn
market related
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
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Brooklyn
market related
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
share this job on whatsapp
Brooklyn
market related
and doctors
Manage operational and clinical tasks within Medicine ManagementRequired
share this job on whatsapp
Brooklyn
market related
and doctors
Manage operational and clinical tasks within Medicine ManagementRequired
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