Risk Manager at Discovery Limited

Key Purpose

• The purpose of this role is to contain the risk expenditure associated with mental illness by developing new risk management and/or disease management programmes, reduce inappropriate utilisation and optimising benefit design. A key feature of the role is also stakeholder management.

Areas of responsibility may include but not limited to:

• Develop, enhance and implement a population-based mental health risk management strategy for scheme populations (DHMS and in-house schemes)
• Understand and provider key insights into the population-based mental health risks of medical scheme plans and provider networks and implement mitigation plans
• Provide subject matter expertise across the Discovery businesses (Discovery Health, Vitality, Discovery Life, Group Risk, Employee Benefits, Healthy Company) and thought leadership at industry level
• Product development – new risk management programmes and initiatives
• Benefit design (mental health benefits) across all client schemes
• Ownership of mental health clinical pathways used in Personal Health Pathways and in other products
• Risk monitoring and reporting including oversight of provider profiles and outlier reports
• Stakeholder relationship management at senior executive level (medical scheme executives and trustees, medical specialists, GPs, psychologists, allied healthcare professionals, professional societies (e.g. PsychMG, FPAB, Clinical Psychology Forum), brokers, pharma, executives in other Discovery businesses)
• Procurement of services from 3rd party suppliers
• Contract management
• Management of set budgets and profitability margins
• Work closely with Systems and Ops to ensure that all requirements are aligned with strategy
• Create alignment across Discovery businesses on mental health strategies through the management and chairing of a cross-company forum
• Remain abreast of latest developments in healthcare delivery and healthcare transformation including technology and data science trends

Personal Attributes and Skills

• Strong Excel, Powerpoint and Word skills
• Proven problem-solving skills
• Strong analytical skills
• Good understanding of the mental health landscape
• Good understanding of the health and private health funding industry
• Strong analytical and research skills

Education and Experience

• Post-graduate (Honours or greater) in a health, analytical, engineering or project management field
• Further qualifications health, data science, health economics, behavioural science, neuroscience
• 2+ years experience in healthcare leadership, ideally with population health, mental health or risk-management experience
• Clinical background or work in the healthcare environment / healthcare related projects
• Proven track record of driving cross-collaboration design and implementation of large-scale health initiatives ​​​
• Experience in engaging with senior executives/stakeholders
• Management consulting or product development would be preferred