Business Systems Solutions Manager
4 days ago
-Introduction
Momentum Health Solutions ( MHS), an entity of Momentum Metropolitan Holdings Limited, delivers sustainable, integrated health solutions that meet the needs of clients in the different segments and maximise lifetime client value. We build and maintain a culture of innovation and create value through unique insights of how to achieve specific outcomes by using a defined set of Health capabilities.
Role Purpose
To oversee and take accountability for all Membership & Underwriting functions/ solutuions and as a result ensure that MHS continues to efficiently and effectively provide leading administrative services, with a high focus on rolling out innovative products and services, to the schemes and its members. To set the direction for the unit and develop and takes accountability for a business plan which is aligned to the business strategy.
- Complaints
- Member Services related configuration enquiries
- Member Services related enquiries
- SPN claims-related enquiries
- Underwriting Rules
- Exception management
Requirements
- Business or management degree or studying towards
- A clinical qualification or extensive knowledge of same will be advantageous
- Minimum of 3-5 years' experience in the claims operations environment
- High level of proficiency in Healthcare and Medical Scheme administration landscapce.
Duties & Responsibilities
Operational management
- Managing the day-to-day operational functions by ensuring that MHS meets and exceeds SLA's
- Provide insights into what is driving transactional trends and provide innovative solutions to improving unnecessary volumes into MHS environment
- Actively pursue improvement in quality of back-office function processing
- Oversee enquiry investigations and ensure that responses are comprehensive and well-constructed
- Participate in regular operational and other forums as required by clients (All MHS clients)
- Creating a positive working environment and optimise human capital outputs and quality
- Leave, overtime and productivity management
- Performance management (where required)
- Report on monthly/quarterly performance for the area under review as required by scheme/Internally
- Manage departmental budgets and employer asset base (hardware, software etc)
- Ensure functional compliance with the Medical Scheme's Act
Audit Function
- Ensure that functional area ameliorates audit findings and where these occur facilitate remediation within timelines agreed with internal/external auditors
Stakeholder Engagement
- Drive collaboration with internal stakeholders to ensure optimal value chain service delivery
- Develop sound relationships with customer in order to foster trust and credibility
- Attend industry platforms to ensure Momentum Health Solutions ( MHS) visibility
- Position the area of one of excellence by ensuring compliance with internal and external requirements (surveys, performance reviews, culture)
Competencies
- Business Acumen
- Client/Stakeholder Commitment
- Drive for Results
- Leads Change and Innovation
- Motivating and Inspiring Team
- Strategic Thinking
- Collaboration
- Impact and Influence
- Self-Awareness and Insight
- Diversity and Inclusiveness
- Growing Talent
Policy
We are committed to Employment Equity, diversity and inclusion when recruiting internally and externally. All appointments are made in alignment to our Employment Equity goals and we encourage people with disabilities to apply.
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