Brooklyn
market related
Job Title: Specialist Network Manager
Location:
Tshwane Metro, Pretoria, Brooklyn
Job
members
Manage budget and ensure no deviationsEnsure constant operational efficiency through
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
Additionally, the Specialist Network Manager manages the budget, ensures operational efficiency, and drives incremental
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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
admissionInform family regarding short-term medical benefits and educate them regarding general care exclu
relevant parties about the discharge plan and benefitsDocument all phone calls made to relevant
members, and support staffIdentify and manage complicated and high-cost cases that have a financial
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Brooklyn
market related
(DUR)
Finalise chronic Prescribed Minimum Benefits (PMB) and special medicine pre-authorisation
and doctorsManage operational and clinical tasks within Medicine ManagementRequired
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Brooklyn
Market related
basis
Monitor, analyse, and interpret compliance with benefit utilisation regarding specific subsetsAnalyse
Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and
experience in managed care, health risk management, service/product pricing, or scheme benefit design/healthcare
design/healthcare product benefit design, including three years of experience in pricing and designing value-added
share this job on whatsapp
Brooklyn
Market related
basis
Monitor, analyse, and interpret compliance with benefit utilisation regarding specific subsetsAnalyse
Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and
experience in managed care, health risk management, service/product pricing, or scheme benefit design/healthcare
design/healthcare product benefit design, including pricing and designing value-added products in the medical
share this job on whatsapp
Brooklyn
market related
(DUR)
Finalise chronic Prescribed Minimum Benefits (PMB) and special medicine pre-authorisation
and doctorsManage operational and clinical tasks within Medicine ManagementRequired
share this job on whatsapp
Brooklyn
Market related
basis
Monitor, analyse, and interpret compliance with benefit utilisation regarding specific subsetsAnalyse
Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and
share this job on whatsapp
Brooklyn
market related
automation opportunities using BPM software
Manage process improvement requirements and ensure that
share this job on whatsapp
Brooklyn
market related
automation opportunities using BPM software
Manage process improvement requirements and ensure that
share this job on whatsapp