Brooklyn
Market related
escalation process for the referral of cases that require input from management or the team
Manage
providersCo-ordinate services and care for members to prevent re-admissions and complicationsNegotiate
tariffs and discountsIdentify hospitalised members for transfer to rehabilitation sub-acute and private
hospital authorisation notes to doctors, members, and support staffIdentify and manage complicated
have a financial impact on the schemeRequired Qualifications:
A completed degree or diploma
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Brooklyn
market related
teams to ensure contracts align with regulatory requirements
Serve as a primary point of contact
Marketing and Member Administration teams to develop educational materials for membersManage
other teams to develop educational materials for members. Additionally, the Specialist Network Manager manages
teams within the company. Occasional travel may be required to meet with healthcare providers or attend conferences
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Brooklyn
Market related
rance
Job Duties:
- Carry out member and supplier data analyses and forecasting
- Improve
actuarial analyses modelling and reporting as required
- Assist in maintaining and developing processes
for the Council for Medical Schemes relating to members
- Compile annual utilisation return for submission
utilisation reports to comply with regulatory requirements
- Communicate actuarial modelling analysis
policies guidelines and directives
Required Qualifications:
A relevant BSc degree in
share this job on whatsapp
Brooklyn
Market related
rance
Job Duties:
- Carry out member and supplier data analyses and forecasting
- Improve
actuarial analyses modelling and reporting as required
- Assist in maintaining and developing processes
for the Council for Medical Schemes relating to members
- Compile annual utilisation return for submission
utilisation reports to comply with regulatory requirements
- Communicate actuarial modelling analysis
policies guidelines and directives
Required Qualifications:
A relevant BSc degree in
share this job on whatsapp
Brooklyn
Market related
rance
Job Duties:
- Carry out member and supplier data analyses and forecasting
- Improve
actuarial analyses modelling and reporting as required
- Assist in maintaining and developing processes
for the Council for Medical Schemes relating to members
- Compile annual utilisation return for submission
utilisation reports to comply with regulatory requirements
- Communicate actuarial modelling analysis
policies guidelines and directives
Required Qualifications:
A relevant BSc degree in
share this job on whatsapp
Brooklyn
market related
software
Manage process improvement requirements and ensure that business needs and decisions
litate Kaizen sessions with business and team membersInvestigate system and process impacts
day to day support to the business unit and team membersAdminister and maintain SOPs and a process
discussions into process maps and proceduresRequired Qualifications:
An advanced diploma in
office working conditions, occasional travel may be required
Closing date: 25 July 2024
share this job on whatsapp
Brooklyn
market related
software
Manage process improvement requirements and ensure that business needs and decisions
litate Kaizen sessions with business and team membersInvestigate system and process impacts
day to day support to the business unit and team membersAdminister and maintain SOPs and a process
discussions into process maps and proceduresRequired Qualifications:
An advanced diploma in
office working conditions, occasional travel may be required
Closing date: 25 July 2024
share this job on whatsapp
Brooklyn
market related
of clinical protocols
Load medicine for members applying and going overseas for more than one
tasks within Medicine ManagementRequired Qualifications:
Brooklyn
market related
of clinical protocols
Load medicine for members applying and going overseas for more than one
tasks within Medicine ManagementRequired Qualifications: