Deputy Director: Medical Payments

The Department of Employment and Labour · Pretoria, Gauteng

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REQUIREMENTS

Undergraduate qualification NQF Level 6 as recognized by SAQA in Accounting / Finance / Informatics / Auditing / Internal Auditing / Business Management or Administration / Operations Management / Health related qualification Nursing / Occupational Therapy / Physiotherapy. 5 years' functional experience in financial services / medical payments / claims processing environment of which 3 years should be at an Assistant Director/Junior management level.
Knowledge: Compensation Fund business strategies and goals. COIDA. Technical knowledge. Operations systems. Fund Governance and Risk Management. Budgeting and Financial Management. Customer service Batho Pele Principles. Relevant stakeholders. Medical related Legislation & Regulatory knowledge & implementation. Legislative requirements: COIDA.PFMA. National Treasury Regulations.
Skills: Communication verbal and written. Business Report Writing. Decision making. Conflict Management. Financial Management. Management Skills e.g., People and performance management, Team leadership etc. Analyzing and interpreting information. Medical bill reviewing. Medical Policy Management. Medical aid knowledge case management.
Project Management and Planning. Information Analysis and interpretation. Clinical coding. Quality Assurance and improvement. Stakeholder Development and Management.

Manage the processing of finalizing medical invoices and litigations. Develop and review policies, strategies, guidelines and operational plans.
Manage and monitor medical payments to prevent wasteful expenditure. Monitor and provide technical support to Provinces and medical service providers. Manage all the resources in the sub-directorate.