Latest Openings at Discovery Limited

Key Purpose

• The Systems Architect will lead the design and implementation of complex IT systems, ensuring they meet the company's strategic goals and technical requirements.
• Success in this role involves delivering robust, scalable, secure, and high-performance systems that enhance operational efficiency and support business growth.
• This position is crucial for enabling innovation and maintaining the technological edge of the organization, as well as supporting the operational efficiency of the business unit. The Senior Systems Architect will collaborate closely with cross-functional teams to align IT architecture with business objectives.

Areas of responsibility may include but not limited to

• Lead the architecture and design of complex IT systems, ensuring they align with business goals and technical requirements. This involves making critical decisions on system architecture that impact the overall efficiency and scalability of the organization’s systems.
• Provide technical guidance and mentorship to development teams, ensuring best practices and high standards are maintained. This role influences the technical direction and quality of the projects.
• Advise the Chief Information Officer on all matters relating to systems architecture, performance, security, maintainability, etc.
• Ensure the seamless integration of various systems and technologies, facilitating smooth operation and interoperability. Decisions here affect the reliability and functionality of the integrated systems.
• Continuously monitor and optimize system performance, scalability, and security. This impacts the system’s ability to handle growth and protect against vulnerabilities.
• Collaborate closely with stakeholders, including senior management and external partners, to ensure that technical solutions solve the relevant business needs as expressed through requirements documents in a sustainable manner. This role requires effective communication and negotiation skills to align technical solutions with business objectives.
• Create and uphold architectural documentation, standards, and guidelines. This ensures consistency and clarity in the system architecture. Collaborate with other senior architects where appropriate to ensure a sensible level of consistency.
• Stay updated with the latest industry trends and technologies, driving innovation within the organization. Balance this against prudence, ensuring that trends are not adopted simply because they are trendy, but rather because of the value they will provide. This role impacts the company’s competitive edge and technological advancements, but also forms a crucial role in preventing unnecessary expenditure.
• Identify potential risks and develop mitigation strategies to ensure system reliability and security. Decisions here are crucial for maintaining system integrity and protecting data.

Education and Experience

Essential

• Matric
• 6 - 8+ years’ total experience in the development of software
• Degree or Diploma in Computer Science or Information Technology (or equivalent)
• At least 2 years in a systems analyst or team lead role

Advantageous

• Experience being responsible for a large-scale system area, including designing new functionality, overseeing developers in that area, and supporting it in production over an extended period of time

Technical Skills or Knowledge

Essential

• Java EE Development
• Systems Analysis & Design
• Technical Documentation

Advantageous

• Production Troubleshooting
• Database Development

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Key Purpose

• Understanding the technical requirements, and through a structured process documenting, validating and translating it into functional specifications that are used by developers to craft a technical solution. Testing and validating the functionality of the technical solution against the technical requirements. Interfacing between the Systems Architect, client (where relevant) and the development team with regards to the technical, business and functional requirements. Ensuring that the technical and/or the business requirements are delivered in the implemented solution. Working with multiple systems and business areas and multiple teams that require deep integration of solutions. Building and maintaining strong relationships with clients, and acting as consultant on the application.

Areas of responsibility may include but not limited to:

Business Case

• Assist the Systems Architect and/or business to articulate the benefits they wish to realize with the solution. Facilitating the development of a Technical Design or Business Case.

Agile Methodology

• Design and validate the functional solution using Agile Methodology.
• This involves interpreting the product / technical requirements into Agile Epics and Stories
• Plan Agile Sprints and Stories for the Sprint
• Apply knowledge of the system, interfaces and dependencies to highlight integration aspects that must be considered.
• Identify a set of stakeholders that need to be involved in creating and validating the Agile Story Board by interview business and technical owners, as well as experienced members of the development team (Development Manager, Architect, Snr BA).
• Design a set of test cases/scripts, test scenario's and test data sets to accompany the Agile Story Board
• Validate the Agile Epics and Test Basket with the identified stakeholders and obtain sign-off.

Release Notes & Training Material

• Update and publish release notes related to the current system changes implemented, and notify impacted parties. Maintain and update the Agile Story Board (Epics and Stories) with any added content.

Personal Attributes and Skills

Behavioral Skills

• Ability to handle high pressured situations
• Ability to manage expectations
• Strong problem solving skills
• Attention to detail and tenacity
• Time management and prioritization
• Creativeness
• Learning orientation
• Negotiation skills
• Innovation

Technical Skills

• Agile Methodology
• Project Management
• SQL queries
• Business Writing Skills
• Presentation and Facilitation Skills
• Solution Architecture
• Process Mapping
• Entity Diagram mapping
• Software testing pack design, functional testing

Education and Experience

Minimum

• Informatics or other relevant degree
• 3 year Business Analyst experience
• Agile Methodology Certification

Advantageous

• 1 year User Interface analyst experience
• 1 year Software Development experience
• Honours degree

Methodologies

• Agile Methodology

Tools

• Enterprise architect
• Visio
• SoapUI (SOAP) / REST client (JSON)
• Atlassian tool suite (Jira, Confluence)

Processes

• ITIL (Incident, Release, Problem Management)

Technologies

• SQL (Oracle and IBM Netezza)
• UML
• XML
• JSON

Other

• Software architecture
• JAD sessions
• Data modelling techniques

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Job Description

• The successful candidate will be expected to lead, manage, and guide a team of Life telesales consultants to reach the required targets. To facilitate any necessary course of action to achieve this purpose.

Key Outputs

The successful candidate will be expected, but not limited to perform the following key outputs:

• Leading and managing a team of 10 – 13 Life telesales agents
• Performance Management, coaching and developing team.
• Drive staff to achieve required targets and is accountable for teams' overall sales targets
• Assessment of consultant's calls - QA.
• Assisting with interviews & Role plays.
• Dealing with elevated queries/problems.
• Managing the ongoing relationship between brokers.
• Ensuring continual communication between management and staff.
• Adhere to and enforce internal policies.
• Inspire, motivate, and support team.
• Able to work overtime from time to time, which may include weekends.

Personal attributes and skills

• Excellent verbal and numeric communication skills
• Sales Orientated
• Quality driven
• People-focused
• Quality driven
• Attention to detail
• Strong Interpersonal Skills
• Strong Leadership skills
• Problem solving skills
• Decision making skills
• Stress tolerance
• Excellent time management skills
• Organizational awareness
• Ability to work within a team and drive team culture

Qualification & Experience

Essential Requirements

• Grade 12 – essential
• 4 years outbound/ Inbound experience
• 3 years Team Leader/leadership experience –
• Proficient in English (writing, reading, speaking)
• Computer literate - MS Office, especially Excel – essential
• Regulatory Exam and NQF 5 FAIS credits

Advantageous Requirements

• Bi-lingual – advantage (writing, reading, speaking)
• B COMM or related degree will be advantageous

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Role Purpose:

• To manage strategic risk priorities with contracted speciality groups focusing on optometry and renal providers:
• To manage and oversee all aspects of optometry benefits, risk, and industry engagement across all schemes and plan options within Discovery Health and serve as the strategic and operational Subject Matter Expert (SME) on optometry, ensuring benefit design optimisation, regulatory compliance, and sustainable utilisation while maintaining strong industry relationships.
• To manage, optimise, and oversee the full renal dialysis benefit, provider networks, risk exposure, and value-based care strategy across all schemes and plan types within Discovery Health. And be responsible for designing and implementing sustainable dialysis care models, contracting frameworks, and operational processes that ensure optimal clinical outcomes, cost efficiency, and compliance with scheme rules and national health policy.

Key Responsibilities in Optometry:

Key Account and Relationship Management:

• Act as the primary relationship manager between Discovery Health and external stakeholders in the optometry industry, including professional bodies, optical administrators, and individual optometrists.
• Maintain effective communication and partnership with industry representatives to ensure alignment with professional standards and practices.

Benefit Design and Strategy:

• Design, build, and steer optical benefits for new medical schemes joining Discovery Health and for new plan options for existing schemes.
• Provide strategic advice on benefit optimisation to ensure competitiveness, member value, and cost-effectiveness.

Subject Matter Expertise (SME):

• Serve as the internal SME for all business areas requiring optometry input.
• Provide technical input into Prescribe Minimum Benefit (PMB) processes, Ex Gratia requests, and member or provider escalations.

Price File Management and Coding Updates:

• Ensure price files are updated three times per month in line with industry updates and scheme requirements.
• Oversee quarterly updates to industry coding and rules, ensuring accurate system configuration and operational readiness.

Contract Ownership and Risk Management:

• Act as contract owner for lower plan types, managing utilisation, benefit structures, and associated risks in collaboration with Industry Optical Administrators.
• Monitor, analyse, and mitigate risks to ensure sustainability and value delivery to schemes and members.

Committee Leadership:

• Chair the Sasolmed Optical Benefit Review Committee for optical escalations, ensuring fair, evidence-based decisions aligned with scheme rules and industry standards.

Key Responsibilities in Renal

Strategic Network Design and Management

• Lead the design, development, and implementation of dialysis provider networks, including KeyCare DSP, VBC (Value-Based Care) networks, and DDN (Discovery Dialysis Network).
• Oversee network adequacy, capacity planning, and geographical coverage to ensure equitable access for all members.
• Develop and refine co-payment structures, direct-to-member payment rules, and in-hospital vs out-of-hospital funding strategies to drive appropriate utilisation and cost containment.

Contracting and Value-Based Agreements

• Design, negotiate, and implement dialysis provider contracts, including:
• Fee-for-service agreements
• Value-based care models with outcome-linked reimbursements
• Capitated or bundled payment arrangements where appropriate
• Define pricing structures ensuring sustainability and alignment with plan benefits and industry standards.

Risk Management and Benefit Sustainability

• Analyse dialysis utilisation trends, admission rates, and cost drivers to inform scheme risk management strategies.
• Develop mitigation measures, such as network restrictions, benefit limits, and clinical entry criteria, to manage financial risk without compromising clinical care.
• Implement data-driven frameworks to monitor provider performance, patient outcomes, and cost effectiveness.

Clinical and Operational Protocols

• Collaborate with clinical teams to define dialysis care pathways, treatment authorisation protocols, and quality indicators.
• Oversee updates to dialysis-related price files, procedure codes, and benefit rules to ensure accuracy and operational readiness.
• Provide SME input into system configuration for benefit rules, claim edits, and authorisation workflows.

Stakeholder and Relationship Management

• Act as the primary relationship manager for dialysis providers, industry stakeholders, and internal departments requiring renal expertise.
• Lead engagements with external providers to align operational processes, data submission standards, and network compliance.
• Facilitate internal education on renal benefit structures and policy changes.

Project Leadership and Future Care Models

• Lead strategic projects to transition renal dialysis benefits to advanced managed care models incorporating:
• Risk-sharing arrangements
• Integrated chronic disease management
• Future readiness for National Health Insurance (NHI) alignment
• Drive proposals and implementation plans for new models, such as:
• Capitation or partial capitation models
• Virtual care integration for dialysis patients
• Holistic chronic kidney disease (CKD) management pathways, including pre-dialysis interventions

Governance and Compliance

• Ensure dialysis network and benefit models comply with regulatory frameworks and scheme rules.
• Lead periodic reviews of dialysis policies to align with updated clinical guidelines and scheme strategic objectives.

Key Requirements:

Qualifications:

• Bachelor’s degree or equivalent in health sciences, optometry, business, or a related field.
• Postgraduate studies or certifications in healthcare management, risk management, or optometry (advantageous).

Experience:

• Minimum 5-7 years in healthcare benefit design, network management, or managed care roles, with significant exposure to optometry, dialysis or chronic care benefits.
• Proven track record in relationship management with external healthcare providers and industry stakeholders.

Technical Competencies:

• Deep understanding of optical benefit structures, coding systems, and reimbursement models.
• Knowledge of PMB processes and Ex Gratia protocols.
• Strong analytical skills for benefit optimisation, utilisation management, and financial impact assessments.
• Familiarity with claims processing, provider billing rules and system configuration requirements.

Behavioral Competencies:

• Strategic thinking and problem-solving ability.
• Strong interpersonal and communication skills to build trust with industry partners and internal teams.
• High attention to detail with commitment to accuracy and compliance.
• Leadership capability to drive cross-functional projects and influence scheme-wide decisions beyond the scope of the direct portfolio.

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Key Purpose

• To develop unique, data-driven solutions to problems faced within the operational processes for Insure. This includes optimizing and generating efficiencies in claims, sales and servicing processes using statistical, actuarial and data science techniques. This role offers the opportunity to apply machine learning and generative AI to solve a large variety of business problems practically.

Areas of responsibility may include but are not limited to

• Enhancing Insure’s fraud models.
• Developing supplier scoring and evaluation algorithms.
• Optimizing and automating supplier appointments and allocation.
• Using generative AI to optimize business processes.
• Procurement (supplier) analytics.
• Claims analytics.
• Legal team analytics.
• Salvage Optimization
• Piloting and testing the latest AI innovations to generate efficiencies within Insure

Knowledge and Skills

• Strong problem-solving skills
• Analytical and technical skills
• Solution-oriented mindset
• Working with People
• Presenting and Communicating Information
• Deciding and initiating action     
• Writing and Reporting
• Creating and Innovating
• Modelling skills preferred (Intermediate)
• Statistical and analytical skills (Intermediate)
• Programming Skills: SQL, Python, Radar (Intermediate)
• Microsoft Office (Excel, PowerPoint and Word) (Advanced)
• Experience using Generative AI (beginner)

Education and Experience

Education:

• Matric (Essential)
• Honours degree in Actuarial Science and/or Mathematical Statistics/ Computer Science or Strong mathematical/economics candidate (Essential)
• Good progress on Actuarial exams, preferably academically qualified

 Minimum Experience:              

• At least 2-3 years Research and Development experience within an Insurance industry (Advantageous)

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Job Purpose

• The HR Data Analyst is responsible for providing data-driven insights and analytics to support HR decision-making processes. This role focuses on analysing a range of people-related data including demographics, remuneration and incentives, leave trends, exit and stay interviews etc., to develop comprehensive insights and accurate people reports and dashboards. We are looking for an intelligent, self-driven person who has a passion for problem solving and who delights in using data to provide insights for business improvement.

Areas of responsibility may include but are not limited to:

Data Analysis & Reporting

• Track and maintain the integrity (completeness and quality) of people related data
• Analyse exit and stay interview data to identify key drivers of employee turnover and retention
• Track leave usage, trends and risks to ensure optimal workforce planning and compliance
• Develop and maintain an Exco “People dashboard” to provide real-time insights using HR metrics
• Identify trends and development needs based on Individual Development Plans
• Ad-hoc reporting based on business requests
• Design standard reports for line managers and HR through Smart People
• Submit regulatory reports e.g. Employment Equity, Annual Training Report and Workplace Skills Plan
• Monitor and report on working model adherence
• Remuneration
• Analyse trends, anomalies and opportunities for improvement
• Provide input to Bank Board and Remco reports
• Complete income differential analysis and recommendations
• Regularly review variable pay (actual vs budget) and provide input on recalibration of targets
• Analyse overtime trends to manage costs and identify root causes
• Complete all regulatory reports

Stakeholder Collaboration

• Work closely with business and the HR team to understand their data needs and provide relevant insights
• Collaborate with IT and data management teams to ensure data integrity and accuracy
• Act as liaison with the central People team on data and system issues and enhancements
• Present findings and recommendations to senior management and other stakeholders.

Compliance and Process Improvement

• Identify and implement process improvements to enhance data collection, analysis, and reporting
• Develop and maintain documentation for data analysis processes and methodologies
• Provide feedback on people processes to ensure the integrity of the data
• Ensure compliance with data privacy regulations and company policies
• Stay updated on industry best practices and emerging trends in HR analytics

Education, Experience and Skills

• Bachelor’s degree in mathematics, finance, statistics, or related analytical field
• Minimum 3 years’ experience in Analytics, using Excel, PowerBI and similar tools
• Exposure to remuneration data analytics would be advantageous
• Strong analytical and quantitative skills, including proficiency in data analysis tools and techniques

Personal Attributes and Skills 

• Strong analytical and problem-solving skills
• Ability to work with, analyse and report on data
• Ability to deal with complexity, ambiguity and constant change
• Commitment to excellence and high-quality delivery
• Mature with high EQ and ability to work with confidential information
• Ability to communicate effectively