Scheme Accountant
Universal Health · Sunninghill, Gauteng
Posted 12 October 2026
Stop applying one at a time.
JobAlertsZA auto-applies to South African jobs like this one for you, overnight. Upload your CV once — we do the applying.
Start free — we apply for you →Introduction
Purpose of the job
To maintain accurate financial records, ensure compliance with accounting standards and company policies, and provide financial information that supports decision-making.
Duties & Responsibilities
Key Responsibilities
Payments and bank reconciliations
- Review payment requisitions
- Facilitate payment approvals in compliance with the approvals framework
- Review broker commission calculations and ensure compliance with the Medical Schemes Act
- Review and approve cashbook journals
- Review and sign off bank reconciliations
- Resolve all reconciling items within 30 days to ensure accurate and timely financial reporting
- Review changes to the supplier banking details masterfile
Monthly journals and reconciliations
- Prepare standard and accrual journals
- Prepare debtors reconciliations and clear unallocated transactions
- Review statement of financial position reconciliations as prepared by the Scheme Assistant Accountant and clear reconciling items
- Monitor the age analysis, credit control efforts and clear outstanding balances that are 60 days, and older (debtors, members portions, suppliers, personal medical savings accounts)
Management accounts
- Review adequacy of claims provision and update the claims provision calculation matrix
- Prepare management accounts
- Assist with the preparation and submission of real time monitoring returns to the Council for Medical Schemes, ensuring information is complete, accurate, and submitted within the required timelines Statutory returns
- Obtain reports from providers and investment managers for the timely completion of regulatory submissions
- Manage availability of signatories and coordinate sign off by Trustees, Principal Officers and Fund Managers within agreed timelines
Year End
- Prepare audit schedules with supporting documentation
- Provide all financial information to scheme auditors during the annual and interim audits
- Provide assistance to auditors throughout the audit process
- Coordinate the audit process amongst other departments (IT, claims management, membership, credit control, etc.)
- Provide support to the finance manager, including the preparation of annual financial statements and executive reporting
Meetings and leadership
- Manage finance-related meetings with internal stakeholders
- Attend and represent scheme finance in ad-hoc meetings
- Represent scheme finance in a positive way, building relationships with internal stakeholders
- Provide effective leadership, supervision, and development of team members to ensure optimal performance and achievement of departmental objectives
Desired Experience & Qualification
- Bachelor’s degree in accounting, finance, or related field
- 3-5 years accounting experience – medical scheme experience would be advantageous
- Proficiency in Excel, Pastel (Sage 50), and Business Central would be advantageous
Skills and Competencies
- High attention to detail and accuracy
- Analytical and problem-solving skills
- Time management
- Communication skills
- Confidentiality and integrity
- High ethical and work standards
Key Performance
- Accuracy of financial reporting
- Timely month-end close
- Reconciliations and maintaining outstanding items within 60 days or less
- Compliance with statutory requirements
- Clean audits within budget
Package & Remuneration
Market related