Brooklyn
market related
Job Title: Specialist Network Manager
Location:
Tshwane Metro, Pretoria, Brooklyn
Job
develop educational materials for members
Manage budget and ensure no deviationsEnsure
workJob 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
members. Additionally, the Specialist Network Manager manages the budget, ensures operational efficiency
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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
members, and support staffIdentify and manage complicated and high-cost cases that have a financial
Knowledge and Skills:
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
ee years relevant experience in managed care, health risk management, service/product pricing, or scheme
value-added products within the medical scheme environment, along with MS SQL programming skillsPreferred
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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
ee years relevant experience in managed care, health risk management, service/product pricing, or scheme
designing value-added products in the medical scheme environment, along with MS SQL programming skillsPreferred
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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
share this job on whatsapp
Brooklyn
market related
system automation opportunities using BPM software
Manage process improvement requirements and ensure
to identify, implement, and monitor process environment changes to reduce lead-time, improve quality
excellent communication skills, proficiency in BPM software, and experience in facilitating Kaizen sessionsMicrosoft
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Brooklyn
market related
system automation opportunities using BPM software
Manage process improvement requirements and ensure
to identify, implement, and monitor process environment changes to reduce lead-time, improve quality
excellent communication skills, proficiency in BPM software, and experience in facilitating Kaizen sessionsMicrosoft
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Brooklyn
market related
and doctors
Manage operational and clinical tasks within Medicine ManagementRequired
clinical interventions
Experience in the PBM environment will be advantageous
Knowledge and Sk
skills
Ability to work in a fast-paced environmentAttention to detail and accuracyKnowledge
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Brooklyn
market related
and doctors
Manage operational and clinical tasks within Medicine ManagementRequired
clinical interventions
Experience in the PBM environment will be advantageous
Knowledge and Sk
skills
Ability to work in a fast-paced environmentAttention to detail and accuracyKnowledge
share this job on whatsapp