Risk Manager

1 month ago


Gauteng, South Africa Discovery Full time

Discovery – Health

Health Profession Unit (HPU) 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 fast-paced and dynamic environment enables smart, self-driven 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 of the Business Unit

As a member of the Strategic Risk Management (SRM) the Health Professional Unit (HPU) is responsible for risk management and the relationship interface with all Health Professional disciplines. The unit plays a key role in defining and implementing benefit changes and innovative initiatives to achieve agreed strategic company objectives.

Key purpose of the role

To take a leadership role, with responsibility for risk management and relationship activities for defined medical disciplines..

The role of the HPU Senior Manager:

As regards the identified HP Groups / Societies, to:

1. Build a deep understanding of both the clinical and practice issues affecting medical professionals.
2. Monitor, with the support of the SRM team, key metrics reflecting HP cost and care utilisation experience.
3. Proactively identify and develop creative proposals to address identified HP cost, administrative and relationship challenges impacting the profession across all medical schemes under the administration of DH.
4. Work within a shared value approach, to ensure successful development and implementation of approved projects.
5. Develop and maintain strong relationships between DH and identified HP groups and relevant opinion leaders.
6. Work closely with Discovery Health service, operational and system teams to ensure the highest levels of responsiveness and service excellence to the HP community.
7. Represent the Discovery Health position on key issues at relevant Group/ Society forums.

Education, Skills, Knowledge and Experience

- Medical Doctor or other Qualified Medical Professional
- Ability to work with analytical teams in the development of HP initiatives.
- Relevant training and business experience
- Significant experience in the healthcare industry and understanding of the key business and clinical issues.
- Excellent interpersonal and problem resolution skills
- Presentation skills
- Innovative / Ideas driven

Competencies / Skills

- IT skills Excel, Word, Power point essential
- Strong interpersonal skills
- Initiative/project management
- Problem solving
- Communication
- Implementation experience
- Innovation, enthusiasm and drive

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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