Brooklyn
          
 market related          
                                                
Job Title: Specialist Network Manager
Location:
Tshwane Metro, Pretoria, Brooklyn
Job
                        directives
Utilise data analytical tools to assess network performance, identify trends, and make data-driven d
                        develop educational materials for membersManage 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
                                                
            
          
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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          
                                                out member and supplier data analyses and forecasting
Improve the data warehouse reports in conjunction
                        conjunction with the BI departmentCollect data from relevant sources and perform actuarial analyses
                        experienceReview demographics and financial claims data on a monthly basisMonitor, analyse, and
                        regarding specific subsetsAnalyse hospital data on utilisation and alternative reimbursement model
                        Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and
                                                
            
          
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Brooklyn
          
 Market related          
                                                out member and supplier data analyses and forecasting
Improve the data warehouse reports in conjunction
                        conjunction with the BI departmentCollect data from relevant sources and perform actuarial analyses
                        experienceReview demographics and financial claims data on a monthly basisMonitor, analyse, and
                        regarding specific subsetsAnalyse hospital data on utilisation and alternative reimbursement model
                        Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and
                                                
            
          
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Brooklyn
          
 Market related          
                                                out member and supplier data analyses and forecasting
Improve the data warehouse reports in conjunction
                        conjunction with the BI departmentCollect data from relevant sources and perform actuarial analyses
                        experienceReview demographics and financial claims data on a monthly basisMonitor, analyse, and
                        regarding specific subsetsAnalyse hospital data on utilisation and alternative reimbursement model
                        Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and
                                                
            
          
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Brooklyn
          
 market related          
                                                automation opportunities using BPM software
Manage process improvement requirements and ensure that
                        of process improvement methodologies, strong analytical skills, ability to work collaboratively with
                                                
            
          
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Brooklyn
          
 market related          
                                                automation opportunities using BPM software
Manage process improvement requirements and ensure that
                        of process improvement methodologies, strong analytical skills, ability to work collaboratively with
                                                
            
          
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Brooklyn
          
 market related          
                                                and doctors
Manage operational and clinical tasks within Medicine ManagementRequired
                                                
            
          
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Brooklyn
          
 market related          
                                                and doctors
Manage operational and clinical tasks within Medicine ManagementRequired
                                                
            
          
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