Permanent (10)

Job Title: Specialist Network Manager

Location:

Tshwane Metro, Pretoria, Brooklyn

Job ance

Qualifications:

A relevant clinical or business related ND or Bachelor degree

contracts with associated remuneration tiers and service level agreements

Collaborate with legal 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

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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 from all clients and service providers

Co-ordinate services and care for members to prevent re-admissions 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

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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:

Work

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

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