Brooklyn
market related
Job Title: Specialist Network Manager
Location:
Tshwane Metro, Pretoria, Brooklyn
Job
teams to ensure contracts align with regulatory requirements
Serve as a primary point of contact
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,
referral of cases that require input from management or the team
Manage telephonic calls and inquiries
members, and support staffIdentify and manage complicated and high-cost cases that have a financial
financial impact on the schemeRequired Qualifications:
A completed degree or diploma as a registered
Council (SANC)
Experience, Knowledge and Skills:
Brooklyn
Market related
actuarial analyses modelling and reporting as required
Assist in maintaining and developing processes
processes to monitor current projections and experienceReview demographics and financial claims
utilisation reports to comply with regulatory requirementsCommunicate actuarial modelling analysis
Enterprise risk management frameworks, Medihelp policies guidelines and directivesRequired Qualifications:
A
industries
Three years relevant experience in managed care, health risk management, service/product pricing
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Brooklyn
Market related
actuarial analyses modelling and reporting as required
Assist in maintaining and developing processes
processes to monitor current projections and experienceReview demographics and financial claims
utilisation reports to comply with regulatory requirementsCommunicate actuarial modelling analysis
Enterprise risk management frameworks, Medihelp policies guidelines and directivesRequired Qualifications:
A
industries
Three years relevant experience in managed care, health risk management, service/product pricing
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Brooklyn
market related
doctors
Manage operational and clinical tasks within Medicine ManagementRequired Qualif
(SAPC)Experience:
Minimum of 2 years of experience in clinical interventions
Experience in
facility
Regular office hours May require handling of sensitive medical information
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Brooklyn
market related
doctors
Manage operational and clinical tasks within Medicine ManagementRequired Qualif
(SAPC)Experience:
Minimum of 2 years of experience in clinical interventions
Experience in
facility
Regular office hours May require handling of sensitive medical information
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Brooklyn
market related
opportunities using BPM software
Manage process improvement requirements and ensure that business needs
discussions into process maps and proceduresRequired Qualifications:
An advanced diploma in
or Process Analysis
Experience:
Three to five years experience of business process analysis
communication skills, proficiency in BPM software, and experience in facilitating Kaizen sessions
Microsoft
office working conditions, occasional travel may be required
Closing date: 25 July 2024
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Brooklyn
Market related
actuarial analyses modelling and reporting as required
Assist in maintaining and developing processes
processes to monitor current projections and experienceReview demographics and financial claims
utilisation reports to comply with regulatory requirementsCommunicate actuarial modelling analysis
Enterprise risk management frameworks, Medihelp policies guidelines and directivesRequired Qualifications:
A
s role is office-based with occasional travel required for meetings or training.
Closing
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Brooklyn
market related
opportunities using BPM software
Manage process improvement requirements and ensure that business needs
discussions into process maps and proceduresRequired Qualifications:
An advanced diploma in
or Process Analysis
Experience:
Three to five years experience of business process analysis
communication skills, proficiency in BPM software, and experience in facilitating Kaizen sessions
Microsoft
office working conditions, occasional travel may be required
Closing date: 25 July 2024
share this job on whatsapp