Permanent (10)

Job Title: Specialist Network Manager

Location:

Tshwane Metro, Pretoria, Brooklyn

Job evaluate and recruit healthcare providers with special emphasis on specialists
Conduct market develop educational materials for members
Manage budget and ensure no deviations
Ensure work

Job Duties:

The Specialist Network Manager is responsible for identifying, evaluating, and and recruiting healthcare providers with a special emphasis on specialists. They conduct market analysis

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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 staff

Identify and manage complicated and high-cost cases that have a financial Knowledge and Skills:

Four years experience in Managed Healthcare with oncology and or experience in a experience in a similar role
Ability to manage and prioritise workload effectively
Strong

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Pharmacist Medicine Intervention

Brooklyn

market related

chronic Prescribed Minimum Benefits (PMB) and special medicine pre-authorisation applications

Handle and doctors

Manage operational and clinical tasks within Medicine Management

Required

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Pharmacist Medicine Intervention

Brooklyn

market related

chronic Prescribed Minimum Benefits (PMB) and special medicine pre-authorisation applications

Handle and doctors

Manage operational and clinical tasks within Medicine Management

Required

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Senior Actuarial Analyst

Brooklyn

Market related

and developing processes to monitor current projections and experience

Review demographics and Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and ee years relevant experience in managed care, health risk management, service/product pricing, or scheme

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