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Tariff & Rules Coordinator (Managed Care) – Pretoria

MVG Recruitment Specialists · Pretoria

🇬🇧 English

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

    25 views · 0 interested

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    MVG Recruitment Specialists

    Pretoria