The Road Accident Fund is a state insurer established by statute, it provides insurance cover to all drivers of motor vehicles in South Africa in respect of liability incurred or damage caused as a result of a traffic collision. Liability incurred in relation to property damage (such as damage to vehicles, buildings, vehicle contents) is excluded from cover.
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Key Performance Areas
Policy review and implementation
- Contribute to the development and implementation of departmental policy, procedures and processes.
- Keep up to date with effective policy and practice execution strategies.
- Ensure national space strategy is adhered to.
Manage effective workspace and parking space management
- Create functional effective and flexible working areas
- Maintain a database of accurate drawings of offices and submit any amendments to project office.
- Manage the allocation of parking bays and ensure compliance.
- Handle parking and workspace queries and ensure resolution
Administration of audit and risk findings identified in the department.
- Respond to the operational risks identified.
- Continuously monitor opportunities and incidents.
- Review audit findings, develop plans and submit comments to Senior Manager.
- Pro-actively rectify and control weaknesses identified.
- Ensure the proper administration, governance and risk management.
Manage Facilities services sectional budget and other financial resources management.
- Monitor the budget spending, manage the divisional cash flow and minimise budget variance.
- Forecast facilities management budget each FY starting with zero based and submit to manager.
- Ensure that expenses fall and are covered under the budget set.
- Ensure regular and consistent reporting on budget expenditure.
- To make input into the strategic and business planning and ensure budgeting for facilities services.
Manage 30-day payment of all FM invoices.
- Manage payment of accounts rent and other Facilities Management related services.
- Manage landlords, agents on outstanding invoices before month end.
- Submit a report to manager on all invoice related information.
Manage all Facilities related Contracts.
- Draft memorandums and advise procurement of required Facilities Management contracts to ensure no irregular contracts.
- Manage service level agreements with service providers for office cleaning. Fumigation, office plant and special server room clearing etc.
- Ensure up to date contract data base.
Reporting
- Develop reports/ policies/ procedures and guide the process through the alignment of the documents to the overall RAF’s strategy.
- Develop functional reporting systems, for management, projects or performance reporting.
- Prepare proposals, briefings, presentations, reports, and other documentation and provide management information both verbally and in report format.
Stakeholder management
- Facilitate and manage communication with relevant internal and external stakeholders proactively and progressively manage the relationships.
- Manage relationships with vendors, service providers or procurement teams and ensure that all relevant procured items are invoiced and paid on time.
- Communicate with all levels of stakeholder contact.
- Represent the Fund in relevant external activities and events.
People Management
- Ensure the sourcing, development and retention of a high-performance team.
- Manage the recruitment of the operational workforce in line with employment equity targets.
- Manage staff in the department to ensure that they achieve their objectives in line with the strategic objectives of the RAF.
- Manage the implementation of people management processes and procedures to control/regulate workplace conflict and/or institute corrective measures and consultation processes to address deviations from standards.
- Allocate, direct, motivate and evaluate subordinates to help them achieve their individual goals.
Qualifications and Experience
- Bachelor’s Degree/Advanced Diploma in Facilities Management related qualification
- Postgraduate in Facilities Management related qualification will be advantageous.
- Drivers Licence
- Relevant 6-8 years’ experience in Facilities management environment of which 2 years must have been on supervisory level/area of expertise/management level
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Key Performance Areas
Risk Management
- Contribute to the development an IT Risk management framework for key ICT areas:
- Risks associated with products and services.
- Sensitive or confidential information
- Information security
- IT operations
- IT projects
- System recovery and business resumption
- IT outsourcing
- IT Talent
- Conduct comprehensive risk assessments to identify and analyse potential risks associated with IT systems, processes, and projects.
- Develop and implement risk mitigation strategies and controls to minimize the likelihood and impact of identified risks.
- Manage exposures, insurance, legal/ regulatory requirements, cost justifications, vendor agreements, and business continuity.
Business Continuity and Disaster Recovery
- Contribute to business impact analysis and align IT continuity plans accordingly.
- Develop and implement standard risk assessment, business impact analysis, and BCM tools and capabilities.
- Facilitate insurance and vendor agreements for disaster events.
Incident Response and Crisis Management
- Maintain incident response plans and procedures to effectively respond to and recover from IT incidents and disruptions.
- Participate in crisis management exercises.
Third Party Risk Management
- Evaluate and manage risks associated with third-party vendors, suppliers, and service providers.
- Assess third party security controls, contractual obligations, and service level agreements to mitigate risks and ensure compliance with IT policies.
Cloud Services Risk Assessment and Mitigation
- Conduct risk assessments for cloud services, develop mitigation strategies, and manage relationships with cloud service providers.
- Evaluate and manage relationships with cloud service providers, ensuring that contractual agreements, service level agreements (SLAs), and security commitments meet the organization's requirements.
- Oversee change management processes for cloud environments.
ICT Compliance
- Collaborate with IT teams and business units to ensure that information technology systems and services meet risk management and compliance objectives.
- Conduct regular audits and assessments of information technology systems and services to ensure that they are secure and meet compliance requirements.
- Ensure a compliance framework is maintained in accordance with required standards.
Policy Review and Implementation
- Contribute to the development and implementation of departmental policies, standards, procedures, and processes.
- Stay updated with effective policy execution strategies.
Reporting
- Define key performance indicators (KPIs) and metrics to measure the effectiveness of IT Risk processes and controls.
- Prepare status reports on IT BCM matters, measure BCM program maturity, and publish DR program reports.
- Monitoring risk indicators, tracking risk treatment actions, and generating regular reports and dashboards to communicate risk status to senior management and stakeholders.
Stakeholder Management
- Foster proactive relationships with key stakeholders and address inquiries and requests for information.
- Maintain relationships with Enterprise Risk function, Auditors, service providers, and procurement teams.
Qualifications and Experience
- Bachelor’s Degree/ Advanced Diploma in Information Technology/ Risk Management related qualification
- ITIL will be an added qualification.
- Relevant 5 - 7 years’ experience in a Risk Management or an Information Technology related environment.
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Key Performance Areas
Implement IT Governance Frameworks
- Collaborate with senior management, IT teams, and key stakeholders to implement and maintain IT governance frameworks and policies.
- Monitor the effectiveness of IT frameworks (ITIL, COBIT, ISO 27001/2) and policies, making adjustments as necessary to maintain compliance and support evolving business needs.
Data Governance
- Implement data governance frameworks, policies, and procedures to ensure the quality, integrity, and security of organisational data assets.
- Provide support on data-related initiatives, including data classification, metadata management, data privacy, and regulatory compliance.
- Facilitate data governance training and awareness programs to promote a culture of data stewardship and accountability across the organisation.
Cloud Governance
- Implement and maintain a governance framework for cloud services that encompasses areas such as security, compliance, performance optimization, and risk mitigation.
IT Compliance
- Stay abreast of relevant laws, regulations, and industry standards pertaining to IT security and privacy (e.g., POPIA, GDPR, HIPAA) and ensure that the organisation remains compliant with applicable requirements.
- Collaborate with IT teams and business units to ensure that information technology systems and services meet compliance objectives.
- Conduct regular audits and assessments of information technology systems and services to ensure that they are secure and meet compliance requirements.
- Ensure a compliance framework is maintained in accordance with required standards.
IT Audit and Assurance
- Coordinate and support internal and external IT audits and assessments, including compliance audits, control reviews, and risk assessments.
- Collaborate with auditors to provide evidence of compliance, address audit findings, and facilitate implementation of corrective actions as needed.
Policy Review and Implementation
- Contribute to developing and implementing departmental policy, standards & procedures, and processes.
- Stay updated with effective policy and practice execution strategies.
Reporting
- Generate regular reports and dashboards to communicate IT governance performance to senior management and stakeholders.
Stakeholder Management
- Facilitate and manage communication with relevant internal and external stakeholders progressively manage the relationships.
Qualifications and Experience
- Bachelor’s Degree/ Advanced Diploma in Information Systems, Computer Science, Audit, or related qualification.
- Certification in ITIL and COBIT.
- Project Management Professional (PMP) and Certified in Governance of Enterprise IT(CGEIT) will be advantageous.
- Relevant 5 - 7 years’ experience in developing, implementing, and maintaining IT governance frameworks and IT controls.
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Key Performance Areas
Organize and Manage Health Information Data and Ensure its Quality, Accuracy, Accessibility and Security
- Search and review data in adherence to requirements of the clinical research team.
- Search applicable databases for information and ensure that data used is accurate and up to date.
- Develop health management information system (configuration and data structures) aligned to the objectives of the team.
- Ensure rigor of literature accessed across all research projects.
- Develop and implement SOPs for data searches and access.
Maintenance, Collection and Analysis of Data
- Develop processes that ensure data accessibility, analysis and storage.
- Ensure that databases are up to date and ensure training and understanding of appropriate databases by the clinical research team.
- Filter search results according to specifications.
- Define the data management framework compromising of search criteria, turn- around times for data requests and quality assurance.
- Plan, manages and requests resources for assigned projects.
- Develop and maintain project plans, specifications and documentation in line with SOP requirements.
Policy Review and Implementation
- Contribute to the development and implementation of departmental policy, procedures and processes.
- Keep up to date with effective policy and practice execution strategies.
Reporting
- Prepare and submit regulation reports as and when required to provide progress updates and/or inform management decisions.
- Develop reports/ policies/ procedures and guide the process through the alignment of the documents to the overall RAF’s Strategy.
- Develop functional reporting systems, for management, projects or performance reporting.
- Prepare proposals, briefings, presentations, reports, and other documentation and provide management information both verbally and in report format.
Stakeholder Management
- Provide data management expertise within the team.
- Work as a member of a holistic protocol development team.
- Constructively engage and liaise with team members in the protocol development team towards achieving collective goals.
- Stay abreast of new scientific developments and expand the network of collaborative partners by attending workshops, technical working groups and academic engagements.
- Provide regular training to staff on clinical topics within the team as well as within other teams in the organization.
- Work closely with ICT to ensure that the infrastructure is compatible across all relevant data points.
Administrative and Report Writing
- Compile monthly reports on data searches, utilization, contribution to protocol development and clinical query resolution
- Collection of relevant statistics to inform future decisions
- Ensure processes are in place to have accurate and timeous information on databases and data management.
- Run data cleaning and status reports.
Qualifications and Experience
- Bachelor’s Degree/ Advanced Diploma in Health Sciences Nursing, Pharmacy related qualification.
- Valid registration with the relevant Statutory body (SANC, SAPC, HPCSA etc).
- Certification in evidence-based medicine and/or treatment protocol development will be an added advantage.
- Relevant 5 - 7 years’ experience in a Managed Healthcare environment or similar in data sourcing, collection and navigation.
- Experience working with treatment protocols and guidelines.
- With experience working with medical databases, navigating large data quantities and data outputs.
- With experience working with ICD 10 codes, CPT codes, NAPPI codes Experience in Functional Capacity Evaluation and associated reports and tariffs applicable.
- With experience working with coding systems (ICD 10, CPT and NAPPI codes).
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Key Performance Areas
Assessment of Clinical Impairment in Line with International Best Practices
- Provide guidance in the interpretation of emergency rescue and stabilization analysis.
- Assessment and review of clinical appropriateness of emergency medical services.
- Coordinate with internal departments to find solutions and resolve matters.
- Support in the identification, development and implementation of cost-effective processes in order to increase efficiency and reduce cost drivers related to the emergency medical services.
Training and Support
- Ensure updated and standardised emergency medical services training to medical staff within RAF.
- Provide support to RAF teams on EMS related matters.
- Identify relevant treatment plans and gaps in EMS.
Quality Assurance
- Provide consultations on the implementation or programs and services.
- Ensure that programs and services are implemented and maintained at the highest standards.
- Manage the development and implementation an unusual occurrence procedure.
- Ensure that research is conducted to determine if there are any new or revised regulations.
Policy Review and Implementation
- Contribute to the development and implementation of emergency medical service protocols.
- Contribute to the development and implementation of emergency medical service tariffs
- Keep up to date with effective SOP’s, policy and practice execution strategies.
- Ensure that policies and systems are managed and monitored in line with regulations.
Reporting
- Prepare and submit regulation reports as and when required to provide progress updates and/or inform management decisions.
- Develop reports/ policies/ procedures and guide the process through the alignment of the documents to the overall RAF’s Strategy.
- Develop functional reporting systems, for management, projects or performance reporting.
- Prepare proposals, briefings, presentations, reports, and other documentation and provide management information both verbally and in report format.
Stakeholder Management
- Prepare and submit regulation reports as and when required to provide progress updates and/or inform management decisions.
- Develop reports/ policies/ procedures and guide the process through the alignment of the documents to the overall RAF’s Strategy.
- Develop functional reporting systems, for management, projects or performance reporting.
- Prepare proposals, briefings, presentations, reports, and other documentation and provide management information both verbally and in report format.
Qualifications and Experience
- Bachelor’s Degree/ Advanced Diploma in an Emergency medical services related qualification.
- National Ambulance Emergency Assistant Certification (AAA) or Intermediate.
- Registration with the HPCSA as a Paramedic ILS Minimum/ ALS Desired.
- Pre-hospital Trauma Life Support (PHTLS) certification will be an advantage.
- Relevant 5 - 7 years’ experience in Emergency Management Environment.
- Experience in working with ICD 10 codes (diagnosis codes) will be an advantage.
- Experience in Healthcare Administration and Funding industry.
- Experience in medical claims, related charges, and clinical audit of claims.
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Key Performance Areas
Governance of Clinical/ Treatment Protocols (Policies, Processes and SOPs)
- Devise and execute a plan to monitor development, updating and refining healthcare policies, processes, and protocol updates, on par with the latest technology and clinical developments in the industry.
- Assists and provide support to the medical management and claims assessment teams in decision making through policies and protocols.
- Manage decisions, actions, clinical information, communication, and support related to claims processes, treatment and procedure.
Management of Treatment Protocols
- Standardisation on clinical standards and practices in order to strengthen an integrated service model for all related stakeholders (clinical and non-clinical)
- Co-ordinate holistic treatment protocol approach that is capped and includes all service providers.
- Develop and deliver insightful, value-added solutions that address complex client issues.
- Navigate the market (including academic and specialist associations) in the effective and efficient standard treatment protocols. Nappi, ICD 10, CPT, orthotic, physiotherapy, occupational, etc.
- Serves as a scientific advisor and provide guidance to the team on implementation of treatment protocol.
- Investigate protocol related issues including protocol clarifications, inclusion/ exclusion determinations.
- Perform medical review of protocol.
- Perform medical review of adverse clinical coding.
Management of the Clinical Research Function
- Function as a clinical leader for the Fund
- Manage the analysis of clinical research data.
- Develop and manage a project plan.
- Provide guidance to the clinical research team.
- Advise, guide and support the clinical research team with clinical input and responses to all clinically related queries of RAF stakeholders e.g. attorneys, hospitals, etc.
- Check medical trends, experience and approaches.
Strategy Development and Operational Planning
- Guide the development and implementation of the departmens strategy and plan that ensure alignment with short-term and long-term objectives.
- Guide implementation of the overall strategic plan for the department.
- Guide the implementation of specific key performance indicators and measures against outcomes detailed in the departmental strategic plans.
Policy Review and Implementation
- Support the development and implementation of policy, procedures and processes for the business unit and ensure effective execution of policy and practices.
- Collaborate with appropriate structures to ensure effective execution of policy and practices.
- Ensure that all employees in the team know and understand the RAF policies.
Stakeholder Management
- Represent the organisation in various provider platforms, and stakeholder relations area in order to ensure that the RAF treatment protocols and policies are on par with the local treatment standards.
- Build collaborative working relationships with PMO, ICT, Post Claims Settlement etc. for implementation purposes.
- Provides medical and scientific advises to key internal and develop proposals.
General Administration
- Develop clinical work templates
- Respond to complicated clinical queries in writing, supporting teams
- Record keeping
- Serve as the clinical expert providing technical support to the medical management and claims assessment departments.
Reporting
- Update RAF Management on progress of Clinical Research Team protocol development with milestones.
- Report quarterly on progress with implementation of operational plans.
- Ensure development of functional reporting systems, project or performance reporting for management.
- Ensure the development of reports/ policies/ procedures and guide the process through the alignment of these documents to the overall RAF’s Strategy.
- Ensure regular and periodic reports are prepared and submitted as and when required to provide progress updates and/or inform management decisions.
Financial Management
- Ensure that the periodic financial and strategic goals of RAF as well as the performance expectations of the various teams are achieved.
- Report and review operations financial and non-financial goals.
- Ensure sufficient internal control measures are implemented for adherence to PFMA, RAF and other relevant legislation and regulation.
- Manage, monitor and control the department expense budget.
People Management
- Ensure the sourcing, development and retention of a high-performance team.
- Ensure the motivation, cohesiveness, and alignment of the organisation’s team members.
- Manage staff in the department to ensure that they achieve their objectives in line with the strategic objectives of the RAF.
Qualifications and Experience
- A Medical Degree (MBChB or equivalent).
- Registration with the HPCSA as a Medical Doctor
- Certificate in Evidence Based training (PTCMA) or Health Technology Assessment (HTA) training or in progress of obtaining the qualification.
- Postgraduate in Health Sciences or Medical related qualification.
- Business Administration/ Management post graduate qualification would be an advantage.
- Relevant 9 – 10 years’ experience as a medical doctor of which 3 years’ must be on a management level/ area of expertise in a managed care/ insurance/ healthcare environment, medical advisory work.
- Experience in the development of treatment protocols, policies, and working with a team of researchers to develop the treatment protocols (clinical coder, pharmacist, etc.).
Method of Application
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