Latest Jobs at Government Employees Medical Scheme RSA

Key Performance Areas (KPAs)

• Provide strategic leadership and oversight of the Scheme’s marketing, communication, brand management strategy.
• Develop and implement innovative marketing strategies to advance GEMS' vision and mission in the healthcare industry.
• Develop and oversee a proactive stakeholder relations strategy aimed at fostering collaboration with key stakeholders and driving innovation in healthcare.
• Lead member acquisition and retention initiatives, optimising the member experience throughout their journey. Implement mechanisms to monitor and improve member satisfaction.
• Oversee digital marketing transformation and leverage data analytics to drive marketing decision-making.
• Developandoverseearobuststrategyforhealthandwellnessintheworkplace,withaclear focus on promoting health screening and wellness services and member education.
• Lead and mentor a high-performing marketing, communications and members services team, fostering a culture of creativity and excellence.
• Manage corporate social initiatives to maintain the Scheme's image and create value. Oversee the development of all print, electronic, and promotional materials in line with the Scheme’s Corporate Identity Manual as well as Scheme Rules.
• Ensure accurate communication and representation of the Scheme products/services in line with Scheme rules.
• Provide oversight of the Scheme’s Service Provider Network (SPNs) performance in line with SLAs and contractual obligations.

Qualification requirements are:

•  Honours/Postgraduate Professional Qualification (NQF Level 8) degree in Communications, Marketing and Advertising or equivalent in a related field.
• Strong understanding of the South African Healthcare and Medical Scheme Industry

Desirable:

• Master/ Postgraduate degree in related field
• Twelve (12) years’ of functional experience with at least five to eight (5-8) years’ in a highly strategic Marketing, Communications and Client Relations senior role, including staff supervisory, budgetary, and management responsibility, and management responsibility.

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Key Performance Areas (KPAs)

• Develop, implement and maintain the Scheme’s overarching clinical strategies that align with organisational goals.
• Oversee the Scheme’s clinical function and integrate evidence-based clinical funding guidelines to ensure best practice.
• Oversee the Scheme’s Networks and Provider Relations Strategies, as well as the Scheme’s Provider Relations Officer (PLO) Programme strengthen stakeholder relationships and encourage collaboration and innovation.
• Develop and execute strategies to build and maintain robust healthcare networks, including hospitals, primary care, and specialist providers.
• Develop and implement comprehensive strategies for managing tariffs and billing rules aligned with organisational goals.
• Progressively implement the Scheme’s strategy on the implementation of Alternative Reimbursement Arrangements (ARM) with all hospital groups.
• Develop and implement policies for effective management of the Scheme’s medicine formularies and exclusion lists.
• Oversee the implementation and management of value-based active disease risk management initiatives, with the aim of improving patient outcomes.
• Oversee the development of the Scheme’s annual comprehensive sourcing strategies aligned with organisational goals.
• Maintain oversight of the Scheme’s managed care function and ensure that all contracted service provider network (SPN) functions and ensure compliance to Service Level Agreements (SLA).
• Foster strong relationships with healthcare providers to support strategic goals and initiatives, while utilising feedback from providers to inform decision-making and improve service deliver

Qualification requirements are:

• Postgraduate (NQF Level 8) MBCHB or equivalent in a related field/ Honours/ Professional Qualifications
• Strong understanding of the South African Healthcare and Medical Scheme Industry
• Twelve years (12) of functional experience with at least five to eight years (5-8) in a highly strategic Medical Scheme / Managed Healthcare Senior Management role including staff supervisory, budgetary, and management responsibility.

Desirable

• Master/ Postgraduate degree in Health Economics or Business Management