Fund Manager
2 weeks ago
Business Unit:
Discovery Health
Function:Management
Date:17 Aug 2023
Discovery - Health
Fund Manager
About Discovery
- Discovery's core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional individuals who understand and support our core purpose, and whose own values align with those of Discovery. Our fastpaced and dynamic environment enables smart, selfdriven people to be their best. As global thought leaders, Discovery is passionate about innovating in order to not only achieve financial success, but to ignite positive and meaningful change within our society.
About In-House - Discovery InHouse is the Division which looks after the restricted membership medical schemes under our administration. Specifically, we represent the link between the medical scheme Principal Officers and Boards of Trustees. This would broadly cover all aspects of Governance, Regulations, and the broad spectrum of services which Discovery provides to each scheme. The InHouse Division is directly responsible for the new business growth, implementation of new schemes, Fund Management and Financial.
Key Purpose - To provide strategic relationship and scheme management for Restricted Membership Medical Schemes under Discovery Health's administration. The role entails the ownership, facilitation and oversight of a number of smaller and less complex restricted schemes' regulatory, legislative, governance and compliance requirements, risk management requirements, managed care requirements, administration requirements, including but not limited to servicing, systems, website and mobile app development, implementation and management of service level agreements and contracts, ensuring SLA adherence, general administration, communication and marketing requirements, underpinned by exceptional relationship management and solving for schemes' complex needs.
Areas of responsibility may include but not limited to:
LEGAL, GOVERNANCE & COMPLIANCE
- To ensure that the schemes managed have governance structures in place and to ensure that these structures are applied and adhered to.
- Compliance with all requirements in terms of the schemes' annual regulatory calendar.
- Liaise with the Regulator regarding key scheme deliverables and communications.
- Drafting, updating, and managing various administrative, managed care and other contracts (including third party contracts).
- Ensure that the contracting process is correctly applied and administered and that all contracts are updated as required.
- Drafting, implementing, and monitoring all schemes' policies, mandates, and resolutions.
- Drafting and updating schemes' rules as required by law. Engaging the Council for Medical Schemes and its Regulator regarding the approval of rule amendments.
- Ensure effective and accurate implementation of all scheme rules and rule amendments across the business as and when required.
- Responsible for oversight of regulatory change management and guidance on compliance impact on the various schemes.
- Manage and oversee significant regulatory projects.
- Provide strategic guidance in decisionmaking on compliance or regulatory matters.
- Ensure overall adherence with Service Level Agreements.
RISK MANAGEMENT
- Identify new risks and monitor existing risks through review and analysis of risk incidents, key risk indicator breaches, assurance provider findings, outcomes of special reviews, etc.
- Assist with compiling risk registers for all areas, ensure significant risks are escalated to appropriate people and reflected in registers, and monitor the efficacy of controls.
- Support and manage the SRM team in respect of alignment with scheme strategies and ensuring reporting of scheme key cost and utilisation drivers in the SRM environment (including development and presentation of creative proposals to address such issues).
- Work within a shared value approach to ensure approved projects' successful development and implementation.
STRATEGY, RELATIONSHIP MANAGEMENT & STRATEGIC REPORTING
- To assist in developing and implementing the schemes' growth strategy, brand strategy, partnerships and the interface with unions, employers, and employees, where relevant.
- Assistance in preparing the strategy, costing of benefits and impact analysis of proposed changes.
- Review current processes and rules of the Scheme to ensure that practice follows reported information and assess improvement opportunities.
- Liaison between different parts of the business to ensure overall implementation of Scheme strategies and decisions.
- Sustainable client relationship with the schemes and all its management structures.
- Negotiate, consult, influence, and build relationships with key internal departments and external organisations from time to time, such as professional bodies, marketing agencies, and research organisations.
- Assist in coordinating and communicating ke
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