Open Jobs at PPS

Minimum Requirements

Education:

• Bachelor’s degree or Diploma in Computer Science or Information Science or Information Technology
• Certified Product Owner (SAFe POPM)

Experience:

• Essential : 4 years’ experience leading teams in an Agile environment in IT, Financial Services or Consulting.
• Preferred : 2-3 years’ experience in Business Analysis, Product Owner or Scrum Master role.

Knowledge and Skills (maximum of 10):

• Scrum/Agile software development methodologies
• Software development knowledge
• Coding and designing knowledge
• Product development architecture.
• User Experience knowledge and principles
• Business Process and Analysis
• Product backlog understanding and management
• User stories knowledge
• Ability to use tools and apps.

Competencies (maximum of 8):

• Creative and Innovative Thinking
• Decisiveness
• Development orientation
• Effective communication
• Enabling team success
• Interpersonal effectiveness
• Planning and organising
• Quality orientation

Duties and Responsibilities

Product Increment Planning, Iteration Execution, Program Execution, Inspect and Adapt.

The Product Owner fulfills the following duties:

Preparation and Participation in PI Planning

• As a member of the extended Product Management team, the PO is heavily involved in program backlog refinement and prep for Program Increment (PI) planning and plays a significant role in the planning event itself. Before the planning event, the PO updates the team backlog and typically reviews and contributes to the program vision, Roadmap, and content presentations.
• During the event, the PO is involved with story definition, providing the clarifications necessary to assist the team with their story estimates and sequencing. The entire Agile team, which includes the PO, also work together to determine their team PI objectives for the upcoming PI.

Iteration Execution

• Maintaining the team backlog – With input from Architecture, DevSecOps and other stakeholders, the PO has the primary responsibility for building, editing, and maintaining the team backlog. Consisting mostly of user stories, it also includes defects and enablers. Backlog items are prioritized based on user value, time, and other team dependencies determined in the PI planning event and refined during the PI.
• Iteration Planning – The PO reviews and reprioritizes the backlog as part of the prep work for Iteration Planning, including coordination of dependencies with other POs. During the iteration planning event, the PO communicates story detail and priorities and ensures the team aligns and agrees on a final iteration plan.
• Story elaboration – Most backlog items are elaborated into user stories for implementation. This may happen before the iteration, during iteration planning, or during the iteration. While any team member can write stories and acceptance criteria, the PO maintains proper flow.
• Apply Behavior-Driven Development (BDD) – POs collaborate with their team to detail stories with acceptance criteria and examples in the form of acceptance tests.
• Accepting stories – The PO works with the team to agree on accepted story completion. This includes validating that the story meets acceptance criteria, that it has the appropriate, persistent acceptance tests, and that it otherwise complies with its Definition of Done (DoD). In so doing, the PO also assures a level of quality, focusing primarily on fitness for use.
• Understand enabler work – While POs are not expected to drive technological decisions, they are supposed to understand the scope of the upcoming enabler work and collaborate with Architecture and DevSecOps to assist with decision-making and sequencing of the critical technological infrastructures that will host the new business functionality. This can often be best accomplished by establishing a capacity allocation.
• Participate in team demo and retrospective – POs collaborate with their team and any other stakeholders in the team demo. They also participate in the Iteration Retrospective, where the teams gather to improve their processes and are active in the Agile Release Train’s (ART’s) Inspect and Adapt (I&A) workshop.

Program Execution

• During each PI, the PO coordinates dependencies with other POs. This often occurs in weekly PO sync events.
• The PO also has an instrumental role in producing the System Demo for program and Value Stream stakeholders.

Inspect and Adapt

• The PO works across teams to define and implement improvement stories that will increase the velocity and quality of the program at the Inspect and Adapt workshop.
• The PI system demo is part of the Inspect and Adapt workshop. The PO has an instrumental role in producing the PI system demo for program stakeholders. To ensure that they will be able to show the most critical aspects of the solution to the stakeholders, POs also participate in the preparation of the PI system demo.

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Minimum Requirements

• A Grade 12 or NQF Level 4 qualification.
• Completed a 3 Year Bachelor’s
• Candidate must be between age 18 – 35 years.
• Candidates need to be fluent in English
• Demonstrate a professional image.
• Time management & good administration skills.
• Ability to work under pressure.
• Basic Computer literacy skills.

Duties and Responsibilities

• Exposure to effective management of all incoming and outgoing medical aid correspondence.
• Exposure to the assessing and reconciling various member and provider claims received in accordance to set quality standards.
• Act as an ambassador for PPS Healtcare Administrators to ensure effective customer satisfaction to all internal and external Customers.
• Exposure to collection, reconciliation and allocation of member’s monthly subscriptions.
• Exposure to new member applications and underwriting process where necessary.
• Provide ad-hoc administrative support to various support services business units within the company.
• Participate in formative and workplace and summative assessments.
• Ensure compliance with company's workplace policies and procedures.

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Minimum Requirements

• A Grade 12 or NQF Level 4 qualification.
• Completed a Tertiary minimum 3 Year Bachelors/Diploma qualification
• And/or the following Nursing qualification, 3-year Registered Nurse with the Seta Students programme/ 3-year Diploma in Emergency medical care/Basic Ambulance Assistance
• Candidate must be between age 18 – 35 years.
• Candidates need to be fluent in English
• Demonstrate a professional image.
• Time management & good administration skills.
• Ability to work under pressure.
• Basic Computer literacy skills.

Duties and Responsibilities

• Exposure to effective management of all incoming and outgoing medical aid correspondence.
• Exposure to the assessing and reconciling various member and provider claims received in accordance to set quality standards.
• Act as an ambassador for PPS Healtcare Administrator to ensure effective customer satisfaction to all internal and external Customers.
• Exposure to collection, reconciliation and allocation of member’s monthly subscriptions.
• Exposure to new member applications and underwriting process where necessary.
• Provide ad-hoc administrative support to various support services business units within the company.
• Participate in formative and workplace and summative assessments.
• Ensure compliance with the company's workplace policies and procedures.

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Qualifications:

• RE 5.
• Insurance qualification (IISA).

Experience:

• > 5 years personal lines insurance and policy administration experience.

Knowledge:

• Sound / in-depth skill and knowledge in personal lines insurance and practise.
• Basic understanding of regulatory requirements and adherence there too (FAIS, TCF etc).

Skills:

• Ability to provide alternate cover structures where required.
• Ability to interact with brokers and or clients  as the case may be verbally and in writing.
• Ability to manage and administer personal lines  portfolio’s as follows:
• Accurately, efficiently and  in accordance with broker requirements.
• Within business process standards.
• Within the business underwriting (including reinsurance) and  regulatory framework
• Computer literacy.
• Policy management system (WebSure)
• MS Office
• Internal systems

Duties and Responsibilities

• Build, manage and maintain broker/ client  relationships.
• Execution of amendments accurately, efficiently and speedily in accordance with broker / client  requirements.
• Presentation of subsequent premium and cover changes where appropriate.
• 1st time resolution.
• Renewals.
• Portfolio review.
• Updates / adjustments where appropriate and required.
• Retention and measurement thereof.
• Administration of unmet premiums.
• Cancellations.
• Broker/client complaints handling and resolution including regular feed-back.
• Adherence to regulatory, reinsurance, limits and terms, business and underwriting framework and process.
• Drive organic growth.
• Monitor and ensure retention.
• Upsell/cross sell.

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Minimum Requirements

  Qualifications & Experience

• Grade 12
• Bachelor’s Degree in Forensic or equivalent
• Certified Fraud Examiner (CFE)
• 3+ years experience in a similar role
• 2+ Experience in working in the healthcare/insurance or banking environment 

Duties and Responsibilities

Key Responsibilities:

Forensics Investigations 

• Must assist in detecting and investigating fraud and suspected fraud and abuse within PPS, from initiation to finalisation of court cases. This would include the interviewing of witnesses and suspects as well as the examination of supporting evidence and documentation
• Assisting with the investigation of leads
• Must be able to perform investigations
• Ability to assess and interpret evidence, maintain the investigation's integrity, evaluate results and determine the cause, analyse the circumstance and make valid recommendations.
• Must be able to perform investigations so that the image of PPS is not detrimentally affected.
• Execute and actively participate in investigations
• Compiling case dockets for criminal prosecution ? Produce an investigative reporting

Stakeholder Management

• Responsible for claims investigations within the agreed time frame / SLA
• To provide the Claims department with properly investigated cases that will enable the assessors or requester to assess the claim and pay valid claims

Data & Reporting 

• Must be able to formulate data extracts and analysis to detect invalid claims and create data intelligence ability to ensure preventative management of claims investigations
• Preparing comprehensive audit and forensic reports, as may be required regarding action to be taken regarding the investigation.