Operations Manager

Applicants are invited from suitably qualified and experienced persons for the job of Operations Manager in our Healthcare Department.

The Job Involves:

• Supervising teams in claims management, provider management and back office administration and payment processes.
• Putting in place structures in back office process flows and management to ensure proper record management and timelines are adhered to consistently by the teams.
• Maintaining a deep and thorough understanding of internal systems, structures, business rules and service levels in place in order to guide service output and delivery within the department.
• Ensuring defined turnaround times are adhered to at all times in order to meet provider, supplier and client expectations.
• Managing efficient implementation of scheme rules and benefit procedures
• Ensuring clear communication models are properly documented and effectively implemented to suppliers, providers, and clients.
• Maintaining a consistent review and audit of all back-office operations, teams and processes for proper inflow and outflow of service deliverables set-out for each unit.
• Providing support to the teams where identified challenges are faced in order to comprehensively achieve resolution.

The Person:

• A degree in healthcare, risk management, Insurance or equivalent.
• Should possess thorough knowledge of medical scheme administration.
• Expertise in international and local healthcare product knowledge is an advantage.
• Should have experience in operations and administrative management.
• Project Management skills will be an added advantage.

Interested and suitably qualified persons should apply and submit detailed CVs to: [email protected]
The closing date for the receipt of all applications is 17 July 2018.