Jobs at Metropolitan

Role Purpose

• Perform detailed analysis, document processes and perform user acceptance testing to support development of innovative solutions to enable business objectives.

Requirements

• 3-5 Years’ Business Analysis or related experience (e.g. Testing or Business Systems Analysis)
• Experience in modeling, solution testing and verification
• Financial services experience will be beneficial
• Experience in working with cross-functional project teams will be beneficial
• Information Technology or related degree (Essential)
• Business Analysis certification (e.g. BABOK, CBAP) (Desirable)
• Project management qualification (Desirable)

Duties & Responsibilities

Internal process:

• Keep abreast of latest IT trends and practices to optimise service offering and minimise risk.
• Gather and interpret requirements from key stakeholders/customers in line with business analysis frameworks.
• Analyse and understand the business’ requirement and through a structured process document, validate and translate these into requirement specifications and functional specifications to be used by developers in crafting technical solutions and by testers to test and confirm successful delivery of solutions to the requirement.
• Contribute to translating the business goals into design in line with systems architecture.
• Act as a liaison between key stakeholders/customers and the project team to determine customer needs and translate these into business requirements.
• Oversee the quality delivery of requirements and business process specifications that meet the agreed deliverables in line with best practices and business process.
• Collaborate closely with solution teams and a variety of end-users to ensure requirements compatibility and end user satisfaction.
• Participate in the solution design process to make recommendations to create and enhance solutions that are innovative, repeatable and sustainable and solve complex business problems.
• Participate in User Acceptance testing and guide users to ensure that the designed solution ultimately meets business requirements.
• Define the success criteria using scenario testing and test cases to ensure that testing covers all aspects of the business specification.
• Test and validate the functionality of all technical solutions in line with business requirements on completion of development to ensure that business requirements are met in the implemented solutions.
• Define reporting requirements and integration points on affected components using diagrammatic representations.
• Collaborate with various business areas and teams to ensure integration and consistency of solutions across business.

Client Services:

• Build and maintain relationships with clients and internal and external stakeholders.
• Deliver on service level agreements applicable to clients and internal and external stakeholders in order to ensure that client expectations are managed.
• Make recommendations to improve client service and fair treatment of clients within area of responsibility.
• Participate and contribute to a culture which builds rewarding relationships, facilitates feedback and provides exceptional client service.
• Continuously monitor turnaround times and quality standards and resolve issues speedily to enhance client service delivery.
• Drive client service delivery goal achievement in line with predefined standards in order to ensure that clients receive appropriate advice and after sales service.
• Manage client query processes and ensure that queries are tracked, accurately resolved and used as a mechanism to improve client service and business processes.

People:

• Contribute to creating a positive work climate and culture to energise employees, give meaning to work, minimise work disruption and maximise employee productivity.
• Contribute to and drive a culture that guides and directs best practice, fostering an environment of continuous learning, people growth and improvement and cohesiveness.
• Effectively manage your performance within the team in order to ensure business objectives are achieved.
• Be a role model for innovation, change agility and collaboration behaviours within the team.

Finance:

• Identify solutions to enhance cost effectiveness and increase operational efficiency.
• Manage financial and other company resources under your control with due respect.
• Manage high risk and problematic financial issues in area of accountability and contribute to the development of policy.

Competencies

• Examining Information
• Documenting Facts
• Interpreting Data
• Adopting Practical Approaches
• Exploring Possibilities
• Articulating Information
• Challenging Ideas
• Meeting Timescales

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Role Purpose

• To investigate and resolve healthcare provider queries, as per business and client requirement and to successfully maintain relationships with healthcare providers.

Requirements

• Grade 12/Matric
• At least 5 years working experience preferably in the medical scheme industry
• Private medical practice exposure (advantageous)

Duties & Responsibilities

• Act as key contact or providers ensuring continuous and communication and resolution of queries.
• Participate in the review and submission of networks reports.
• Provide substantiated commentary on the quality of network services and provider compliance to the Scheme network agreements.
• Represent the business at forums, committees and stakeholder engagements and promote network participation by healthcare providers.
• Provide substantiated commentary on the quality of network services and provider compliance with Scheme network agreements.
• Educating the external healthcare providers in the business systems.
• Serve as a single point of contact for escalations related to claims and authorization issues from the providers.
• Participate/collaborate with various stakeholders in the provider engagement environment.
• Focus on continuous improvement of service delivery to providers and in turn the members of our clients.
• Build and maintain effective relationships with stakeholders.
• Develop and maintain productive and collaborative working relationships with peers, clients and stakeholders.
• Positively influence and participate in change initiatives.

Competencies

• Business Acumen
• Drive for Results
• Collaboration
• Self-Awareness and Insight
• Client/ Stakeholder Commitment