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Senior Manager Clinical Risk Management Jobs in Brooklyn, Gauteng

Jobs 1-10 of 10

Specialist Network Manager

Brooklyn  market related

Job Title: Specialist Network Manager

Location:

Tshwane Metro, Pretoria, Brooklyn

Job ance

Qualifications:

A relevant clinical or business related ND or Bachelor degree

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 regulatory compliance. The Specialist Network Manager serves as a primary point of contact for providers

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    Case Manager - Medical Aid

    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 document all relevant information
  • Communicate clinical funding recommendations via hospital authorisation members, and support staff
  • Identify and manage complicated and high-cost cases that have a financial Knowledge and Skills:

    • Senior Actuarial Analyst

    Brooklyn  Market related

    Job Title: Senior Actuarial Analyst

    Location:

    Tshwane Metro, Pretoria, Brooklyn

    Job 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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    Senior Actuarial Analyst

    Brooklyn  Market related

    Job Title: Senior Actuarial Analyst

    Location:

    Tshwane Metro, Pretoria, Brooklyn

    Job 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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    Senior Actuarial Analyst

    Brooklyn  Market related

    Job Title: Senior Actuarial Analyst

    Location:

    Tshwane Metro, Pretoria, Brooklyn

    Job Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and

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    Pharmacist Medicine Intervention

    Brooklyn  market related

    urance

    Job Duties:

    • Perform clinical interventions including Drug Utilisation Review application escalations to the Clinical Committee for cases outside of clinical protocols
    • Load medicine and doctors
    • Manage operational and clinical tasks within Medicine Management

    Required e:

    Minimum of 2 years of experience in clinical interventions

    Experience in the PBM environment

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    Pharmacist Medicine Intervention

    Brooklyn  market related

    (SAPC)

    Job Duties:

    • Perform clinical interventions including Drug Utilisation Review application escalations to the Clinical Committee for cases outside of clinical protocols
    • Load medicine and doctors
    • Manage operational and clinical tasks within Medicine Management

    Required e:

    Minimum of 2 years of experience in clinical interventions

    Experience in the PBM environment Qualifications:

    • Postgraduate qualification in Clinical Pharmacy

    Working Conditions:

    Process Optimisation Engineer

    Brooklyn  market related

    automation opportunities using BPM software

  • Manage process improvement requirements and ensure that changes to reduce lead-time, improve quality, reduce risk. and improve process and system efficiency. The

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    • Process Optimisation Engineer

    Brooklyn  market related

    automation opportunities using BPM software

  • Manage process improvement requirements and ensure that changes to reduce lead-time, improve quality, reduce risk. and improve process and system efficiency. The

    Whatsapp button share this job on whatsapp

    • Creditors Clerk Brooklyn, Milnerton

     The Talent ExpertsSouth Africa  R15 000 - R25 000 per month

    You'll play a crucial role in our finance team, managing accounts payable tasks with precision and efficiency

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