Brooklyn
market related
Job Title: Specialist Network Manager
Location:
Tshwane Metro, Pretoria, Brooklyn
Job
anceQualifications:
A relevant clinical or business related ND or Bachelor degree
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
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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
document all relevant informationCommunicate clinical funding recommendations via hospital authorisation
members, and support staffIdentify and manage complicated and high-cost cases that have a financial
years experience in Managed Healthcare with oncology and or experience in a oncology unitPrior experience
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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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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:
Brooklyn
market related
automation opportunities using BPM software
Manage process improvement requirements and ensure that
storedTranslate business analysts and business units discussions into process maps and proceduresFacilitate
be processesLiaise with development departments to ensure process changes are identified and
addressedProvide day to day support to the business unit and team membersAdminister and maintain
incumbent must translate business analysts and business units discussions into process maps and proceduresRequired
share this job on whatsapp
Brooklyn
market related
automation opportunities using BPM software
Manage process improvement requirements and ensure that
storedTranslate business analysts and business units discussions into process maps and proceduresFacilitate
be processesLiaise with development departments to ensure process changes are identified and
addressedProvide day to day support to the business unit and team membersAdminister and maintain
incumbent must translate business analysts and business units discussions into process maps and proceduresRequired
share this job on whatsapp
Brooklyn
Market related
warehouse reports in conjunction with the BI department
Collect data from relevant sources and
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
share this job on whatsapp
Brooklyn
Market related
warehouse reports in conjunction with the BI department
Collect data from relevant sources and
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
share this job on whatsapp
Brooklyn
Market related
warehouse reports in conjunction with the BI department
Collect data from relevant sources and
Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and
share this job on whatsapp