Brooklyn
market related
Job Title: Process Optimisation Engineer
Location:
Tshwane Metro, Pretoria, Brooklyn
Job
Industry:
Insurance
Skills:
Brooklyn
market related
Job Title: Process Optimisation Engineer
Location:
Tshwane Metro, Pretoria, Brooklyn
Job
certificate in Business or Process AnalysisSkills:
Brooklyn
Market related
analyses modelling and reporting as required
Assist in maintaining and developing processes to monitor
data on utilisation and alternative reimbursement model performanceEnsure the compilation of all
regulatory requirementsCommunicate actuarial modelling analysis and investigations to relevant stakeholders
and reportingKnowledge of actuarial modelling and forecasting techniquesUnderstanding
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Brooklyn
Market related
analyses modelling and reporting as required
Assist in maintaining and developing processes to monitor
data on utilisation and alternative reimbursement model performanceEnsure the compilation of all
regulatory requirementsCommunicate actuarial modelling analysis and investigations to relevant stakeholders
and reportingKnowledge of actuarial modelling and forecasting techniquesUnderstanding
share this job on whatsapp
Brooklyn
Market related
analyses modelling and reporting as required
Assist in maintaining and developing processes to monitor
data on utilisation and alternative reimbursement model performanceEnsure the compilation of all
regulatory requirementsCommunicate actuarial modelling analysis and investigations to relevant stakeholders
and reportingKnowledge of actuarial modelling and forecasting techniquesUnderstanding
share this job on whatsapp
Brooklyn
market related
gaps in the network
Negotiate provider contracts with associated remuneration tiers and service
te with legal and compliance teams to ensure contracts align with regulatory requirementsServe
in the profiling process and meetings and assist with the claims monitoring processEvaluate
potential gaps in the network, negotiate provider contracts, and collaborate with legal and compliance teams
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Brooklyn
Market related
documented feedback
Follow the escalation process for the referral of cases that require input from
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