24 Health Management jobs in South Africa

Head of Product & Health Risk Management | Centurion

The Recruitment Council

Posted 13 days ago

Job Viewed

Tap Again To Close

Job Description

As the Head of Product & Health Risk Management, youll 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, youll 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:

  • 1015 years in the health industry, with at least 810 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.
This advertiser has chosen not to accept applicants from your region.

Head of Product & Health Risk Management | Centurion

The Recruitment Council

Posted 13 days ago

Job Viewed

Tap Again To Close

Job Description

As the Head of Product & Health Risk Management, youll 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, youll 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:

  • 1015 years in the health industry, with at least 810 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.
This advertiser has chosen not to accept applicants from your region.

Head of Product & Health Risk Management | Centurion

The Recruitment Council

Posted 13 days ago

Job Viewed

Tap Again To Close

Job Description

As the Head of Product & Health Risk Management, youll 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, youll 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:

  • 1015 years in the health industry, with at least 810 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.
This advertiser has chosen not to accept applicants from your region.

Head of Product & Health Risk Management | Centurion

The Recruitment Council

Posted 13 days ago

Job Viewed

Tap Again To Close

Job Description

As the Head of Product & Health Risk Management, youll 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, youll 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:

  • 1015 years in the health industry, with at least 810 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.
This advertiser has chosen not to accept applicants from your region.

Head of Product & Health Risk Management | Centurion

The Recruitment Council

Posted 13 days ago

Job Viewed

Tap Again To Close

Job Description

As the Head of Product & Health Risk Management, youll 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, youll 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:

  • 1015 years in the health industry, with at least 810 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.
This advertiser has chosen not to accept applicants from your region.

Head of Product & Health Risk Management | Centurion

The Recruitment Council

Posted 13 days ago

Job Viewed

Tap Again To Close

Job Description

As the Head of Product & Health Risk Management, youll 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, youll 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:

  • 1015 years in the health industry, with at least 810 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.
This advertiser has chosen not to accept applicants from your region.

Head of Product & Health Risk Management | Centurion

The Recruitment Council

Posted 13 days ago

Job Viewed

Tap Again To Close

Job Description

As the Head of Product & Health Risk Management, youll 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, youll 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:

  • 1015 years in the health industry, with at least 810 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.
This advertiser has chosen not to accept applicants from your region.
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Head of Product & Health Risk Management | Centurion

The Recruitment Council

Posted 13 days ago

Job Viewed

Tap Again To Close

Job Description

As the Head of Product & Health Risk Management, youll 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, youll 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:

  • 1015 years in the health industry, with at least 810 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.
This advertiser has chosen not to accept applicants from your region.

Head of Product & Health Risk Management | Centurion

The Recruitment Council

Posted 13 days ago

Job Viewed

Tap Again To Close

Job Description

As the Head of Product & Health Risk Management, youll 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, youll 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:

  • 1015 years in the health industry, with at least 810 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.
This advertiser has chosen not to accept applicants from your region.

Senior Specialist: Clinical Risk Management Support

R900000 - R1200000 Y AfroCentric Group

Posted today

Job Viewed

Tap Again To Close

Job Description

What will you do?

To form a component of the GEMS: clinical risk management/ fund management support structure. Conduct research and draft documentation and spearhead internal projects related to the work of the clinical risk or fund management teams. Support the Advanced Specialist: Strategic Sourcing with the development of the strategic sourcing strategy through the identification of cost drivers

drivers including gathering of relevant data from various sources.

  • Provide effective and valuable input and guidance to the scheme to support the management of clinical risk
  • Oversee the specific SPN relationship together with the fund manager and or senior/advanced clinical risk specialist
  • The requirement is to ensure that all SPN operations concerns and requirements are communicated to the Fund managers for awareness and assist with actioning where required with internal role-players
  • Perform the majority of medicines-related action items and tactical responses arising from the Scheme meetings
  • Preparation of slides for various meetings to address medicines related agenda items and strategic inputs
  • Presentation of slides at meetings and fielding of questions
  • Handling of Scheme queries and tactical responses as they relate to all medicines matters, including but not limited to: Vaccination, MEL and MPL impact analyses, stock-outs and their impact, trend anomalies and expert panels
  • Co-ordination and secretariat for Expert Panels
  • Development of Medicine proposals
  • Development of Medical Device proposals
  • Ad-hoc analyses to support proposals
  • Ad-hoc medicine requests
  • Ad-hoc appliances request
  • Participate in various strategic projects

Qualification and Experience:

  • Qualified Pharmacist or Clinical Qualification
  • 6 - 8 years' experience in managed care, claims, clinical coding and data analysis
  • Knowledge of legislation, industry, PMB, NHI

Knowledge and Skills:

  • Knowledge and application of relevant legislation
  • Knowledge and application of processes and procedures
  • Product and scheme rule knowledge

Turnaround Time

The shortlisting process will only start once the application due date has been reached. The time taken to complete this process will depend on how far you progress and the availability of line managers.

Our Commitment to Transformation

AfroCentric is committed to transformation and embracing diversity. Our Employment Equity plan and targets will be considered as part of the recruitment process. This commitment is what drives us to achieve a diverse workplace with employment equity as a key goal to create an inclusive workforce, representative of the demographics of our society as well as people with disabilities.

Should you not hear from us within a month of applying, consider your application unsuccessful.

This advertiser has chosen not to accept applicants from your region.
 

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