Manager : Correspondence Manager - Bellville at Momentum Metropolitan Holdings Limited

Experience

• 5 – 8 years’ leadership/management experience in healthcare and or insurance environment and or managing in similar operational environments.
• Proven analytical and problem solving skills through system driven projects.
• A sound understanding, interpretation and application of scheme rules and service level agreements.
• Sound knowledge of the scheme rules and processes.
• Solid experience in the Healthcare Administration Industry.
• Comprehensive knowledge of the clients service provider network (SPN) business model.
• Sound knowledge of industry trends.
• Solid experience in project management.

Duties & Responsibilities

PROCESS

• Improve the implementation of policies and standard operating procedures by streamlining processes and enhancing efficiency.
• Enhance the accuracy and validity of indexing and routing of documentation by implementing thorough verification protocols and quality assurance measures.
• Identify areas for process improvement within the correspondence management function and make recommendations to optimize workflows and enhance overall effectiveness.
• Deliver accurate and insightful management reports and analyses that provide valuable information to support strategic decision-making.
• Ensure timely delivery of segment reporting, key performance indicators (KPIs), and operational reports, accompanied by comprehensive analysis and meaningful insights.
• Submit accurate and relevant reports to ensure the provision of appropriate information for informed decision-making.
• Stay updated on trends, legislation, and best practices within the medical field to optimize service offerings and improve service delivery.

CLIENT

• Provide authoritative expertise and advice to clients and stakeholders, offering valuable insights and guidance.
• Establish and maintain strong relationships with clients, as well as internal and external stakeholders.
• Contribute to the negotiation and monitoring of objective and realistic service level agreements,recommending adjustments as necessary.
• Define and implement service practices that foster positive relationships, encourage innovation,and enable exceptional client service.
• Ensure the fulfillment of service level agreements made with clients and stakeholders to effectively manage client expectations.
• Identify opportunities for improving client service and advocate for fair treatment of clients within the scope of responsibility.
• Promote a culture that prioritises rewarding relationships, facilitates feedback, and consistently delivers exceptional client service.

PEOPLE

• Cultivate a positive work climate and culture that energizes employees, provides purpose to their work, minimizes disruptions, and maximizes productivity.
• Exemplify leadership behavior by actively engaging, committing, and dedicating oneself to organizational values.
• Recruit and select highly qualified talent by Employment Equity principles and organizational values.
• Promote a best-practice culture that encourages continuous learning, improvement, and team cohesion.
• Foster a culture of knowledge sharing among team members, actively sharing successes, issues,trends, and ideas.
• Implement effective workforce planning practices to accurately forecast staffing requirements.
• Identify and address employee growth and development needs, scheduling interventions forongoing training and personal growth.
• Manage team performance effectively to ensure the achievement of business objectives.
• Encourage innovation, change agility, and collaboration within the team.
• Support the development of the team's capabilities to strategically partner with the business and provide innovative solutions.

FINANCE

• Thoroughly review departmental budgets contributing to the consolidated budget, providing insights into variances and conducting trend analysis.
• Proactively engage with the business to forecast expenses and identify solutions to improve cost-effectiveness and operational efficiency.
• Effectively manage high-risk and problematic financial issues within the area of accountability and contribute to policy development.
• Implement and oversee financial risk methodologies, techniques, and systems to monitor and report on financial activities.
• Implement and evaluate the effectiveness of financial policies, practices, and procedures to ensure compliance and prevent illegal, unethical, or improper conduct.
• Enforce risk management, governance, and compliance policies within the area of practice,identifying and managing potential liabilities.
• Investigate reported instances of non-compliance with organisational policies and practices,providing detailed findings and recommendations.