Risk Manager

2 weeks ago

Sandton, South Africa Discovery Ltd. Full time

Business Unit:
Discovery Health
Function:Clinical
Date:29-May-2023
Risk 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.
    Key purpose
  • Member of the Health Professional Unit (HPU), Value Based Care (VBC) team are responsible for health Professional risk management. The unit plays a key role in defining and implementing benefit changes and innovations by developing, implementing, and monitoring initiatives that achieve the best possible clinical outcomes with the highest levels of cost efficiency to meet Strategic Risk Management (SRM) and, Discovery health objectives.
    Key outputs
  • Build a deep understanding of risk management factors that inform client scheme sustainability
  • Develop both the clinical and practice management insight into issues that impact care delivery
  • Monitor, with the support of the SRM team, key metrics reflecting stakeholder cost and care utilization experience.
  • Proactively identify and develop creative, shared value proposals for presentation to risk management and governance forums to address identified client scheme costs, administrative and stakeholder sentiment challenges
  • Work within a shared value approach, to ensure successful development and implementation of approved projects
  • Develop mechanisms to track the ongoing operations of initiatives and ensure they continue to deliver on intended objectives
  • Work closely with Discovery Health service, operational and system teams to ensure the highest levels of responsiveness and service excellence to stakeholders
  • Develop and maintain strong relationships between DH and identified stakeholders to for initiative consultation and implementation

Essential experience and knowledge required:

  • Medical degree or a degree in Analytics
  • 3 to 5 years' experience in the health care industry
years clinical training experience

  • Skilled working with

Microsoft Office:
Excel, Word, PowerPoint

  • Understanding of underlying care delivery process
  • Consulting acumen
  • Knowledge of Discovery Health products and coding
  • Strong analytical acumen to be able to develop, guide implementation and track valuebased care initiatives and the ability to work collaboratively with analytical teams advantageous

Advantageous/Preferred Experience and Knowledge:

  • At least 5 years of Health Funding or Corporate Health Care experience
  • At least 5 years of Product Modeling and Design experience
  • At least 5 years' experience leading successful implementation of business initiatives or strategy

Skills required:

  • Structured thinking and problem solving
  • Organized time management
  • Collaborative team member
  • Confidence in doctor and society engagement with the support of the HP engagement team
  • Flexibility in handling multiple projects simultaneously
  • Taking initiative and working under own direction; selfstarter
  • Upholding ethics and values; demonstrates integrity
  • Analytical and financial modeling

Personal Attributes

  • Values Driven
  • Optimistic
  • Learns on the Fly
  • Resilient
  • Instils Trust
  • People Savvy
  • Drives Results
  • Innovation, enthusiasm, and drive
  • Inspirational leader who lives the values and believes in the core purpose
  • Humble leader
  • Treat others with care, dignity, and respect
  • Ensures that the business case prevails
  • Have a bias for action
  • Understand that people are Discovery's greatest asset
  • Build an environment for optimal performance
  • EMPLOYMENT EQUITY
The Company's approved Employment Equity Plan and Targets will be considered as part of the recruitment process. As an Equal Opportunities employer, we actively encourage and welcome people with various disabilities to apply.

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