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Executive: Operations
2 weeks ago
Minimum Requirements:
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Medical Degree and Business Qualification at NQF level 9
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10 years' experience in running Operations.
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Experience within a Medical Scheme environment will be an added advantage.
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A proven track record of leading large-scale Operations function
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Physician Relationship Management and Clinical Risk Management
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Role outputs include the following:***-
Provide Operations strategic insights to shape the Scheme strategy
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Pro-actively provide data insights to Strategy that impact the strategic direction of the Scheme
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Provide operational insights to ensure alignment with Regulatory/ Legal requirements
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Ensure that the Scheme rules remain relevant and enabling to the Scheme strategy
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Contribute to the development and achievement of Scheme's overall strategy.
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Strategic leadership of the Operations Department
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Provide visionary leadership to the overall Operations and Administration Units, ensuring that all Divisions reporting to this role operate efficiently, enabling achievement of the Scheme's strategic objectives.
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Oversee Operations and Administration of the Scheme in an innovative and cost effective manner.
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Provide direct leadership support to the Principal Officer with particular emphasis on achieving business efficiencies and savings, while improving productivity within all aspects of operations, including financial and healthcare performance.
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Identify and manage strategic projects related to the Operations Department.
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Develop and Monitor the execution of the Operations strategy.
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Manage and oversee the Department's operational budget.
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Ensure proper governance and risk management for the Department
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Measure the overall effectiveness and efficiency of processes for Operations and identify and implement ways to improve processes whilst ensuring compliance with relevant regulations and mitigating risks.
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Responsible for ensuring collaboration with relevant Governance structures, including BoT and its sub committees.
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Benefits structure
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Service Provider Network
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Implement Managed Health Care Programme
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Develop Organisational Health Model
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- **Manage the department
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