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Member Management Data Administrator Jobs in Brooklyn, Gauteng

Jobs 1-10 of 10

Specialist Network Manager

Brooklyn  market related

Job Title: Specialist Network Manager

Location:

Tshwane Metro, Pretoria, Brooklyn

Job directives
  • Utilise data analytical tools to assess network performance, identify trends, and make data-driven d Marketing and Member Administration teams to develop educational materials for members
  • Manage budget 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, of cases that require input from management or the team

  • Manage telephonic calls and inquiries from providers
  • Co-ordinate services and care for members to prevent re-admissions and complications
  • Negotiate tariffs and discounts
  • Identify hospitalised members for transfer to rehabilitation sub-acute and private authorisation notes to doctors, members, and support staff
  • Identify and manage complicated and high-cost

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    • Senior Actuarial Analyst

    Brooklyn  Market related

    Duties:

    • Carry out member and supplier data analyses and forecasting
    • Improve the data warehouse reports conjunction with the BI department
    • Collect data from relevant sources and perform actuarial analyses experience
    • Review demographics and financial claims data on a monthly basis
    • Monitor, analyse, and regarding specific subsets
    • Analyse hospital data on utilisation and alternative reimbursement model for the Council for Medical Schemes relating to members
    • Compile annual utilisation return for submission

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    Senior Actuarial Analyst

    Brooklyn  Market related

    Duties:

    • Carry out member and supplier data analyses and forecasting
    • Improve the data warehouse reports conjunction with the BI department
    • Collect data from relevant sources and perform actuarial analyses experience
    • Review demographics and financial claims data on a monthly basis
    • Monitor, analyse, and regarding specific subsets
    • Analyse hospital data on utilisation and alternative reimbursement model for the Council for Medical Schemes relating to members
    • Compile annual utilisation return for submission

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    Senior Actuarial Analyst

    Brooklyn  Market related

    Duties:

    • Carry out member and supplier data analyses and forecasting
    • Improve the data warehouse reports conjunction with the BI department
    • Collect data from relevant sources and perform actuarial analyses experience
    • Review demographics and financial claims data on a monthly basis
    • Monitor, analyse, and regarding specific subsets
    • Analyse hospital data on utilisation and alternative reimbursement model for the Council for Medical Schemes relating to members
    • Compile annual utilisation return for submission

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    Process Optimisation Engineer

    Brooklyn  market related

    automation opportunities using BPM software

  • Manage process improvement requirements and ensure that litate Kaizen sessions with business and team members
  • Investigate system and process impacts day to day support to the business unit and team members
  • Administer and maintain SOPs and a process

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    • Pharmacist Medicine Intervention

    Brooklyn  market related

    of clinical protocols

  • Load medicine for members applying and going overseas for more than one and doctors
  • Manage operational and clinical tasks within Medicine Management

    • Required

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    Process Optimisation Engineer

    Brooklyn  market related

    automation opportunities using BPM software

  • Manage process improvement requirements and ensure that litate Kaizen sessions with business and team members
  • Investigate system and process impacts day to day support to the business unit and team members
  • Administer and maintain SOPs and a process

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    • Creditors Clerk Brooklyn, Milnerton

     The Talent ExpertsSouth Africa  R15 000 - R25 000 per month

    with a passion for excellence in finance and administration? Do you thrive in fast-paced environments, You'll play a crucial role in our finance team, managing accounts payable tasks with precision and efficiency Microsoft Excel to organize and analyse financial data, working closely with the team to uphold accuracy

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    Pharmacist Medicine Intervention

    Brooklyn  market related

    of clinical protocols

  • Load medicine for members applying and going overseas for more than one and doctors
  • Manage operational and clinical tasks within Medicine Management

    • Required

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