Brooklyn
          
 market related          
                                                
Job Title: Specialist Network Manager
Location:
Tshwane Metro, Pretoria, Brooklyn
Job
                        teams to ensure contracts align with regulatory requirements
Serve as a primary point of contact
                        pate in the profiling process and meetings and assist with the claims monitoring processEvaluate
                        develop educational materials for membersManage budget and ensure no deviationsEnsure
                        workJob Duties:
The Specialist Network Manager is responsible for identifying, evaluating, and
                                                
            
          
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Brooklyn
          
 Market related          
                                                
Job Title: Case Manager - Medical Aid
Location: Tshwane Metro, Pretoria,
                        referral of cases that require input from management or the team
Manage telephonic calls and inquiries
                        members, and support staffIdentify and manage complicated and high-cost cases that have a financial
                        financial impact on the schemeRequired Qualifications:
A completed degree or diploma as a registered
                        Knowledge and Skills:
 
        
    
                
        
    
                
          
Brooklyn
          
 Market related          
                                                actuarial analyses modelling and reporting as required
Assist in maintaining and developing processes
                        utilisation reports to comply with regulatory requirementsCommunicate actuarial modelling analysis
                        Enterprise risk management frameworks, Medihelp policies guidelines and directivesRequired Qualifications:
A
                        ee years relevant experience in managed care, health risk management, service/product pricing, or scheme
                        Conditions:
This role is office-based with occasional travel required for meetings or training.
                                                
            
          
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Brooklyn
          
 Market related          
                                                actuarial analyses modelling and reporting as required
Assist in maintaining and developing processes
                        utilisation reports to comply with regulatory requirementsCommunicate actuarial modelling analysis
                        Enterprise risk management frameworks, Medihelp policies guidelines and directivesRequired Qualifications:
A
                        ee years relevant experience in managed care, health risk management, service/product pricing, or scheme
                        Conditions:
This role is office-based with occasional travel required for meetings or training.
                                                
            
          
 share this job on whatsapp
           
        
    
                
          
Brooklyn
          
 Market related          
                                                actuarial analyses modelling and reporting as required
Assist in maintaining and developing processes
                        utilisation reports to comply with regulatory requirementsCommunicate actuarial modelling analysis
                        Enterprise risk management frameworks, Medihelp policies guidelines and directivesRequired Qualifications:
A
                        Conditions:
This role is office-based with occasional travel required for meetings or training.
                                                
            
          
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Brooklyn
          
 market related          
                                                doctors
Manage operational and clinical tasks within Medicine ManagementRequired Qualif
                        healthcare facility
Regular office hours May require handling of sensitive medical inf
                                                
            
          
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Brooklyn
          
 market related          
                                                doctors
Manage operational and clinical tasks within Medicine ManagementRequired Qualif
                        healthcare facility
Regular office hours May require handling of sensitive medical inf
                                                
            
          
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Brooklyn
          
 market related          
                                                opportunities using BPM software
Manage process improvement requirements and ensure that business needs
                        discussions into process maps and proceduresRequired Qualifications:
An advanced diploma in
                        Conditions:
Normal office working conditions, occasional travel may be required
 
Closing
                                                
            
          
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Brooklyn
          
 market related          
                                                opportunities using BPM software
Manage process improvement requirements and ensure that business needs
                        discussions into process maps and proceduresRequired Qualifications:
An advanced diploma in
                        Conditions:
Normal office working conditions, occasional travel may be required
 
Closing
                                                
            
          
 share this job on whatsapp