Tariff & Rules Coordinator (Managed Care) – Pretoria
MVG Recruitment Specialists · Pretoria
Job description
About the role
The Tariff & Rules Coordinator (Managed Care) ensures that tariff and rule configurations within the managed‑care platform are accurate, up‑to‑date, and compliant. This role is ideal for a detail‑oriented professional who enjoys working in a structured environment and handling complex data sets.
Key responsibilities
- Maintain, update and verify tariff and rule sets to guarantee system accuracy.
- Perform quality‑assurance checks, identify discrepancies and support corrective actions.
- Contribute to process optimisation by suggesting efficiency improvements and streamlining workflows.
- Collaborate with operational teams to resolve queries and ensure alignment across functions.
- Transfer knowledge through training sessions and documentation to strengthen departmental capability.
Required profile
- Grade 12 plus a relevant Diploma or Degree in Business Management or a related field.
- At least 1 year of experience in a medical‑aid environment.
- Minimum 5 years of claims experience.
- Minimum 3 years of experience working with tariff and rule configurations.
Required skills
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Published 1 month ago
Expires 1 week from now
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MVG Recruitment Specialists
Pretoria
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