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Join to apply for the General Manager Pharmacy Networks Management Provider role at Middlesex College

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Join to apply for the General Manager Pharmacy Networks Management Provider role at Middlesex College

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A well-established company is recruiting for a

GENERAL MANAGER: PHARMACY NETWORKS MANAGEMENT PROVIDER

SUNNINGHILL

PURPOSE OF THE JOB

The General Manager - Pharmacy Networks Management Provider (PNMP), is responsible for leading the strategic and operational activities related to the pharmacy network. This role oversees the development, optimization, and performance management of pharmacy provider networks, ensuring compliance with regulatory standards, funding requirements, and member satisfaction goals.

Responsibilities & Duties

Operations

• Ensure that unit consistently meets the Scheme's service level requirements
• and operational deadlines.
• Ensure that The PNMP unit is patient-centric and supports the Scheme's
• strategic objectives.
• Define, establish and refine workflow processes throughout The PNMP to meet the required deliverables and achieve maximum efficiencies.
• Manage the PNMP business unit to ensure that productivity targets and quality standards are consistently met.
• Recruit and appoint new staff in line with the existing recruitment policy.
• Ensure that standard operating procedures are compiled, implemented and maintained for each functional area.
• Ensure that quality control processes are maintained, refined and consistently applied.
• Ensure that staff are fully trained and regularly assessed.
• Plan staffing and ensure that resources are appropriately deployed to meet varying operational requirements.
• Define, establish and refine day-to-day operational measurables.
• Ensure the timeous compilation and submission of Scheme required reports.
• Ensure the timeous compilation and distribution of business management reports.
• Ensure Scheme service provider integration and the management of service provider networks (SPN) relationships.
  
  

• Develop and implement strategies for building and maintaining a high- performing pharmacy provider network.
• Lead contract negotiations and ongoing relationships with pharmacies, including chains, independents, and specialty providers.
• Ensure that the geographic coverage and accessibility of the GEMS pharmacy network aligns with regulatory requirements and business goals.
  
  

• Analyse network performance using KPIs (e.g., cost, utilization, access, quality).
• Identify underperforming pharmacies and develop corrective action plans.
• Lead initiatives to improve adherence, medication therapy management (MTM), and clinical outcomes.
  
  

• Ensures a good relationship with pharmacy providers, the clearing house, internal departments, the Scheme's other service provider networks (SPN's)
• Maintain strong relationships with internal and external stakeholders to support value-based care and population health initiatives.
  
  

• Ensure the pharmacy network complies with all statutory regulations
• Support audits and provide necessary documentation and reporting.
  
  

• Oversee day-to-day operations of pharmacy network management, including credentialing, contract management, and performance monitoring.
• Drive process improvement initiatives to increase efficiency, reduce cost, and improve quality of care.
• Manage pharmacy claims operations in partnership with the PBM and IT departments.
  
  

• Lead, mentor, and develop a team of operations managers and support staff.
• Foster a culture of accountability, innovation, and continuous improvement.
• Leadership and Business Continuity Strategy
  
  

• The position will report directly to the Managing Director: Universal Care
• This position will receive direct reports from the following persons and business units:
• Inbound Call Centre manager,
• Outbound Call Centre manager,
• Fund Manager,
• Pharmacy Network Manager,
• Quality Assurance Manager and
• Training Manager report to this position.
  
  

• A Pharmacist qualification (B. Pharm/M.Pharm)
• Minimum 5 year's senior management experience within the medical scheme industry is preferred
• An additional qualification, preferably business/strategy will be advantageous
• Preference will be given to previously disadvantaged candidates
• Understanding of the Community Pharmacy environment
• Understanding of medicine supply
• Understanding of Pharmacoeconomics
• Experience in and understanding of medicine utilisation and costs in a medical scheme, and analyses pertaining thereto
  
  

• pharmacist
• networks management

• Seniority level Director

• Employment type Full-time

• Job function Management and Manufacturing
• Industries Higher Education

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Join to apply for the Vice President - Healthcare Operations Management (Clinical Data Abstraction) role at EQPLUS TECHNOLOGIES PTY LTD

1 day ago Be among the first 25 applicants

Join to apply for the Vice President - Healthcare Operations Management (Clinical Data Abstraction) role at EQPLUS TECHNOLOGIES PTY LTD

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Western Cape, Cape Town

Hourly Basic Salary (Market related)

An established and innovative global services company is seeking a senior leader to drive excellence in healthcare operations within a fast-paced, data-driven environment. The role focuses on ensuring seamless service delivery, optimising operational efficiency, and managing high-performing teams to deliver exceptional results in clinical data abstraction and healthcare process management. The successful candidate will be responsible for strategic process improvement, customer satisfaction, and people management across large-scale operations.

Key Responsibilities

• Lead operational transitions with minimal impact on service delivery and ensure process stabilisation
• Drive operational efficiency, cost optimisation, and performance improvements across teams
• Partner with cross-functional teams to identify transformation opportunities and deliver measurable value
• Ensure SLA adherence and maintain high levels of client satisfaction
• Build and mentor high-performing teams, focusing on employee engagement, development, and retention
• Support leadership in business development initiatives and process improvement strategies
• Monitor financial performance, including revenue, gross margin, and operational KPIs
  
  

• Graduate qualification required; postgraduate qualifications advantageous
• Minimum 10 years of experience in healthcare operations management within a BPO or similar environment, preferably at a senior leadership level
• Proven experience managing large contact centers and client relationships
• Strong analytical, decision-making, and prioritisation skills
• Excellent communication and interpersonal skills
• Demonstrated ability to manage and develop high-performing teams
  
  

• Seniority level Executive

• Employment type Full-time

• Job function Health Care Provider
• Industries IT Services and IT Consulting

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Job category: Human Resources and Recruitment

Contract: Permanent

Remuneration: Market Related

EE position: Yes

WHY JOIN THE JSE? The JSE recognises that its success and strength depend on the quality of its employees. We are committed to fostering a culture of continuous learning and high standards of performance. Our employee wellness programme is designed to encourage work-life balance for employees. We naturally seek to empower staff and encourage diversity and opportunities for all.

To design, develop and deliver Talent Management, Performance Management, L&D & DEIB inclusive of Employment Equity architecture and best practice solutions which will enable delivery of JSE objectives in driving the HR strategy within the JSE.

Results Delivery

• Contribute to the overall HR business Strategy to ensure delivery of focus areas for the year
• Deliver on the Annual Talent Management Strategy to ensure success of JSE objectives.
• Manage the allocated budget for Talent, L and D and JEF Bursaries of about R28m (combined) within agreed parameters by tracking monthly.
• Plan and implement resources in a cost-effective manner while still meeting timelines and standards.
• Support and act as advisor to HR, employees and line management on all people development solutions to enable business performance.
• Design, conceptualise methodology, establish talent practices and provide guidance that enables identification, development and retention of required talent to enhance the JSE's competitiveness

• Build and maintain internal and external client relationships to meet business needs
• Engage with stakeholders continually to ensure needs to meet and satisfaction achieved
• Build professional networks to ensure best practice people solutions
• Build strategic JSE, industry and/or global networks of thought leaders and relationships utilising social media and attending conferences and training interventions

• Develop and position L and D strategies to deliver on Transformation and JSE objectives
• Manage own and team delivery against annual delivery plan and set timelines, identify obstacles to delivery and take appropriate action where required.
• Ensure sustainability from a skills perspective by aligning relevant interventions to prevalent development gaps.
• Ensure management of the end to end training process to meet strategic objectives, stakeholder requirements and mitigate risks
• Source and select external vendors to deliver on identified people development solutions
• Define vendor Service Level Agreement and expectations and ensure compliance in line with our expectations
• Ensure training analysis and feedback is obtained and scrutinised to ensure training objectives have been met and vendor quality is managed.
• Analyse L and D information to provide trends and information to HR team for use in their business areas
• Review and authorise all training and sponsored education requests and bursaries to ensure relevance including alignment to L and D strategy and within budget.
• Ensure correct recording and allocation of all expenses as per budget.
• Compile and submit legislative report within set timelines such as Workplace Skills Plan Annual Training Report, FASSET grants, etc. to meet legislative requirements and obtain any due skills development refunds.
• Manage BBBEE Skills Development Mandates for maximising scorecard
• Manage JSE Empowerment Fund (JEF) Bursaries trust mandate updates and budgeting process
• Manage and execute bursar selection and funding process in line with trust mandates
• Provide input and support to Talent and HR team across the Integrated Talent Framework to deliver on initiatives and projects in support of the HR strategy
• Build visibility and credibility of People Development and Career Management functions within JSE through communication, sharing, engaging and delivering
• Assist line management and HRBPs with career management and leadership development
• Market the coaching and mentoring offering to HRBPs and Line management
• Propose and drive Leadership development interventions to enable talent development and mobility at the relevant roles
• Provide development consulting to determine leadership needs and monitor delivery
• Direct and support talent /people days through proper talent, succession and retention as preparation for Board Discussions
• Ensure implementation for a ready now bench-strength through targeted and accelerated leadership development.
• Promoting the levels of insightful career conversations, coaching and mentoring opportunities within divisions
• Design and develop frameworks, methodologies, standards and policies for Career management
• Design, develop and implement career maps across the JSE utilising the Job Family Frameworks and stakeholder engagement
• Design and implement career management policy, practices and documents and communicate, educate on and monitor resulting processes and cycles
• Design and develop frameworks, methodologies, standards and policies for Performance Management
  Implement and manage Performance Management policy - Contracting, 360 Feedback process, Mid-year and Final Year reviews
• Manage the Employment Equity and DEIB Function for the organisation.
• Design and Develop DEIB Strategies as well as execute an implementation plan.
• Ensure compliance with the Employment Equity Act of 1998, that is aligned to the JSE Transformation Plan as well as develop new EE Plan in line with National Transformation policies and mandates
• Ensure EE committee in place and quarterly consultative meetings are held and compile annual EE Reports and timeous submission in line with the EE Act.

• Improve personal capability and professional growth relating to field of expertise, in line with JSE objectives by discussing development needs and proposed solutions with management
• Keep abreast of changes in legislation or standards by conducting research and utilising networks
• Upskill team and other professionals by sharing knowledge and research results
• Epitomise living the JSE values, displaying professional conduct and adherence to required technical standards
• Ensure all team members understood and supported JSE vision and divisional strategy
• Take accountability for making others successful by removing obstacles to team performance and success
• Participate in recruitment processes to ensure selection contributing to success of team
• Ensure on boarding process is followed for all new hires and transfers to embed the JSE values and cultures
• Ensure self and team members has required skill and professional/ technical expertise by assessing gaps and development areas and creating development plans
• Ensure each team member has a job profile that profiles team member with a view of full performance in the job
• Create performance agreement for each team member with measurable goals and objectives so that they understand how their performance will be viewed, recognised and rewarded
• Conduct performance review sessions with team members to review performance and progress against targets and agree on appropriate action required to meet targets or standards
• Engaged with team in such a way that the feel motivated to achieve better performance feel respects and diversity valued
• Provide direction into research and benchmarking exercises in order to deliver best practice human capital development solutions
• Analyse, develop and implement improvement and innovative ideas and value adding solutions contributing to divisional and JSE results
• B Com Degree in HR/ Business Management or related qualification
• Honours Degree in HR/Business Management or related qualification
• Registration with SABPP and/or IPM would be advantageous
• 8 - 10 years of experience as a Head of Talent / HR / Learning and Development/ Employment Equity/Performance Management with proven exposure and experience at a senior level

• Human Resources: HR policies, systems (HRIS), job evaluation, remuneration, and performance management
• Business Communication: Client service, communication strategies, business writing and terminology
• Technical Proficiency: MS Office & standard software applications
• Analytics & Research: Salary benchmarking and research methodology
• Administration & Planning: Office procedures, resource/capacity planning, change management

What’s in it for you:

The lifeblood of the JSE is our PEOPLE who are at the heart of all that we do. In the spirit of one heartbeat, one and an incredible employee experience. Our commitment to professional growth, coupled with a culture of collaboration and respect, empowers our team to achieve excellence. We live by our core values:Connecting for Co-Creation , where teamwork and shared ideas drive success;Growing Together , ensuring that as our company evolves, so do our people; andServant Leadership ,growing people to reach their full potential.

We offer a range of benefits designed to support your well-being and professional development, including:

• Hybrid ways of work for flexibility and balance
• Market-related total cost to company remuneration package
• Employee Assistance Programme for personal and professional support
• Health and Wellness Initiatives , including wellbeing leave and a wellbeing allowance
• Gender Neutral Parental Leave policy
• Free onsite gym , and an onsite coffee & salad bar
• Opportunities for participation in Leadership, Professional membership & conference/seminar attendance and Development Programs

Join us at JSE, where your career aspirations can become a reality, and together, we can shape the future of our industry.

As the Head of Product & Health Risk Management, you’ll be accountable for the design, development, and implementation of a holistic health value proposition. From pricing strategies and provider networks to incentivised wellness solutions and risk management, you’ll ensure sustainability and measurable clinical outcomes that matter.

Responsibilities:

Strategic Leadership & Innovation:

• Develop and execute an outcomes-based health value proposition aligned to business strategy.
• Lead the design and development of innovative solutions tailored for different market segments.
• Oversee the integration of wellness and reward strategies into the overall health proposition.

Operational Excellence:

• Ensure seamless delivery of solutions in collaboration with Operations, IT, and Marketing.
• Drive competitor and industry research to anticipate trends and identify new opportunities.
• Manage the Multiply incentivised wellness strategy to maximise client engagement.

Client-Centric Solutions:

• Create provider networks that are cost-effective, sustainable, and client-focused.
• Measure and report on the impact of solutions on clinical outcomes, scheme sustainability, and client satisfaction.
• Engage stakeholders with insights and recommendations based on data-driven research.

Financial & Risk Management:

• Ensure competitive and sustainable pricing models.
• Develop health risk management strategies that improve outcomes and lower costs.
• Monitor profitability and sustainability of all solutions offered.

Qualification:

• Honours in Business or Science (Masters advantageous).

Experience:

• 10–15 years in the health industry, with at least 8–10 years in leadership.
• Proven track record in product development, strategy, and business transformation.

Skills:

• Strong business acumen and strategic thinking.
• Experience managing wellness and reward programmes.
• Excellent stakeholder management and influencing skills.

Core Competencies:

• Business Acumen.
• Strategic Thinking.
• Driving Innovation & Change.
• Client & Stakeholder Commitment.
• Diversity & Inclusiveness.

Location : South Africa (with international travel)

Reporting To : CEO

My client is seeking a highly skilled and dynamic Chief Operations Officer to serve as the CEO's right hand in driving strategic initiatives, overseeing daily operations, and expanding our presence within the aviation industry. The ideal candidate will possess a strong background in business and financial management, excellent negotiation skills, and extensive contacts within the aviation sector. This role requires a charismatic leader with exceptional presentation, networking abilities, and the capacity to work closely with the CEO to implement strategic vision and operational excellence.

1. Strategic Leadership & Implementation : Support the CEO in executing the company's vision and strategic plans, ensuring alignment across all operational facets.
2. Operational Management : Oversee day-to-day business operations, ensuring efficiency, quality, and consistency in service delivery.
3. Financial Oversight : Manage budgets, financial planning, and reporting to ensure profitability and cost control.
4. Business Development & Networking : Cultivate and leverage contacts within the aviation industry, negotiate deals, and identify new business opportunities.
5. Industry Expertise : Maintain a deep understanding of the aviation sector, including market trends, regulatory requirements, and the competitive landscape.
6. Travel & Representation : Represent the company at global networking events, conferences, and industry gatherings.
7. Team Leadership : Lead and motivate teams, fostering a culture of excellence and professionalism.
8. Brand & Marketing Coordination : Collaborate with marketing teams to enhance brand presence, leveraging insights and industry connections.
9. Compliance & Risk Management : Ensure all operations adhere to industry standards, legal requirements, and safety protocols.

• Proven experience in senior business management, ideally within the aviation industry.
• Strong financial acumen and experience managing budgets and financial reports.
• Extensive contacts within the aviation sector and excellent negotiation skills.
• Demonstrated leadership and team management capabilities.
• Excellent presentation, communication, and interpersonal skills.
• Ability to operate with a high level of professionalism and presence.
• Strategic thinker with the ability to implement complex initiatives.
• Experience or background in marketing management is advantageous.
• Willingness to travel internationally on a regular basis.
• Fluency in English; additional languages are a plus.

• Bachelor's degree in Business Administration or a similar qualification (preferred).
• Minimum of 8-10 years of relevant experience.
• Strong network within the aviation industry.
• Ability to work independently and report directly to the CEO.
• Valid passport and willingness to travel globally.

• An exciting opportunity to shape and grow a forward-thinking company within the aviation sector.
• Competitive salary and performance-based incentives.
• International exposure and networking opportunities.
• Dynamic and entrepreneurial work environment.

Business Development, Sales Experience, B2B Sales, Sourcing, Financial Services, Organizational skills, Communication skills, Investment Experience, Banking, Relationship Management, Underwriting, Financial Analysis

Employment Type : Full Time

Experience : 8-10 years

Vacancy : 1

Responsibilities

Role Responsibilities

Accountabilities Major Activities Key Performance Indicators

Ensure seamless transition and flawless service delivery

• Focus on transition with ‘Zero’ impact on service delivery
• Focus on efficiencies - leaner, greener and faster
• Focus on Process stabilization & sustained delivery
• Reducing operation costs
• Make TBP more effective
• Build effective process management system
• FTE headcount
• Revenue from the BU Vs. Target
• Gross Margin for the BU
• MEI (Manpower Efficiency Index)

Ensure client satisfaction on all SLA’s and given parameters

• Deliver on client benefits through innovation and improvements
• Create plan to deliver efficiency
• Strengthen operational team as well as support functions to minimize leakages
• Partner with transformation team for value delivery
• Identify transformation opportunities where available
• Customer Satisfaction Survey results Vs. Desired
• Performance Index
• Improvement through Innovation

People management

• Engagement plan for each stage of employees
• Focus on employee training and development with regard to building domain expertise
• HIPO engagement initiatives to be reviewed regularly
• Cross training and skill enhancement for managing high influx of volume
• Support to Line HR and utilize their expertise more from a people engagement and retention perspective
• Ensure minimal staff attrition and high levels of engagement
• Employee Attrition Rate
• Employee Engagement Surveys

Provide assistance to industry and BU leadership for development of strategies for business development and process improvements. Working on Strategic Priorities such as (but not limited to):

• Look for opportunities to deliver additional savings for the clients
• Deliver operational efficiency improvements for both the call centre and Client
• Assistance in business development as and when required
• Reduction in Overheads as % of Revenues
• Participation in people development initiatives
• Process improvement
• USD value delivered to Client.

Focus on customer experience as the business is transitioned with zero impact on service delivery

Partner with HR to build strong people practices, and focus on capacity augmentation to manage volume effectively

DIMENSIONS

Financial Dimensions: Managing the revenue and profitability and Value Delivery

KEY DECISIONS

Decisions you make by yourself

• Strategic improvement for process delivery
• People / management rationalization

INTERACTIONS

Internal Job Role you need to interact with internally in the organization to enable success in your day to day work

• Business HR Team
• Corporate HR for staffing, internal movement, training, learning and development
• Finance Team
• Facilities Team

External Interactions Job Role you need to interact with outside the organization to enable success in your day to day work

• Clients

Qualifications

Minimum 10 years of experience within the BPO industry in senior VP Position

SKILLS AND KNOWLEDGE

Skill Requirement

Educational Qualifications

Graduate in any field

Post graduate is preferable

Functional Skills

Experience of managing Healthcare Operation

Client relationship management

Managing large contact center

Behavioral Skills

Decisions making

Prioritization

Analytical skills

People management

Excellent communication skills

Trending

• Job Identification 4004
• Posting Date 07/29/2025, 11:00 AM
• Job Role Architecture-Cloud Architecture
• Experience (In Years) 12-15

Job Description:
We are seeking a forward-thinking Contact Center Architect to lead the design and implementation of cutting-edge cloud-based contact center solutions . This role plays a critical part in shaping the future of customer experience by leveraging modern architectures, AI technologies, and multi-channel capabilities.

Lead the design and implementation of micro-services-based architectures for cloud contact center solutions.
• Develop and implement innovative digital contact center solutions that incorporate AI technologies (e.g., chatbots, voice bots, sentiment analysis) and support multi-channel interactions (voice, chat, video, social media).
• Collaborate with cross-functional teams (engineering, product, operations) to ensure seamless integration of CCaS solutions with other enterprise systems.
• Stay abreast of the latest advancements in contact center technologies and cloud platforms and translate those innovations into actionable strategies.
• Provide thought leadership and guidance on contact center transformation initiatives, including process optimization, workforce management, and customer journey mapping.
• Contribute to the development of best practices and standards for CCaS architecture and implementation.
• Proven expertise in designing and implementing contact center architectures, including micro-services-based approaches.
• Strong understanding of AI/ML technologies and their application within the contact center domain.
• Experience in designing and implementing multi-channel contact center solutions across voice, chat, video, and social media.
• Experience in one or more relevant industry domains (e.g., insurance, utilities, healthcare) is a plus.

Qualifications:
• Bachelor's/Master's degree in Computer Science, Information Technology, or a related field.
• Certifications in relevant CCaS technologies (e.g., AWS Certified Solutions Architect - Contact Center).
• Contributions to open-source projects or publications related to contact center technologies.

EXL (Nasdaq: EXLS) is a leading data analytics and digital operations and solutions company. We partner with clients using a data and AI-led approach to reinvent business models, drive better business outcomes and unlock growth with speed. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world’s leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL was founded in 1999 with the core values of innovation, collaboration, excellence, integrity and respect. We are headquartered in New York and have more than 55,000 employees spanning six continents. For more information, visit

EXL (NASDAQ: EXLS) is a leading data analytics and digital operations and solutions company. We partner with clients using a data and AI-led approach to reinvent business models, drive better business outcomes and unlock growth with speed. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world’s leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL was founded in 1999 with the core values of innovation, collaboration, excellence, integrity and respect. We are headquartered in New York and have more than 54,000 employees spanning six continents. For more information, visit .

EXL (NASDAQ: EXLS) is a leading data analytics and digital operations and solutions company. We partner with clients using a data and AI-led approach to reinvent business models, drive better business outcomes and unlock growth with speed. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world’s leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL was founded in 1999 with the core values of innovation, collaboration, excellence, integrity and respect. We are headquartered in New York and have more than 54,000 employees spanning six continents. For more information, visit .