Jobs at Discovery Limited

Key Purpose

• The Head of Technical Marketing and Umbrella Product for Discovery Corporate & Employee Benefits (CEB) takes ownership for technical marketing across the CEB product suite (group risk, retirement funds, and healthy company, and any new propositions launched).  They are responsible for the positioning, launch and rollout of products; for the ongoing sales support and market positioning of products; for investment support and servicing; and for thought leadership and Hub analytics.
• As Head of Umbrella Products, they are responsible for maintaining and enhancing the umbrella fund proposition, including the investment proposition, and for ensuring that the umbrella fund product and service is meeting sales and member outcome objectives.

Areas of responsibility may include but not limited to

• Overseeing the Communications Team, responsible for all operational comms and forms, sales support, brochureware, and client communication strategies. (Total headcount: 4)
• Overseeing the Technical Marketing Team, who is responsible for the product and sales support of all CEB products. (Total headcount: 4)
• Technical Marketing responsibility includes:
• Supporting sales through reusable collateral and bespoke deal support (material and presenting)
• Building key broker relationships to support sales and market insights
• Co-developing marketing strategies together with Marketing
• Supporting the Hub with bespoke client analytics
• Creating thought leadership content, and conceptualising and executing events
• Overseeing the Investment Team, responsible for investment product development, analytics, technical marketing, and servicing (Total headcount: 1)
• Umbrella product ownership responsibility includes:
• Umbrella fund pricing (basis and bespoke client pricing)
• Active participation in the R&D Steering Committee to influence umbrella product development
• Representing the umbrella product in governance committees, executive committees, and boards
• Developing and driving strategies for achieving member behaviour change objectives
• Developing future leaders for CEB Technical Marketing, Investments and Umbrella Product.
• Defining and supporting strategic new business initiatives

Personal Attributes

• Excellent conceptual and technical ability
• Excellent communications, both written and verbal
• Comfortable presenting to external parties
• Accuracy (Advanced)
• Analytical (Advanced)
• Stakeholder management (Intermediate)
• Strong team player.
• Ability to work in a collaborative/problem solving environment.
• Ability to multitask.

Education and Experience

• Qualified Actuary
• 10 years + of Senior Management experience
• 5+ years investments experience
• Knowledge of the corporate and employee benefits industry in SA
• Excellent English and presentation skills
• Excellent Excel skills (advanced)
• Top achiever

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Areas of responsibility may include but not limited to

• Strategic
• Assist in attending to management queries.
• Build / maintain relationships with the Discovery companies and other Assurance Providers:
• Discovery Invest, Life, Employee Benefits, Insure, Corporate, Health, Vitality RSA, Vitality Group,
• Vitality Health, Vitality Life, External Audit.
• Facilitate the maintenance of risk profiles (inherent & residual view of IT risks).
• Challenge risk management information received from the business and provide meaningful input to management on where IT risk management processes and controls can be improved.

Technical

Knowledgeable in:

• IT General Controls
• Application Controls
• Technical Infrastructure
• Project and Programme Management
• Cyber and Information Security
• Data Assurance, Data Analytics, continuous auditing via Computer Assisted Auditing Techniques
• (CAATs): advantageous

Operational

• Ensure audits are performed in line with Audit Methodology.
• Provide feedback to Audit Management on the planning, execution and reporting of the audits.
• Obtain input from the Audit Management relating to risks associated with the audit topic.
• Ensuring that all risks are addressed for the specific audit engagements.
• Follow up with Group Risk, Compliance and Forensics on any pertinent issues affecting  particular audit.
• Defining the purpose, scope and audit approach of each audit for assigned areas of audit coverage.
• Assist Audit Management in determining the scope of Internal Audit assignments.
• Prepare engagement letter for review by Audit Management.
• Prepare/review the Audit Planning Memorandum (APM).
• Prepare/review approved system descriptions, walkthroughs and/or process flow diagrams and address/raise review notes where applicable.
• Prepare/review risks and controls matrix (RACM) and address/raise review notes where applicable.
• Prepare/review test procedures and address/raise review notes where applicable.
• Obtain approval from Audit management with regards to any changes to RACM, audit tes procedures / sample sizes.
• Perform testing and document working papers on Audit Software where applicable.
• Review working papers on Audit Software (performed by IT Auditors) and raise review notes where applicable.
• Prepare/review the Audit Finalisation Checklist at the end of an audit.
• Close day to day supervision of the IT Auditors and process of work.
• Provide regular progress updates (at least weekly) on audit assignments.
• Keep track of the budget and timesheets on a weekly basis and submit to Audit Management.
• Escalate in timely manner to Audit Management if deadlines are not going to be achieved.
• Escalate cases where feedback is not received.
• Advise Audit Management immediately of any problems experienced on an audit section.
• Monitoring of the quality of work performed by the audit team and taking corrective action (where applicable).
• Provide training and supervision to audit team in order to ensure that that the required audit
• objectives are met and that adequate practical coverage is achieved.
• Ultimately responsible for quality of audit files (MK or other).
• Proactively take on additional tasks as requested by Audit Manager.
• Provide meaningful input and monitor the effective and timely implementation of management actions to address any control weaknesses identified through risk profiling, risk events and control self- assessment.

Follow-ups

• Follow up on outstanding audit issues and management actions.
• Preparation and submission of follow-up progress reports for risk and/or audit committees.

Development

• Self-development: studying, attending courses, external courses, e-Learnings.
• Present training to the IT audit team.
• Completion of mini-appraisals
• Schedule meetings with Audit Manager for the combined review of mini appraisals.

General

• Stay up-to-date with Internal Audit profession and industry developments.
• Ongoing development and improvement of audit methodology.
• Travel if required.

Education and Experience

• B Degree or equivalent (and relevant) qualification (with Computer Science / Computer Auditing
• / Information Systems / Auditing as majors)
• CIA / CISA / CISM / CRISC / CGIT (one or more of the afore mentioned is required)
• 2+ years audit experience
• IT General Control Reviews.
• Application control reviews.

Essential knowledge:

• Internal Controls
• Risk management framework (COSO)
• IT General Control reviews
• Application Control reviews
• Internal controls
• Corporate and IT governance
• IT Infrastructure technical knowledge (reviewing of databases and operating systems)
• CAATs / data analytics
• Cyber and information security
• Computer literacy

The following would be deemed as an advantage (and would be required for career progression):

• Studying towards or in possession of relevant Bachelors or Honours Degree
• Financial Services experience

Competencies

• Analytical Thinking Ability: ability to split a task or problem into its component parts and use these in a logical and systematic manner to reveal all the implications of the consequences of situations
• Communication Skills: able to communicate clearly both verbally and in writing.
• Relationships: building relationships with auditees, business and external auditors.
• Reporting Skills: ability to consolidate information and compile reports reflecting the necessary relevant information

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Key Purpose:

• This position requires the successful candidate to be able to make funding decisions for clinically complex cases as per scheme rules, in keeping with principles of evidence based medicine while promoting cost effective and quality healthcare for our members and managing interactions with external clinical providers.

Key Outputs:

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

• Provide clinical support to the Medical Review team, PMB team, Chronic Illness Benefit, hospital case management, oncology case management, exec office, benefit compliance review, the underwriting and forensics area, as well as other business areas.
• Ensuring the workflow pools and TWT are met
• Participating in key clinical forums internally and externally
• Daily Clinical Review – Preparing of cases, case presentation, loading member remarks and clinical exceptions, arranging second opinions/external expert opinion and follow up
• Communication of funding decisions to the relevant parties
• Keeping abreast with legislative and industry changes and how it affects your business unit
• Keeping updated with the latest clinical thinking and attending CPD events
• Identification of new trends in Medical Industry, and engagement with relevant clinical stakeholders
• Constant interaction and relationship building with external health care providers
• Maintenance of database of funding decisions made
• Support to Junior Staff and other Medical Advisors
• Knowledge of Claims, coding and assisting in getting payment resolutions
• Identify operational gaps and initiate improvement strategies
• Clear knowledge of evidence based medicine and the application thereof
• Review of clinical evidence on a case by case basis
• Liaison with various business group TWGs

Knowledge and Skills:

• Knowledge of Managed Care Environment
• Sound knowledge of Prescribed Minimum Benefits
• Excellent written and verbal communication skills in English
• Basic computer Literacy in Microsoft Office applications (must be proficient in Excel)

Competencies:

The successful candidate must demonstrate the following competencies:

Role Specific Behaviours

• Ensures accountability.
• Action oriented
• Manages ambiguity.
• Attracts top talent.
• Business insight
• Collaborates
• Communicates effectively.
• Manages complexity.
• Manages conflict.
• Courage
• Customer focus
• Decision quality
• Develops talent
• Values differences
• Directs work.
• Drives engagement
• Financial acumen
• Global perspective
• Cultivates innovation.
• Interpersonal savvy
• Builds networks.
• Nimble learning
• Organizational savvy
• Persuades
• Plans and aligns.
• Being resilient
• Resourcefulness
• Drives results
• Demonstrates self-awareness.
• Self-development
• Situational adaptability
• Balances stakeholders
• Strategic mindset
• Builds effective teams.
• Tech savvy
• Instils trust.
• Drives vision and purpose
• Optimizes work processes

Education and Experience:

The following requirements are essential:

• Matric
• Qualified Medical Doctor
• Full and Current HPCSA registration - Independent Practice
• Minimum of two years experience in a Private hospital or clinic

The following requirements will be advantageous:

• Previous Medical Advisor or managed healthcare 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

Personal Attributes or Competency Profile

The Discovery Person

• Values Driven
• Optimistic
• Learns on the Fly
• Resilient
• Instils Trust
• People Savvy
• Drives Results
• Problem Solver