operating in the medical insurance space is seeking a Medical / Managed Care Claims Case Manager to join their to assist in the enhancement and management of cost-effective managed health care with the objective of highly advantageous. Experience in a managed care / case management environment would be an advantage. queries and ensure they are resolved timeously. Manage queries until resolution and update the incident Planning and organizing. Problem solving. Time management. Attention to detail. Interpersonal skills. Customer
to assist in the enhancement and management of cost-effective managed health care with the objective of
through cross-functional liaison and effective management of resources and processes, quality and stakeholder provide guidance, project-planning, resource management, scheduling and delegating responsibilities and initiatives in collaboration with the clinic operations manager
these activities in order to assist with the management thereof. Description Main purpose of the job: through cross-functional liaison and effective management of resources and processes, quality and stakeholder provide guidance, project-planning, resource management, scheduling and delegating responsibilities and initiatives in collaboration with the clinic operations manager Oversee maintenance and deployment/use of study ) in collaboration with the clinic operations manager Enforce organizational standard operating procedures
About Our Client: Our client is a leading medical scheme with its head office based in Pretoria,
The role:
Our client is seeking a Regional Service Consultant to join their team on a permanent will involve coordinating regional office functions and logistics, managing purchases, and providing assistance customer service-oriented environment within a medical scheme.
Functions:
LOC/ LOS / item or drug approval queries to case managers for resolution.
Our client operating in the medical insurance space is seeking a Medical Claims Clinical Auditor to join LOC/ LOS / item or drug approval queries to case managers for resolution. Act as clinical support to non-clinical equipment/materials, application of billing rules and high-cost medication appropriateness. Customer Service: Investigate thinking, productivity, service delivery and quality management. Finance: Identify opportunities to enhance cost effectiveness and increase operational efficiency. Manage financial and other company resources under your
Our client operating in the medical insurance space is seeking a Medical Claims Clinical Auditor to join LOC/ LOS / item or drug approval queries to case managers for resolution. Act as clinical support to non-clinical equipment/materials, application of billing rules and high-cost medication appropriateness. Customer Service: Investigate thinking, productivity, service delivery and quality management. Finance: Identify opportunities to enhance cost effectiveness and increase operational efficiency. Manage financial and other company resources under your
Store Managers, Assistant Store Managers, East London. Company Name: Work Africa Recruitment. The purpose purpose of the Store Manager is to effectively plan, control and monitor the performance of the store to strong admin. Skills, strong people management, stock management as well as shrinkage Minimum Requirements: experience in all aspects of day-to-day running and managing of a Store. Matric / Grade 12 (or equivalent qualification) qualification). Tertiary Qualifications in Retail management / equivalent. Proven track record in shrinkage-
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