Website AfroCentric Group
AfroCentric Investment Corporation Limited ("AfroCentric”) is a black-owned, investment holding company which is substantially invested in healthcare. AfroCentric was established in 2008 and is listed in the healthcare sector on the JSE. Through its operating subsidiaries, AfroCentric provides… read more health administration and health risk management solutions to the healthcare funding industry. In addition, AfroCentric provides a range of complementary services to its traditional medical scheme clients as well as a portfolio of healthcare-related enterprises. These services include IT solutions, transactional switching and specialised disease management. AfroCentric acquired a 100% interest in Pharmacy Direct, a courier pharmacy; 100% of Curasana, a pharmaceutical wholesaler; and a 26% stake in Activo Health, a southern African distributor of generic medicines as well as complementary nutraceutical products effective 1 August 2015. These acquisitions should not only improve the Group’s earnings, but will provide greater access to the wider healthcare delivery value chain and greater visibility in the relevant markets. Sanlam Limited concluded its acquisition of a 28.7% stake in ACT Healthcare Assets, a wholly-owned subsidiary of the Group, subsequent to year-end. This strategic alliance with one of the country’s foremost financial institutions will enhance the Group’s marketing and distribution initiatives and position certain divisions within the Group on an improved growth path. Growth and diversification outside South Africa has always been a strategic imperative. Medscheme has a presence in Botswana, Namibia, Swaziland, Kenya and Zimbabwe, and through its business process outsourcing centre in Mauritius provides services to several large European and UK-based health insurance companies. AfroCentric seeks to invest in related businesses that demonstrate prospects for growth, while contributing to the sustainable health and welfare of South African communities. Medscheme is the Group’s largest subsidiary and is one of South Africa’s largest medical scheme administrators and managed care providers. Founded over four decades ago, Medscheme has more than 3.2 million lives under management through its 15 client medical schemes in South Africa. It is the largest black-owned medical scheme administrator, with a national footprint of 16 offices in all the major centres in South Africa, employing over 3 000 staff. In striving to achieve its vision of "facilitating the delivery of sustainable healthcare services” AfroCentric continues to provide the healthcare sector with practical strategies for expanding the membership of its medical scheme clients, and new initiatives that promote more efficient and effective patient care and treatment management. Florida North, Johannesburg, Gauteng
About the job
What will you do?
Duties:
Defined legal, statutory and regulatory compliance is appropriately implemented and maintained at the required standards for the team
Manage Operational Quality Assurance Processes
Maintain Product Standard Definitions (Master Policies) for all the products administered
Ensure that the requirements set by the Insurers are applied on all documentation and sign off received on key elements from the insurer
Identify opportunities to improve processes
Resolve operational employee and client conflicts
Set achievable yet challenging delivery targets/objectives and motivate the team to operate in a mutually supportive manner to ensure successful delivery
Track, achieve and maintain defined SLA’s internally and 3rd party adminstrators
Evaluate, enhance and implement processes and systems to improve, effectiveness and organisational risk
Manage reporting of the operations measurements
Plan and implement operational changes within the area of responsibility to respond to important external influences
Provide input into the business plan for the department and interpret this into an operational plan for the team
Implement business plans in a manner that supports operational and quality standards and sets defined departmental priorities
Manage the operational performance of the team as per Human Capital frameworks and policies to ensure delivery to agreed standards and objectives
Provide appropriate staff development, coaching and mentoring and retain skilled and engaged employees within the team and Medscheme
Support transformation through valuing diversity within the team and department
Ensure appropriate, active and informative relationships with 3rd party adminsitrators and insurers are successfully maintained
Generic Objectives
Specific deliverables:
Operational Leadership:
Select, retain and grow high performing teams
Create highly motivated and engaged client operating environments
Operating Model:
Track, achieve and maintain defined scheme client support service level agreements and turn around times at the defined and approved quality
standards
Evaluate, enhance and implement processes and systems to improve scheme profitability, effectiveness and organisational risk
Qualifications and Experience:
Bachelor’s degree in business, finance, IT or a related field required
Post-grad degree will be advantageous
3 – 5 years of relevant experience as a team leader and / or junior manager in operations,
3 – 5 years Health insurance experience understanding of the insurance industry, health insurance and/ or medical aid including compliance
Understanding of business functions such as Finance, HR, Marketing etc.
Apply via company website ( http://www.afrocentric.za.com/ ) or
www.linkedin.com