Risk Specialist - Sandton, South Africa - Discovery Ltd.

Discovery Ltd.
Discovery Ltd.
Verified Company
Sandton, South Africa

2 weeks ago

Thabo Mthembu

Posted by:

Thabo Mthembu

beBee Recruiter
Description

Business Unit:
Discovery Health
Function:Forensics/Fraud/Fiduciary Services
Date:20-Apr-2023Risk Specialist

Team Leader/Associate Specialist level

  • About DiscoveryDiscovery'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.
About HPU


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 purposeTo take a leadership role, with responsibility for risk management and relationship activities for defined medical disciplines.
  • Key Outputs
As regards the identified HP Groups / Societies, to:

  • Build a deep understanding of both the clinical and practice issues affecting medical professionals.
  • Monitor, with the support of the SRM team, key metrics reflecting HP cost and care utilization experience.
  • 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.
  • Work within a shared value approach, to ensure successful development and implementation of approved projects.
  • Develop and maintain strong relationships between DH and identified HP groups and relevant opinion leaders.
  • Work closely with Discovery Health service, operational and system teams to ensure the highest levels of responsiveness and service excellence to the HP community.
  • Represent the Discovery Health position on key issues at relevant Group/ Society forums.


  • Competencies

  • The successful incumbent must be able to demonstrate the following competencies:
  • Expresses opinions, information, and key points of an argument clearly
  • Monitors performance against deadlines and milestones
  • Sets high standards for quality and quantity
  • Makes rational judgments from the available information and analysis
  • Takes initiative and works under own directionselfstarter.
  • Focuses on customer needs
  • Upholds ethics and values; demonstrates integrity
  • Be flexible in handling multiple projects simultaneously
  • Qualifications & Work Experience
  • Education & Background
  • Medical background and qualification preferable
  • Knowledge of Discovery Health products
  • Significant experience in the healthcare industry and understanding of the key business and clinical issues.
  • Ability to work with analytical teams in the development of HP initiatives.


  • Computer Knowledge

  • Windows literacy essential: Microsoft Excel, Word, and Power Point
  • Discovery systems (e.g., Claims; DCS etc.)
  • 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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