Imagine a world where people live healthier, more enhanced and protected lives… A world in which each organisation is a powerful influencer and responsible corporate citizen, committed to being a force for social good. As a leading innovator in healthcare, wellness, insurance, investments, financial and life planning, Discovery works ceaselessly to...
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Key Purpose:
- The incumbent’s role is to be the central player in the Clinical Advisory Benefit Services area to identify and ensure that optimal clinical decision making is made on every escalated case. The individual is directly responsible for aligning the teams within the division to fulfil strategic clinical needs within these sectors. Identifying and establishing best practice for effective clinical decision making and to fulfill the role as Head of the Medical Advisors and provide constant guidance and support to the Medical Advisors and to promote the use of Evidence Based Medicine in clinical decision making.
Key Outputs:
The successful applicant will be responsible for but not limited to the following job functions:
- To ensure that principles of health economics and rationale resource allocation are incorporated into funding decisions. Constantly challenging and shaping the status quo.
- Overseeing the success of the division by liaising with major stakeholders in the business.
- Building effective relationships to create strategies and translate these into effective deliverables to ensure successful execution thereof.
- Owning and chairing key forums with participants at an executive level.
- Constant interaction with highly strategic thinkers and relationship building on an executive business level.
- Developing strategic and operational plans to drive, lead, and represent all projects and key initiatives impacting the division.
- Monitor the implementation of risk management strategies within the Division.
- Keeping abreast with legislative and industry changes and how this affects your business units.
- Analyzing and problem solving by identifying key issues and relationships from a base of information.
- Effective decision-making by applying entrepreneurial knowledge and “out of the box” thinking and weighing up the risks involved.
- Providing feedback to the clinical governance forum on a quarterly basis
- Constantly remaining updated with medical technology, innovation and latest clinical information
- Function as direct line manager for the Medical Advisors and Clinical Managers providing all necessary functional and administrative support to direct reports.
- Work closely and collaboratively with the Head of CBAT, Legal Advisory and Medical review team leadership teams to ensure seamless processes and engagements between the areas.
- To monitor performance within the department and ensure that trends are identified and corrective action is taken where necessary
- SOPs: Responsible for SOPs related to CBA (these will be signed by individual managers prior to implementation)
- Training: to support the Clinical Services department with developing training manuals, implementation of all training, quality initiatives, auditing and reporting including, error identifying, tracking and root cause analysis & trending. Overall responsibility for clinical training done within the Clinical Services department including the identification of training needs and the implementation of this training.
- Audits: Responsible for making comments on all audits and findings and the associated corrective action plans. Audit report sign- off by DM before report goes to DGM
- Integration: responsible for ensuring all CS operational and clinical initiatives and integration into broader business strategy and workflow integration to meet all SLA requirements and organizational requirements.
- Operations Support: will be responsible for the CS operations meeting, data extraction and management, and support for the operations executive in preparing for the meeting (agenda, minutes & action implementation)
- SharePoint: will be responsible for all knowledge management and document handling and repository in CS.
Knowledge and Skills:
- Advanced knowledge in Clinical Procedures
- Advanced knowledge in Discovery Products
- Advanced knowledge in Risk Strategies
- Intermediate knowledge of PMBs
- Intermediate benefit knowledge
- Intermediate knowledge of system architecture
- Intermediate knowledge of Clinical Analytics
- Advanced skills in Verbal and Written Communication, MS office, Paradigm and in-house IT systems
- Advanced skills in Relationship Management
- Intermediate skills in Analytics
Education and Experience:
The following requirements are essential:
- Matric
- MBBCH
- 2 years Clinical Experience
- 3 years Discovery Health medical advisor or related experience
- 1 year Stakeholder relationship management experience
- Registered with relevant professional body
The following requirements will be advantageous:
- Degree in Health Policy, Public health, Health Economics or Health Law and Bioethics
- Knowledge of DH SOP’s and Process experience (internal only)
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Job Description
- The successful candidate will be expected to lead, manage and mentor a team of Telesales consultants to reach required targets consistently. A team Leader is also required to facilitate any necessary course of action to achieve this purpose from all direct and indirect reports.
- Sales team leaders are also required to orient new sales staff and focus on improving the job performance and sales of existing staff. Sales team leaders may also delegate tasks to sales staff that they are grooming and./or developing. Team leaders are also required to assign tasks to the team members with the best skills for the job and guide staff members to ensure the work is done well. All non-adherence and poor performance must be dealt with in line with the company’s code of conduct.
Key purpose
- To lead, manage and mentor a team of Telesales consultants to reach required targets and ensure that staff participate in the rewards and recognition program. The Team Leader must also ensure that staff have a development plan, this should be part of the performance discussions
Key Outputs
The successful candidate will be expected, but not limited to perform the following key outputs:
- Leading and managing a team of 11 – 13 Telesales agents
- Performance Management, coaching and developing team.
- Drive staff to achieve required targets and is accountability for teams’ overall sales targets
- Assessment of consultants calls - QA.
- Assisting with interviews & Role plays.
- Dealing with escalated queries.
- Ensuring open communication and engagement to all.
- Adherence to internal policies.
- Inspire, motivate and support team.
Personal attributes and skills
- Excellent communication skills
- Sales Driven
- Quality Focused
- People-Orientated
- Attention to detail
- Strong Interpersonal Skills
- Strong Leadership skills
- Problem solving skills
- Decision making Ability
- Ability to handle complex and challenging situations
- Excellent time management skills
- Organizational awareness
- Ability to work within a team and drive the correct culture
Qualification & Experience
- Grade 12 – essential
- 4 years outbound/ Inbound experience – essential
- 3 years Team Leader/leadership experience
- Computer literate - MS Office, especially Excel – essential
- Regulatory Exam and NQF 5 FAIS credits
- BCOMM or related degree will be advantageous
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Key Purpose
- The Query Analyst is responsible for systematically and meticulously understanding, researching and defining the problem for the Business Area. The individual will also be responsible for ensuring that proposed solutions are effective, accurate, in accordance with quality standards and are timeously implemented.
Key outputs:
- Analytical and logical thinker
- Strong communication skills
- Strong attention to detail
- Confident
- Politically astute
- Self-motivated
- Team player
Education and Experience:
Education:
- Strong understanding of business processes and functional requirements
- PL/SQL – writing/running queries
- Experience in Banking, Health Care or Insurance industry
- MS Office Suite
- Advanced Excel
- Working experience in an ITIL based environment (optional)
Experience:
- Relevant 3 year degree or Diploma
- Minimum of 3 years working experience in dealing with systems and operational requirements
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Key Purpose
- Understanding the business 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 business requirements. Interfacing between the business client and the development team with regards to the business and functional requirements. Ensuring that the business requirements are delivered in the implemented solution. Working with multiple 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 business to articulate the benefits they wish to realize with the solution. Facilitating the development of a Business Case.
Product Requirements Specification (PRS)
- Design and validate the functional solution.
- This involves interpreting the CRS into a set of Product Requirements Specification (PRS).
- 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 PRS. 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 PRS.
- Validate the PRS and Test Basket with the client and 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 BRS and PRS with any added content.
Personal Attributes and Skills
Behavioral Skills
- Stress Management
- Time management and prioritization
- Creativeness
- Learning orientation
- Negotiation skills
- Innovation
Technical Skills
- 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
- Any IT degree or diploma, or any relevant BA qualification
- 3 year business analyst experience
Advantageous
- 1 year user interface analyst experience
- Business experience and product knowledge
Methodologies
Tools
- Enterprise architect
- Visio
- SoapUI (SOAP) / REST client (JSON)
- Atlassian tool suite (Jira, Confluence)
Technologies
- SQL (advantageous)
- UML
- XML
- JSON
- ITIL (advantageous)
Other
- Software architecture
- JAD sessions
- Data modelling techniques
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Key Purpose
- To research and manage new/existing partners as well as support the Claims operational function.
Areas of responsibility may include but are not limited to
- Responsible for relationship building with Claims Procurement partners and to maintain these relationships for the duration of the partnership with Discovery Insure
- Regular partner engagements, including all relevant stakeholders
- Assist partners to manage their KPA’s such as MBR scores, complaint ratio and sufficient usage of the Discovery Insure procurement portal to manage work in progress and to request payments within set timeframes.
- Ensure that partners abide by the SLA’s
- Training and support on Procurement policies
Competencies
- Relationship Building
- Conflict Handling
- Attention to detail
- Communication
- Assertiveness
- Accountability
- Short-term Insurance Claims fulfillment process.
- Management experience in the motor repair industry.
Education and Experience
Education:
- Matric (Essential)
- Tertiary qualification (Diploma or Degree) in related field is advantageous
Minimum Experience:
- 5 years experience in the motor repair industry
- 2 years relationship management experience
- Procurement experience
- Towing experience
go to method of application »
Job Description
- The successful candidate will be expected to lead, manage and mentor a team of Telesales consultants to reach required targets consistently. A teamk Leader is also required to facilitate any necessary course of action to achieve this purpose from all direct and indirect reports.
- Sales team leaders are also required to orient new sales staff and focus on improving the job performance and sales of existing staff. Sales team leaders may also delegate tasks to sales staff that they are grooming and./or developing. Team leaders are also required to assign tasks to the team members with the best skills for the job and guide staff members to ensure the work is done well. All non adherence and poor performance must be dealth with in line with the companys code of conduct.
Key purpose
- To lead, manage and mentor a team of Telesales consultants to reach required targets and ensure that staff participate in the rewards and recognition progamme. The Team Leader must also ensure that staff have a development plan , this should be part of the performance discussions
Key Outputs
The successful candidate will be expected, but not limited to perform the following key outputs:
- Leading and managing a team of 11 – 13 telesales agents
- Performance Management, coaching and developing team.
- Drive staff to achieve required targets and is accountability for teams overall sales targets
- Assessment of consultants calls - QA.
- Assisting with interviews & Role plays.
- Dealing with escalated queries.
- Ensuring open communication and engagement to all.
- Adherence to internal policies.
- Inspire, motivate and support team.
Personal attributes and skills
- Excellent communication skills
- Sales Driven
- Quality Focused
- People-Orientated
- Attention to detail
- Strong Interpersonal Skills
- Strong Leadership skills
- Problem solving skills
- Decision making Ability
- Ability to handle complex and challenging situations
- Excellent time management skills
- Organizational awareness
- Ability to work within a team and drive the correct culture
Qualification & Experience
- Grade 12 – essential
- 4 years outbound/ Inbound experience – essential
- 3 years Team Leader/leadership experience
- Computer literate - MS Office, especially Excel – essential
- Regulatory Exam and NQF 5 FAIS credits
- BCOMM or related degree will be advantageous
go to method of application »
Key Purpose
- The Funeral Distribution team will have a total Sales Manager complement of 12 in various regions and the role of the Office Administrator would be to provide support to the sales team as well as manage operations and admin functions within each branch or office for the division.
Areas of responsibility may include but not limited to
- To QA all submitted business
- To assist with the capturing of new business and claims, follow up on outstanding requirements with SLA
- To compile and action work based on the daily, weekly and monthly reports
- To assist the Sales Manager
- Collaborate with all business areas
- Monitor office efficiencies
- Service financial advisers and serve as a conduit between the manager and business
- Compile and present monthly team reports
- Ensure all on-boarding occurs within set SLAs
- Receive and service walk in clients
- Serve as a liaison to Discovery
- To answer the phone and manage office functions. To serve as a frontline administrator and receptionist for walk in clients
- To assist the Sales Manager with insights and trend analyses
Competencies
- Attention to Detail
- Planning and Organizing and workflow management
- Customer service orientation
- Coping and dealing with Pressure
- Good verbal and written communication skills
- Relationship building skills
- Results orientation
- Assertiveness
- Positive attitude
- Time management skills
- Multi-task on multiple projects
Education and Experience
- Matric
- Experience in the Financial Services Industry
- Knowledge and understanding of Funeral Plans
Method of Application
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