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  • Posted: Jan 13, 2023
    Deadline: Not specified
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    Imagine a world where people live healthier, more enhanced and protected lives… A world in which each organisation is a powerful influencer and responsible corporate citizen, committed to being a force for social good. As a leading innovator in healthcare, wellness, insurance, investments, financial and life planning, Discovery works ceaselessly to...
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    New Accounts Consultant (Fixed - Term Contract)

    Job Purpose

    The New Accounts Consultant assists with the opening of new accounts (with specific focus on FICA or KYC), as well as captures and/or maintains account information ensuring data integrity. The incumbent will prompt, request and resolve/remediate any required information that is outstanding or incorrect, with various stakeholders. Further, report on/act on errors within the account origination KYC process and/or other manual remediation tasks.

    Areas of responsibility may include but not limited to

    • Ensures completeness and quality of New Business remediation and updating client information within agreed SLAs
    • Accurately classifies, registers, routes and indexes documentation either manually or on the system
    • Takes action on incomplete information, in order to adhere to requirements with clients, third parties or any stakeholders (e.g., Brokers, Corporate BPs, etc.)
    • Achieves specified production targets, turn-around-times, handle times, etc.
    • Supports internal stakeholders with remediation activities
    • Engages with clients with regards to soliciting documents and/or information, queries and FICA requirements
    • Keeps abreast with legislative and industry changes (FIC Act, FAIS, POPI, etc.)

    Personal Attributes and Skills

    Values Driven:

    • Committed to integrity and ethics in business
    • Behaves consistently with Discovery Values

    Optimistic:

    • Motivated by a positive future
    • Energised by challenges

    Learns on the Fly:

    • Embraces the unfamiliar
    • Experiments to find solutions

    Resilient:

    • Recovers quickly from setbacks
    • Grows from negative experiences

    Instils trust:

    • Follows through on commitments

    People Savvy:

    • High EQ with low ego

    Drives Results:

    • Energises self and others to achieve
    • Consistently exceeds goals

    Problem Solver:

    • Looks beyond the obvious
    • Finds sustainable solutions

    Education and Experience

    • Relevant degree
    • Matric/Grade 12 and computer literacy with Excel as a requirement
    • At least 1 year working experience in a data capturing, servicing, operations or administrative environments is required
    • At least 1 year in a new business or client acquisition role within Financial Services is preferred
    • The role might require shift work

    EMPLOYMENT EQUITY   
                                 
    The Company’s approved Employment Equity Plan and Targets will be considered as part of the recruitment process. As an Equal Opportunities employer, we actively encourage and welcome people with various disabilities to apply.

    go to method of application »

    Data Analyst (Junior)

    Key purpose

    The DFCR Telemarketing team is looking for an experienced Data Analyst. The ideal candidate should be highly skilled in all aspects of data analytics, including mining and generation. Additionally, you should be committed to transforming data into readable, goal-driven reports for continued innovation and growth.

    Key outputs

    • Develop, implement, and maintain leading-edge analytic reports
    • Identify trends and opportunities for growth through analysis of data sets
    • Create best-practice reports based on data mining and analysis
    • Evaluate internal systems for efficiency, problems, and inaccuracies, developing and maintaining protocols for handling, processing, and cleaning data
    • Work directly with management and users to gather requirements, provide status updates, and build relationships

     

    Competencies

    • The successful individual will be required to demonstrate the following competencies:
    • Use statistical methods to analyze data and generate useful business reports
    • Work with management team to create a prioritized list of needs for each business segment
    • Use data to create models that depict trends in the customer base and the client population as a whole
    • Proactively analyze data to answer key questions from stakeholders or out of self-initiated curiosity with an eye for what drives business performance, investigating and communicating areas for improvement in efficiency and productivity
    • Develop and maintain databases by acquiring data from primary and secondary sources, and build scripts that will make our data evaluation process more flexible or scalable across data sets

    Qualifications and Experience

    The following knowledge and experience are required:

    • Tertiary qualification.
    • Stats / Math’s / Computer Science an advantage.
    • BSC Computer Science / IT- Degree - advantageous.
    • Proficient in Office 365, Advanced Excel, PL SQL, MS SQL Server, Power BI, Cognos
    • Knowledge of MIS
    • Excellent Excel skills
    • Minimum 2 years work experience in similar role.
    • Statistical analysis ability.

    EMPLOYMENT EQUITY

    The Company’s approved Employment Equity Plan and Targets will be considered as part of the recruitment process. As an Equal Opportunities employer, we actively encourage and welcome people with various disabilities to apply.

    go to method of application »

    Statistician

    Areas of responsibility may include but not limited to

    The successful applicant will be working within a highly specialized and growing team to enable delivery of advanced analytics capability.

    Responsibilities will include:

    • Work collaboratively as part of team engaging with system architects, data scientists and business in a healthcare context
    • Drafting methods sections of research proposals and presentations
    • Providing biostatistics input on detailed investigations for various initiatives.
    • Work comfortably with structured and unstructured data in a variety of different programming languages such as SQL, R, python, Java etc
    • Connecting with a multitude of stakeholders to understand the data, systems, and analytical architecture in a healthcare context
    • Present data and model findings in a way that provides actionable insights
    • Work with a range of stakeholders to ensure to present and apply insights effectively in the environment
    • Improve processes and analytical outcomes where opportunities arise

    Technical core skills

    • Excellent conceptual and technical ability
    • Excellent communications, both written and verbal
    • Comfortable presenting to stakeholders and team
    • Experience working on large and complex datasets
    • Healthcare experience and an understanding of clinical risk adjustment methodologies beneficial
    • Managing complexity
    • Accuracy
    • Analytical
    • Verbal and written Communication

    Behavioural skills

    • A passion for data exploration and complex healthcare environment
    • Self-starter
    • Willingness to learn and grow exponentially
    • A restless curiosity towards data and uncovering unknown correlations
    • Ability to work cohesively in a team environment and balance multiple priorities
    • A team player who can work alone when required and without supervision
    • High level of attention to detail, resilience, enthusiasm, energy and drive
    • Positive, can-do attitude
    • Ethical and able to maintain confidentiality and manage boundaries
    • Aligned to Discovery values and core purpose

    Education and Experience

    • Master’s in Public Health with completion of Biostats 3 and Advanced Epidemiology OR
    • Masters in Biostatistics
    • Data and analytic work experience (1-3 years) (Beneficial)
    • SQL (advantageous)
    • R programming language (advantageous)
    • Python (advantageous)

    EMPLOYMENT EQUITY   

    The Company’s approved Employment Equity Plan and Targets will be considered as part of the recruitment process. As an Equal Opportunities employer, we actively encourage and welcome people with various disabilities to apply.

    go to method of application »

    Compliance Specialist

    Key Purpose

    Group Compliance strives to be the most trusted and respected compliance practice in the financial services sector and our motto reflects that we are, Trusted, Visible and Respected within the Discovery Group. The success of Discovery is made possible by our great people. Our Group Compliance department is looking for a knowledgeable, self-starter to join the team as a Compliance Specialist to be responsible for the managing of compliance risks though the employ of policies and frameworks pertaining to regulatory obligations.

    Areas of responsibility

    The successful candidate will be required, primarily, but not limited to:

    • Contribute to the development and implementation of the Compliance programme for Sales and Distribution
    • Maintain compliance risk management frameworks,
    • Define, assess, maintain and advise on the regulatory universe,
    • Develop and facilitate compilation and review of compliance risk management plans,
    • Conduct compliance monitoring,
    • Compile and submit internal and external compliance reports, and
    • Interact with industry regulators, supervisors and stakeholders as and when required.

    Skills and Personal Attributes

    • Detailed knowledge of local (South African) legislation relating to financial services and able to interpret and apply legislation, including, but not limited to the following: FAIS, Protection of Personal Information Act, Insurance Act.
    • Sound understanding of Compliance methodology, working knowledge of all elements comprising.
    • Writes in a well-structured and logical way – must have ability to write and review compliance policies and draft compliance guidance notes and reports with detail required to inform the business of regulatory requirements and potential impacts
    • Strong listening, organisational and communication skills and able to think in an analytical and conceptual manner.
    • Efficient time management skills, including quick turnaround time on quality work
    • Able to work well under pressure

    Education and Experience

    • Relevant tertiary education
    • Post-graduate qualification in Compliance Management (advantageous)
    • At least five to eight years’ experience within a compliance environment with working knowledge of laws, regulations and codes impacting a group of companies operating in several jurisdictions.

    Employment Equity 

    The Company’s approved Employment Equity Plan and Targets will be considered as part of the recruitment process. As an Equal Opportunities employer, we actively encourage and welcome people with various disabilities to apply.

    go to method of application »

    Actuarial Analyst - Discovery Life

    Key Purpose

    It is a multi-disciplinary role that will provide the candidate exposure to four different teams within the Actuarial Product Development and Implementation division. The allocation to these areas will be done according to the needs and resource requirements of the teams at each point in time. Tasks will typically be assigned on project-to-project basis, and the time spent on each task can vary between short and medium terms.

    The primary function of each team can be summarised as follows:

    • Actuarial Operations of Existing Products: Supporting the day-to-day Actuarial operations of the existing Discovery Life products and benefits. It involves the maintenance existing policies and benefits as well as understanding  the historical product rules, impact of new product launches and the profitability of the existing book. It also involes the application of actuarial insights into operational areas such as reinsurance, underwriting, claims and servicing
    • Production defects: Investigating and resolving, from an actuarial point of view, issues encountered on the system during servicing, ensuring that the product and business rules are adhered to. The team acts as a bridge between the purely actuarial product development teams and the physical implementation on the system, it contributes a unique combination of actuarial and IT skills to the division.
    • Testing and Digital strategy: This team’s focus would be to spec, implement and test new products, servicing, limited offers, and fixes on the system.  To ensure that testing is done thoroughly and proactively, with a focus on regression to avoid issues arising after go live, with not only the new benefit but with existing benefits and processes.  To provide support to the various teams throughout the business when manual calculations are required.  The role involves working closely with the systems and testing teams to ensure successful implementaion of products and processes on all platforms. 
    • Actuarial systems and values: The main purpose of this team is to verify and maintain complex actuarial products on the in-house systems. This will involve the setting up and regular execution of checks, and identifying and driving fixes for issues identified. The team performs detailed monthly policy anniversary letter value checks. In addition, regular values testing of both new product features as well as fixes of existing product features will be required. Various ad-hoc investigations and reporting may be needed from time to time.

    Following sufficient exposure to each team, there will be an opportunity for the candidate to move to one of the teams permanently based on the areas of strength, interest and aspiration.

    Areas of responsibility may include but not limited to

    Actuarial Operations of Existing Products:

    • Maintain and/or enhance product specifications for existing Discovery Life products.
    • Actuarial and statistical modelling and value assessment of the existing book.
    • Assist with reporting on the performance of new product launches and existing policies to aid in strategic decision making
    • Ad-hoc investigations to assess items that may negatively impact clients or Embedded Value.
    • Implementing products, operational enhancements and management actions.
    • Building intelligent financial tools related to day-to-day business operations
    • Liaising with key stakeholders (actuarial and operational) across the business
    • Creation and updating of Discovery Life product Guides and other client communications

    Production defects:

    • Resolve production defects (QC’s) to allow policies to continue functioning as intended.
    • Investigate defects to identify root causes of recurring defects
    • Monitor the implementation of products and benefits
    • Might occasionally be required to assist product development team.
    • Test and validate new products and benefits and their implementation on the system

    Testing and digital strategy:

    • Providing product specifications for system developers and overseeing systems implementation
    • Developing models, the test strategy and test cases to be used by the testing team
    • Enhancing efficiencies of processes to reduce testing errors and manual requests
    • Signing off actuarial values on digital platforms
    • Providing actuarial values and showing the financial impact of the Shared Value to model to various teams throughout the business

    Actuarial systems and values:

    • Setting up and maintaining checking tools
    • Monthly sign off of client anniversary letter values
    • Testing new product features being rolled out on the system
    • Ad hoc investigations to identify issues
    • Driving fixes for issues identified
    • Reporting of issues to management

    Education and Experience

    Essential:

    • Matric with Mathematics
    • Relevant Bachelor’s / Honours degree in Actuarial Science from an accredited institution.
    • 1-2 years’ working experience as an Actuarial Analyst

    Advantageous:

    • Experience as an Actuarial Analyst within the Individual Risk Life Insurance industry.
    • Experience in Product Development, Pricing or R&D areas
    • CA1 exam passed or exemption obtained.

    Technical Skills and Knowledge

    Essential:

    • Intermediate proficiency in MS Word, MS Excel, MS Outlook.
    • Experience in Actuarial Modelling, Problem Solving, Data Analysis and information science
    • Strong mathematical and analytical skills.
    • Strong statistical skills.
    • Strong interpersonal skills.

    Advantageous:

    • Experience in working with Databases (SQL).
    • Knowledge of the Life Insurance market.

    EMPLOYMENT EQUITY   
                                 
    The Company’s approved Employment Equity Plan and Targets will be considered as part of the recruitment process. As an Equal Opportunities employer, we actively encourage and welcome people with various disabilities to apply.

    go to method of application »

    Database Administrator

    Job Purpose

    The Technical Support Specialist: Database Administrator is responsible for the administration, configuration, performance, integrity and security of the Bank’s SQL databases that host multiple business applications and systems. This requires interfacing with various IT stakeholders (infrastructure support, production operations, business systems, IT security etc.) in ensuring comprehensive operational support for the database systems.  This role is also focussed on the rapid resolution of incidents as part of the Bank’s 24/7 support capability.

    Areas of responsibility may include but not limited to

    Operational Support

    • Be part of a team providing 24/7 database administration support.
    • Configures and maintains database servers and processes, including monitoring of system health and performance, to ensure high levels of performance, availability, and security.
    • Monitors capacity usage of the databases and performs forecasting to proactively provide sufficient resources for the database systems.
    • Adheres to the change and release processes for infrastructure and software upgrades ensuring that implementation and testing is done compliantly and methodically.                   
    • Maintains versions and upgrades to the database software at levels that are supported by the DBMS OEMs and the application software OEMs                     
    • Maintains all documentation regarding configuration and procedures for databases, supporting systems software installation and operational support.
    • Participates in the technical knowledge review process ensuring that quality content is published for internal and external consumption.              
    • Performs root cause analysis, performance tuning, optimisation and other service improvement activities ensuring optimal database performance. Continuously identifies areas for improvement for efficiency          
    • Logs and acts on all incidents according to business expectations and escalates all critical statuses and issues as well as provides recommendations                    
    • Proactively identifies interconnected problems and develops and models alternative solutions. Also suggests contingency plans to resolve value chain conflicts.

    Programme and Project Support.

    • Provides support to the Programme Office in the build and implementation lifecycle of new services and changes to related services including support for non-production environments

    Compliance, Governance, Risk and Control Processes

    • Liaises with Change and Release Management in the planning of changes and releases of services in scope.
    • Partake and assist in the build and maintenance of the CMDB and ensure that the logical view of services is maintained.

    Other

    • Provides input to periodic operational reports according agreed intervals (e.g. daily, weekly and monthly reports).
    • Identifies, documents and publishes knowledge for sharing with internal staff. Participate in the technical knowledge review processes and in ensuring the quality of published content.
    • Works with internal colleagues to ensure they have the appropriate information and knowledge at hand to be successful in what they do.
    • Proactively identifies interconnected problems, develop and model alternative solutions as well as contingency plans to resolve value chain conflicts.
    • Establishes and maintains effective relationships with IT stakeholders to ensure compliance and establishing a healthy feedback channel.
    • Continuously identifies improvement areas that will enhance efficiency.
    • Ensures that tickets in the ITSM tool are attended to all times and reflect the correct status.
    • Contributes to the Disaster Recovery Planning activities and tests for the databases and systems
    • Participates in the design, planning and testing activities for the resilience and recovery of in scope applications and systems in support of business continuity and disaster recovery functions.

    Education and Experience

    • Relevant Tertiary qualification.
    • At least 6 years’ experience in SQL database administration support
    • Experience in Oracle database administration would be an advantage.
    • ITIL Foundation certification is an added advantage.
    • Experience in application or technical support in a corporate environment.
    • Previous experience in the banking or financial services industry will be advantageous.

    Technical Skills or Knowledge

    • Technical support strategies and approaches.
    • Technical documentation creation and maintenance.
    • Database Management systems.
    • Incident Management and Problem Management procedures

    EMPLOYMENT EQUITY   

    The Company’s approved Employment Equity Plan and Targets will be considered as part of the recruitment process. As an Equal Opportunities employer, we actively encourage and welcome people with various disabilities to apply.

    go to method of application »

    HR Technology Engineer

    Key Purpose

    The Discovery People Technology team is accountable for all product deliverables in the HR technology products and to provide input to the overall HR roadmap.

    As part of this team, you will work with the functional owners who are usually positioned in the Centres of Excellence and People Operations to ensure that all people systems and technologies are leveraged to deliver effective and cost efficient processes. You will be accountable for the full life cycle of technology products: requirements gathering, vendor selection, solution design and configuration, deployment, sustain, adoption and solution retirement - the Total Costs of Ownership. With regards to the execution, as a part of the technology team, you will work closely with the People Systems and IT Services teams who will be responsible for many of the deliverables specifically integration in overall Discovery HRIS.

    Areas of responsibility may include but not limited to

    • Discovery and ideation: scan the latest technology trends in the respective product area and share these with the functional owners.
    • Priority setting: understand sub-functional strategy, processes and ways of working and align with functional owners on priorities and plans.
    • Business Case: provide input to functional owners on business cases specifically on the product deliverables.
    • Solution Design: translate functional and business requirements into a technology ideally leveraging the out of the box processes and functionalities of our preferred technology vendors (buy, configure, built). Basic principles: standardisation and simplicity putting the user at the centre of the process and technology design.
    • Solution Configure: provide the IT Services configuration teams with input on configuration and support with relevant testing activities.
    • Deployment and delivery: based on the deployment priorities and plans set by the functional owner, work with the regional People Systems and Tech teams on deploying the technology solutions.
    • Sustain: work with the IT Services team on solution RUN and maintenance as per IT Services technology operating model. Accountable for potential escalations acting as the single point of contact back to functional owners, IT services and technology providers.
    • Architecture: work with the People Systems solution and overall ERP architects to ensure solutions are flawlessly integrated into People Systems and technology landscape and roadmaps and overall ERP architecture and roadmaps/plans.
    • Release strategy: ensure releases are reviewed, prioritised and tested in collaboration with functional owners, IT Services (configurations) and strategic vendors and support change management and communication activities where necessary.
    • Value management (adoption and continuous improvement): work with functional owners and regional People Systems teams to ensure maximum value delivery through solution adoption and continuous improvement activities. Leverage OPEX methodology and metrics where possible.

    Personal Attributes and Skills

    • Planning & Organising
    • Verbal & written communication
    • MS Office
    • Execution oriented
    • Proactive and resourceful
    • Analytics

    Education and Experience

    Essential

    • Matric
    • BCom Informatics or related degree
    • 2 years experience with SuccessFactors
    • Understanding of HR principles and concepts

    Advantageous

    • 2 years HRIS support
    • Project Management experience
    • SQL

    EMPLOYMENT EQUITY   
                                 
    The Company’s approved Employment Equity Plan and Targets will be considered as part of the recruitment process. As an Equal Opportunities employer, we actively encourage and welcome people with various disabilities to apply.

    Apply now 

    go to method of application »

    Virtual Sales Consultant

    Job Description

    The Virtual Sales Consultants are expected to be highly motivated and professional ambassadors for Discovery Connect, supporting clients after their initial product take-up via the Discovery Connect channel. Successful consultants are those that build trust-based relationships, offer world-class service and reliability, always doing what is best for our clients.

    Consultants are expected to generate sales opportunities via targeted existing Discovery Connect clients (>100,000 high value target clients) through on-going servicing and upsell campaigns across the Discovery product range. Consultants must carry themselves off professionally, conducting virtual (Zoom-based) client appointments and completing holistic FNAs and sales across the product range.

    Consultants will be expected to manage their own diary, client appointments and sales pipelines; proactively seeking sales opportunities and offering solutions tailored to a clients’ needs

    Key Outputs

    • The successful individual will be required to perform on, but not limited to the following key outputs:
    • Achieve sales targets through participation in proactive sales and marketing initiatives / campaigns
    • Maintain a professional approach to selling and manage the high networth clients efficiently
    • Communicate to members via telephone, email and video-calls
    • Conduct Financial Needs Analysis
    • Comply with the compliance requirements
    • Achieve quality targets
    • Adherance to service level agreements
    • Build relationships with internal departments to ensure superior service offering to clients
    • Keep up-to-date with competitor product and service offerings and industry developments
    • Deal with client queries and provide information on a range of sales and service issues

    Personal attributes and skills

    • The successful individual will be required to demonstrate the following competencies:
    • Self motivated
    • Goal orientated
    • Team Player
    • Ability to perform under pressure
    • Adaptable to change
    • Persuasive and resilient
    • Self managed with sound time management
    • Attention to detail
    • Ability to learn quickly and apply knowledge
    • Speak fluently (accent neutral) English/Afrikaans

    Qualification & Experience

    • Matric
    • At least 2 years sales experience
    • Minimum 1 year Discovery Life product knowledge
    • Minimum 1 year Discovery Insure product knowledge
    • Minimum 1 year Discovery Health product knowledge
    • Minimum 1 year Discovery Bank product knowledge
    • Minimum 1 year Discovery Invest product knowledge
    • PC literacy, email, word, excel (proficiency in MS Office)
    • Tertiary qualification an advantage
    • Essential NQF5 and RE5 qualification
    • COB Qualification

    Beneficial:

    • Tertiary qualification, particularly a business degree (or progress towards one)
    • Sound investment, life and other insurance knowledge
    • Broker consulting experience in the financial services industry
    • An understanding of financial planning

    EMPLOYMENT EQUITY   
                                 
    The Company’s approved Employment Equity Plan and Targets will be considered as part of the recruitment process. As an Equal Opportunities employer, we actively encourage and welcome people with various disabilities to apply.

    go to method of application »

    Business Coordinator (Data & Analytics)- Amplify Health

    The role is based in Sandton, South Africa.

    Core responsibilities include:

    • Coordinate with data and analytic leadership to prepare reports and presentations required for communication to various stakeholders
    • Prepare meeting agenda’s, analytical and data reports for various leadership committees
    • Assist with people and operating model with senior and executive stakeholders
    • Manage team onboarding processes, documentation and general staff support
    • Recommend and roll out structured template documents for repeatable deliver of standard outputs and processes
    • Ensure accurate and transparent communication for tracking and management of short to long term strategic goals
    • Converting data and analytic content to business and marketing content for a broad range of audiences and formats

     What you need to be successful

    Behavioural skills:

    • Communication skills across a wide range of stakeholders
    • Ability to work cohesively in a team environment
    • High level of attention to detail, resilience, enthusiasm, energy and drive
    • Positive, can-do attitude focused on continuous improvement
    • Ability to take feedback and constructive criticism to drive improved delivery

    Technical understanding- An understanding of the technical tools used in healthcare analytics is preferred with respect to the following topics:

    • Understanding of patient health management, provider profiling, healthcare reporting, and other key healthcare technologies etc.
    • Understanding of clinical tools including coders, groupers, and classifications
    • Understanding of data science in the healthcare space 
    • Understanding of healthcare benefit pricing, product pricing and other actuarial calculations (reserving, risk rating, etc.)
    • Understanding of fraud and operations environment

    Additionally, the following technical skills are core to the role:

    • Understanding of analytical and solution architecture on cloud
    • Business/process mapping

    Qualifications and experience:

    • Informatics or relevant degree, or similar (Honours degree preferred)
    • 5+ years of experience in preparing data related reports and presentations
    • Proficient in PowerPoint, Excel, and Word
    • Experience in healthcare is preferred

    EMPLOYMENT EQUITY   
                                 
    The Company’s approved Employment Equity Plan and Targets will be considered as part of the recruitment process. As an Equal Opportunities employer, we actively encourage and welcome people with various disabilities to apply.

    go to method of application »

    Hospital Benefit Specialist- KZN

    Key Purpose:

    Managing the risk relating to in hospital admissions, through the application of clinical and coding knowledge and aligning to protocols, legislation, standard operating procedures (SOP’s), service level agreements (SLA’s) and the member’s benefit structure. The role will apply to working in various settings, predominantly casualty. It is anticipated that the risk purpose will also extend into the general ward and high care/ICU settings as needed.

    Coordinating the care of certain patients who are vulnerable to care gaps during transitions particularly entry into hospital through to the emergency room, and discharge from hospital. The populations most vulnerable to gaps in care during transitions include clinically high risk patients; patients undergoing major surgical procedures; and patients with low socio-economic circumstances.

    Please note: The successful applicants will be based at a designated hospital within the applicable region.

    Key Outputs

    The successful applicant will be responsible for but not limited to the following job functions:

    Assessing the case in relation to the following:

    • Members clinical history
    • Members benefit structure
    • Clinical Information and coding supplied
    • Level of care provided
    • Appropriateness of the facility
    • Appropriateness of the treating doctor
    • Appropriateness of treatment
    • Managing the benefit for the member and the risk for the relevant scheme through a thorough process to approve or decline Funding to ensure that the member gets the appropriate level of care
    • Discharge planning by providing the member with alternatives to receive treatment ( This includes Hospital @ Home, Homecare etc.)
    • Effective and accurate communication to all stakeholders:
    • Case update to the provider
    • Funding decisions and benefit confirmation to the members
    • Request for additional information from the treating doctor or practice manager
    • Engaging with Patient Services Manager and hospital staff
    • Handling escalations from Providers and internal stakeholders
    • Preparing and presenting complex case to clinical review
    • Trend Analysis of inefficiencies and proposals to correct
    • Appropriate internal case referrals for clinical management

    Operational Targets:

    • Attend to patients on daily report
    • Review a minimum of 50% of daily low acuity admission requests
    • Quality of processes
    • Onsite perception survey

    Personal Attributes:

    • Emotional Intelligence - Ability to understand, use, and manage emotions in positive ways to communicate effectively, empathise with others and defuse conflict.
    • Composure - Is cool under pressure; does not become defensive or irritated when times are tough; is considered mature; can be counted on to hold things together during tough times; can handle stress; is not knocked off balance by the unexpected; doesn't show frustration when resisted or blocked; is a settling influence in a crisis.
    • Conflict Management - Steps up to conflicts, seeing them as opportunities; reads situations quickly; good at focused listening; can hammer out tough agreements and settle disputes equitably; can find common ground and get cooperation with minimum noise.
    • Decision Quality – Makes good decisions (without considering how much time it takes) based upon a mixture of analysis, wisdom, experience, and judgment; most of his/her solutions and suggestions turn out to be correct and accurate when judged over time; sought out by others for advice and solutions.
    • Integrity and Trust - Is widely trusted; is seen as a direct, truthful individual; can present the unvarnished truth in an appropriate and helpful manner; keeps confidences; admits mistakes; doesn't misrepresent him/herself for personal gain.
    • Negotiating - Can negotiate skillfully in tough situations with both internal and external groups; can settle differences with minimum noise; can win concessions without damaging relationships; can be both direct and forceful as well as diplomatic; gains trust quickly of other parties to the negotiations; has a good sense of timing.
    • Perseverance - Pursues everything with energy, drive, and a need to finish; seldom gives up before finishing, especially in the face of resistance or setbacks.
    • Problem Solving - Uses rigorous logic and methods to solve difficult problems with effective solutions; probes all fruitful sources for answers; can see hidden problems; is excellent at honest analysis; looks beyond the obvious and doesn't stop at the first answers.

    Education and Experience:

    The following requirements are essential:

    • Matric
    • Must be a Registered Nurse
    • Valid SANC Registration
    • 3 years Clinical experience in a private hospital setting (ICU, Trauma/Casualty, Medical/General ward preferable)
    • 2 years Managed health care experience 
    • Microsoft Office (Specifically Excel experience)
    • Valid Driver’s License and own transport
    • Effective Communication Skills (Verbal & Written)
    • Telephone Etiquette
    • Active Listening Skills

    The following requirements will be advantageous:

    • 1 – 2 years ICU experience.
    • Knowledge of DH SOP’s and Process experience (internal only)
    • Provider payment arrangements (internal Only)
    • Clinical coding knowledge of ICD-10 and/or CCSA

    EMPLOYMENT EQUITY   
                                 
    The Company’s approved Employment Equity Plan and Targets will be considered as part of the recruitment process. As an Equal Opportunities employer, we actively encourage and welcome people with various disabilities to apply.

    go to method of application »

    Analyst (Senior)

    Key Purpose

    The Risk Intelligence team has an exciting opportunity available for high calibre individuals interested in a career in advanced healthcare analytics. The team’s core purpose is to create intelligence for a healthier tomorrow for our clients by leveraging Discovery’s vast data assets and cutting-edge analytical methodologies. These valuable insights are used to drive efficiency and quality in the provision of healthcare to our members. We work as an integrated, collaborative, and multidisciplinary team to ensure our objectives and goals are met. The successful candidate must be motivated, apply critical thinking skills, and have excellent communication skills.

    Areas of responsibility may include but not limited to

    • Being responsible for technical analysis and delivering actionable reporting
    • Working with clinicians, actuaries, data scientists and other professionals in the team to develop and implement innovative tools
    • Contributing intellectually to detailed investigations for various initiatives
    • Delivering clear and reliable results, often on tight deadlines
    • Applying the principles of risk adjustment in healthcare to deepen understanding of the variations in scheme experience and identify appropriate cost and quality interventions to ensure the sustainability of the scheme
    • Clearly communicating and presenting data, methodology and model findings to internal and external stakeholders to highlight actionable insights
    • Working comfortably with structured and unstructured data in a variety of different programming languages such as SQL, R, Python, Java etc
    • Connecting with a multitude of stakeholders to understand the data, systems, and analytical architecture
    • Working with various stakeholders to implement interventions effectively
    • Improving processes and analytical outcomes where opportunities arise
    • Producing regular monitoring reports and detailed investigations

    Personal Attributes and Technical Skills

    • Excellent conceptual and analytic ability
    • Excellent communications, both written and verbal
    • Comfortable presenting to stakeholders and teams
    • Ability to extract insights from data to guide decision making
    • Healthcare experience and an understanding of clinical risk adjustment methodologies
    • Managing complexity
    • High degree of accuracy
    • Experience working on large and complex datasets
    • Experience in using SQL, MS Office
    • Experience in programming languages such as R and Python would be beneficial

    Education and Experience

    • Honours or master’s degree in either Data Science, Actuarial Science, Statistics or Applied Mathematics
    • Statistical and Healthcare experience is beneficial
    • Other qualifications will also be considered if accompanied by the relevant experience
    • Data and analytic work experience (4+ years)
    • SQL
    • R or Python programming language (advantageous)

    Employment Equity  

    The Company’s approved Employment Equity Plan and Targets will be considered as part of the recruitment process. As an Equal Opportunities employer, we actively encourage and welcome people with various disabilities to apply.

    EMPLOYMENT EQUITY   

    The Company’s approved Employment Equity Plan and Targets will be considered as part of the recruitment process. As an Equal Opportunities employer, we actively encourage and welcome people with various disabilities to apply.

    Method of Application

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