Executive Head: Solutions

Momentum Health, an entity of Momentum Group 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.

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Role Purpose
Accountable for the development and implementation of the full integrated clinical outcomes-based value proposition for Health to create more health for more people for less. This includes the design of the appropriate solutions to address the needs of clients per segment, appropriate pricing of the solutions, the design and management of the health provision provider networks, health risk management strategies and incentivised wellness solutions that contribute to improved health, and the monitoring and reporting of clinical outcomes.

Requirements

• Honours in Business or Actuarial Science or equivalent.
• Masters Degree will be beneficial.
• 8 -10 years experience in a leadership/management position.
• 10 to 15 years experience in the health industry.
• 8-10 years experience in medical scheme medical insurance and complementary product/solution design
• Experience as a product or business owner will be an added advantage.
• A culturally open-minded disposition (preferred).

Duties & Responsibilities

• Responsible for the design, development and implementation of the full integrated, outcomes-based client value proposition (CVP) in Health for scheme, insurance and complementary products.
• Facilitate and contribute to the take up of the Health CVP by all targeted clients in the segments.
• Ensure fit for purpose, competitive solutions design and development for segments client requirements whilst aligning to and executing the intent of the CVP and Health strategy.
• Ensure the operationalisation of the CVP and solution design in the business
• Collaborate with Marketing to ensure effective communication and marketing of solutions to the appropriate distribution channels and markets
• Collaborate with Operations and IT to effectively deliver the CVP and solutions to clients in Segments
• Ensure the appropriate actuarial support to segments and their clients.
• Ensure that the pricing of solutions are sustainable and competitive in the market.
• Design, develop and implement health risk management strategies that result in improved clinical outcomes for all clients (members, schemes and employers) and improves the sustainability of the medical schemes under administration.
• Ensure that provider networks are optimally designed, competitively and sustainable priced, implemented and effectively managed to create a seamless client experience.
• Demonstrate the value added in health outcomes by the CVP to clients (members, medical schemes and employers).
• Transform the value proposition and solutions designed from a transactional focus to an outcomes-based value add focus.
• Deliver on clients needs for reporting the effectiveness of our CVP and solutions, clinical outcomes and scheme sustainability.
• Manage and execute competitor and industry research and analysis to identify opportunities and trends in the market to influence the development of new solutions or streamline existing product offerings.
• Collaborate with key stakeholders to research and analyse the health and wellness needs of clients and businesses.
• Design and develop an effective Multiply incentivised wellness strategy that integrates with the Health CVP and contribute to more health for more people for less.
• Manage the Multiply capability to effectively implement and deliver the incentivised wellness reward strategy for all segments
• Co-accountable with Segment head for the achievement of the membership targets for Multiply in each segment
• Contribute to the identification and selection of wellness and reward partners in line with client requirements and client value proposition (CVP).
• Conduct business viability studies to influence product design and business processes.
• Engage with key stakeholders to present technical aspects, features, benefits and business case of market related industry influence.
• Conduct investigations that test the client experience and impact of solutions on the client lifetime value.
• Measure and reports on the profitability, sustainability and impact of products and solutions.
• Influence the implementation of product enhancements based on client experience and profitability of products.

Competencies

• Business Acumen.
• Client/Stakeholder Commitment.
• Leads Change and Innovation.
• Diversity and Inclusiveness.
• Strategic Thinking.