Medical Scheme Senior Operations Manager - Pretoria, South Africa - Careforce Recruitment

Careforce Recruitment

Verified Company

Pretoria, South Africa

1 week ago

Posted by:

Thabo Mthembu

beBee Recruiter

Description

Our client, a managed care organisation in Pretoria are currently looking for a

Senior Manager:
Operations.

Thisis an equal opportunity oganisation with various businesses and/ or subsidiaries that service clients in the medical scheme and insurance industries.

Reporting to:
Dual reporting role to both Chief Executive Officer and General Manager

Location:
Head Office Pretoria (on-site)

Contract Type:
Fixed Term Contract for period of 12 months (with possibility of becoming permanent thereafter)

Salary:
Subject to experience market related CTC package that includes medical scheme and provident fund

Purpose of the position

To provide leadership and manage various operational teams to ensure the achievement and maintenance of service levels across all functional areas of service delivery.

The successful incumbent must be able to translate the business strategy into the business operations through the effective use and implementation of best practices principles; setting and achieving company objectives and individual staff goals; and the analyses and interpretation of various operational processes and workflow metrics to continuously and pro-actively ensure service delivery improvement.

Summary of Responsibilities and Duties:

Ability to implement business objectives and strategies
Daily monitoring of team targets/duties/performance
Identify, prioritise and proactively allocate resources to the operational need
Be the conduit for daily operational communication
Participate in developing performance plans, set goals and objectives
Ensure a balanced allocation of supporting resources
Manage expenditure in terms of overtime work against performance targets
Liaise with relevant stakeholders to gather information and to effectively attend to and resolve operational needs
Ensure all relevant communications and data are updated and recorded
Set performance targets for speed, operational efficiency, accuracy and quality in service delivery to maintain contracted service levels.
Establish and measure success in meeting goals, objectives and service level adherence
Review the performance of staff, identify training needs and plan knowledge transfer and training sessions in collaboration with the HR department
Record statistics, user rates and the performance levels of various teams as well as individual staff members
Undertake needs assessments, performance reviews and cost/benefit analyses
Prepare reports on the statistics, rates and performance levels
Presentation of reports to Rx Group Executive Management as well as other key stakeholders, such as contracted medical scheme clients
Personally attend to the most complex customer complaints or enquiries and provide timely and accurate feedback. Where required, involve other key stakeholders or Executive Managers
Interpret, communicate and ensure implementation of all company policies, procedures and, where relevant, client schemes' clinical protocols and funding guidelines.
Maintain uptodate knowledge of industry developments
Mentor, coach, motivate and retain staff
Coordinate staff recruitment and liaise with HR department

Qualifications and experience

Bachelor's degree in business administration or similar
Minimum 10years' experience within the services industry, of which at least 5 years should be in a leadership/ management role.
Relevant legal and statutory knowledge i.e. BCEA, Medical Scheme's Act, POPIA, LRA etc.
Knowledge of medical scheme services including but not limited to provider claims payment, preauthorisation processes and Council for Medical Scheme's complaints resolution will be advantageous.
Experience in process reengineering to achieve improved service levels and client satisfaction ratings, making critical decisions and exploiting opportunities for efficient operations.
Experience in all aspects of Industrial Relations.
Demonstrated ability to foster a teamorientated and interconnected work environment.
Valid driver's license.

Other Skills and Competencies

Critical reasoning and decisionmaking skills
Ability to manage high levels of pressure, demands and emotionally charged situations and to make sound decisions
Excellent communicator and people skills
A handson approach
Foster teamwork
Proficient with MS Office (Power Point, Excel, Word, Outlook)
Excellent verbal and written communication skills in English
High degree of accuracy and attention to detail
Administration and reporting skills