Jobs at PPS

Minimum Requirements

Education: 

• 3 – 5 years executive management experience essential
• Successful track record in a corporate managed healthcare environment advantage.
• Good knowledge of contractual agreements and legal alignments thereof, an advantage.
• Member of appropriate professional medical bodies e.g. SAMA, SAPC, SANC etc
• Good knowledge of the Medical Schemes Act No. 131 of 1998 preferred.
• Clinical protocol development and disease management experience essential .

Knowledge and Skills:

• Demonstrable competency in strategic planning and business development.
• Managing process and people to meet strategic objectives.
• Demonstrates awareness of industry trends and opportunities and keeps up to date with competitor developments impacting area of responsibility.
• Working knowledge of data analysis and performance/operation metrics.
• Working knowledge of IT/Business infrastructure and MS Office.

Duties and Responsibilities

Key Responsibilities 

• Plan, develop & implement strategy for operational management & development so as to meet agreed organisational performance plans within agreed budgets and timescales (covering relevant areas of operation i.e. Clinical Risk/ Medicine Management/ Disease Management/ Preauthorisation/ Case Management/ Wellness Programmes and Medical Underwriting).
• Establish and maintain appropriate systems for measuring necessary aspects of operational management and development.
• Monitor, measure and report on operational issues, opportunities and development plans and achievements within agreed formats and timelines.
• Manage and develop direct reporting staff.
• Manage and control organisational expenditure within agreed budgets.
• Liaise with other functional business unit managers so as to understand all necessary aspects and needs of operational development, and to ensure that they are fully informed of operational objectives, purposes and achievements.
• Maintain awareness and knowledge of organisational strategy and provide suitable interpretation to managers and staff in the organisation thereby ensuring successful implementation thereof.  
• Continuously contribute to the evaluation and development of organisational strategy and performance in co-operation with the executive team.
• Be aware and act on all opportunities for increasing the client base and obtaining new business.
• Establish profitable relationships with new and existing clients.
• Ensure activities meet with and integrate with organisational requirements for quality management, health and safety standards, legal stipulations, environmental policies and general care of duty.
• Execute responsibilities of a company director according to lawful and ethical standards in alignment with PPS Healthcare Administrators’ Code of Ethics.
• Remain aware of competitor products and activities relevant to maximising revenue.
• Remain abreast of market trends and give feedback to the CEO. 
• Deliver the highest standards of customer service through management to achieve business, improve long-term customer retention and secure referral business.
• Assist in medical scheme product development and benefit design.
• Manage and develop core product diversification. 
• Assist and compliment the efforts of the Principal Officer in the areas related to care coordination and managed care for scheme members.

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Minimum Requirements

Education: 

• Bachelor's degree in Medicine, Healthcare Management, or a related field; advanced degree (MBA or equivalent) is a plus.

Experience: 

• Minimum of 15 to 20 years of experience in business development, sales, or related roles within the healthcare or medical aid administration industry. 
• Coaching/management experience  
• Relationship and Stakeholder Management 

Duties and Responsibilities

Market Research and Analysis: 

• Conduct thorough market research to identify new business opportunities in the healthcare and medical aid sectors. 
• Analyze industry trends, client needs, and competitor activities to inform business strategies. Identify potential clients as well as strategic partners. 
• Collaborate with internal teams to design, develop, and refine products and services tailored to the healthcare industry. 
• Provide feedback from the market to help shape product offerings and ensure they meet industry standards. 

Business Development: 

• Develop and execute strategies to drive business growth in the healthcare industry. 
• Build and maintain relationships with key stakeholders, including healthcare provid-ers, medical aid schemes, and corporate partners. 
• Collaborate with internal teams to tailor solutions that meet client needs. Manage the end-to-end sales process, from lead generation to deal closure. 

Client Relationship Management: 

• Foster strong, long-term relationships with existing clients and partners to ensure re-tention and satisfaction. 
• Serve as a key point of contact for clients, addressing their concerns and ensuring they receive optimal service. 
• Identify and engage with potential partners to expand the company’s reach in the healthcare sector. 
• Negotiate contracts and agreements to benefit both the company and its partners. 

Drive digital transformation:

• Champion the adoption of innovative digital solutions, such as online portals, mobile apps, and automated claim processing systems, to enhance customer    experience and improve op-erational efficiency. Prepare regular reports on business development activities, including sales performance, market trends, and potential growth areas. Present business development strategies and progress updates to executive team.