11 Medical Director jobs in South Africa

Job Title: Medical Director, Clinical Development (1-year fixed term at 60% FTE)

Location: Cape Town South Africa Preferred; Remote South Africa, Nairobi, Kenya considered

Reports to: Vice President, Head of Clinical Development

Are you an experienced Clinical Leader, who is eager to help translate science into global health solutions?

IAVI is seeking a Medical Director to serve as a leader within a clinical trial team. The Medical Director will help design clinical trial protocols as part of clinical development plans for products in development and will ensure clinical trial sites are executing studies with the highest standards of scientific integrity, safety, and ethics. The Medical Director serves as part of a team responsible for clinical studies for vaccines and monoclonal antibody candidates for prevention of emerging infectious diseases such as TB, HIV and emerging infectious disease (EID) candidates such as Lassa fever, Marburg virus disease and Ebola virus disease.

Key Responsibilities:

Clinical Trials and Observational Studies

• Ensure all clinical activities conducted are aligned with the overall program insofar the preparation and execution of assigned clinical research studies.
• Develop strategic and detailed implementation plans and procedures for assigned clinical research studies/trials.
• Provide oversight of clinical protocols, consent forms, data collection instruments, and preparation of suitable educational materials and regulatory documents for clinical research studies/trials.
• Provide advice on clinical trials and epidemiological studies, particularly to the preclinical groups on the design of studies and their relationship to the overall clinical development plan, as appropriate.
• Yield data required for design of efficacy trials appropriate to the populations for which vaccine candidates are designed, and/or which yields specimens for research that may elucidate the natural history, pathogenesis, and immune control of infection relevant for vaccine design.
• Lead Protocol Teams for assigned clinical studies.
• Lead communication with the Principal Investigators and select external stakeholders, as deemed appropriate for assigned projects.
• Design analysis plans with attention to endpoint selection and measurements, adverse event management, and data collection, and conduct of the interim and final analysis meetings.
• Chair and manage the Protocol Safety Review Team (PSRT), prepare the PSRT Charter and participate in the review of blinded safety data for assigned projects.
• Coordinate the selection of Independent Data Monitoring Committee (IDMC) Members, and preparation of the IDMC Charter in partnership with and under leadership of Head of Clinical Development or delegate.
• Act as IDMC liaison, as directed by Head of Clinical Development or delegate.
• Act as medical monitor for the conduct of clinical trials with a focus on safety data monitoring, as will be instructed by Head of Clinical Development or delegate.
• Provide oversight of CRO partner medical monitoring for studies where medical monitoring is outsourced.
• Prepare interim and final reports in collaboration with the site investigators and other members of IAVI Clinical Development for clinical research studies/trials involved in.
• Collaborate with site investigators to collect, analyze, and report the data from studies in scientific meetings and publications as directed by Head of Clinical Development or delegate.
• Support activities and contribute to design Clinical Development Plans, in collaboration with other members of Clinical Development and clinical investigators, including late phase clinical trials, if candidates are successful.
• Participate in the development and implementation of training activities relevant to projects involved in.

Other duties

• Maintain in-depth medical/scientific knowledge about the assigned therapeutic area or product/ project involved in, including any unique properties involving both disease and products for which the incumbent is responsible.
• Perform other duties as assigned by the VP, Head of Clinical Development.

Education and Work Experience:

• A Medical degree is required.
• Minimum 6 years of experience in clinical research is required.
• Board certification or equivalent in Medicine, Pediatrics, Infectious Diseases, or pharmaceutical medicine is highly desired.

Qualifications and Skills:

• Experience in preparing for and executing clinical trials or studies in international resource constrained settings is required.
• Knowledge and experience with implementation of Good Clinical Practices (GCP) in clinical trials conduct is required.
• Experience leading and managing Medical and Clinical teams in clinical trial research is preferred.
• Understanding of ethics and regulatory landscape in Africa is required.
• Experience working in developing countries, especially Africa region is required.
• Experience developing and implementing site preparation activities for clinical trials, particularly in developing countries is required.
• Diplomatic skills, excellent judgment, proven ability to present to all audiences ranging from high level scientific audiences to lay community groups.
• Strong organizational skills, resourceful, and mature self-starter, with proven experience in building a strong, coherent project and operations in resource poor settings with limited infrastructure.
• Willingness to travel up to approximately 35% of the time is required.

Organizational Overview:

IAVI is a nonprofit scientific research organization dedicated to addressing urgent, unmet global health challenges including HIV and tuberculosis. Our mission is to translate scientific discoveries into affordable, globally accessible public health solutions. Through scientific and clinical research in Africa, India, Europe, and the U.S., IAVI is pioneering the development of biomedical innovations designed for broad global access. We develop vaccines and antibodies in and for the developing world and seek to accelerate their introduction in low-income countries. IAVI programs and partnerships are grounded in the regions of the world where the disease burden is the greatest, and our approach emphasizes sustainability. Our network of clinical research center partners in Africa and India helps strengthen in-country research capacity and supports the training and education of the next generation of scientists. The global impact of our science includes fundamental contributions to understanding the biology of HIV infection, which IAVI and others are applying toward advancing vaccine science and immunology. IAVI accelerates scientific discovery and development by fostering unique collaborations among academia, industry, local communities, governments, and funders to explore new and better ways to address public health threats that disproportionately affect people living in poverty. Our global reach, including a clinical research network in five countries in sub-Saharan Africa and in India, has allowed us to make fundamental contributions to understanding the epidemiology, transmission, virology, and immunology of HIV. This work played a key role in facilitating the design of promising HIV vaccine candidates, as well as the discovery of broadly neutralizing antibodies that are now being advanced as promising approaches for HIV prevention.

IAVI CORE VALUES:

• Dedication to the Mission: We are committed to the translation of scientific discoveries into affordable, globally accessible public health solutions.
• Innovative Evolution: We are committed to solving complex problems in creative and innovative ways, learning from our mistakes and successes and never giving up
• Integrity: We are committed to meeting the highest ethical and professional standards in everything we do and to taking responsibility for our actions to earn respect
• Collaboration: We are committed to embracing diversity, the power of global teamwork and the belief that by working as one we can make a difference

Disclaimer: Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time. The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities and skills required of personnel so classified. This document does not create an employment contract, implied or otherwise, other than an "at-will" relationship. IAVI is an equal opportunity employer and applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

IAVI IS AN EQUAL OPPORTUNITY EMPLOYER actively committed to fostering a diverse and inclusive global organization. IAVI believes that diversity and inclusion among our teammates is critical, and we seek to recruit, develop and retain the most talented people from a representative candidate pool. At IAVI, we celebrate the spectrum of colleagues' experiences and believe that dedication to our mission above all is essential to our success as a scientific global non-profit. IAVI upholds these principles through IAVI's Global Diversity and Inclusion Committee.

Compensation And Benefits Information:

Salary is paid in local currency, and is commensurate and competitive with the local labor market. Please note, there may be some variation based on experience level.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the
Know Your Rights
notice from the Department of Labor.

Group Medical Director – Kenya

We are seeking a visionary healthcare leader to oversee a network of hospitals across Kenya.

This pivotal role combines clinical excellence, operational leadership, and strategic foresight to ensure world-class, patient-centered care.

Key Highlights

Leadership across multiple 100+ bed facilities

Oversight of clinical governance, ethics, and quality assurance

Driving digital transformation (EHR/HIMS/LIS)

Leading SafeCare/COHSASA/JCI accreditation programs

Engagement with regulators, payers, and academic partners

Requirements

MBChB with HPCSA registration (in good standing)

MMed and/or FC(SA) preferred

MHA/MBA in Healthcare or General Management

15–20 years post-MBChB, including 7–10 years in senior leadership (Medical Director/CMO/Group role)

Proven track record in quality improvement, patient safety, and clinical governance

Location:
Kenya

Salary:
From
USD 8,000/month
+ accommodation, medical insurance, and family relocation benefits

If you are an experienced healthcare executive ready to shape the future of integrated medical services in East Africa, we'd like to hear from you.

Position Description

Job Title: Medical Director, Clinical Development (1-year fixed term at 60% FTE)

Location: Cape Town South Africa Preferred; Remote South Africa, Nairobi Kenya considered

Reports to: Vice President, Head of Clinical Development

Are you an experienced Clinical Leader, who is eager to help translate science into global health solutions?

IAVI is seeking a Medical Director to serve as a leader within a clinical trial team. The Medical Director will help design clinical trial protocols as part of clinical development plans for products in development and will ensure clinical trial sites are executing studies with the highest standards of scientific integrity, safety, and ethics. The Medical Director serves as part of a team responsible for clinical studies for vaccines and monoclonal antibody candidates for prevention of emerging infectious diseases such as TB, HIV and emerging infectious disease (EID) candidates such as Lassa fever, Marburg virus disease and Ebola virus disease.

Key Responsibilities:

Clinical Trials and Observational Studies

• Ensure all clinical activities conducted are aligned with the overall program insofar the preparation and execution of assigned clinical research studies.
• Develop strategic and detailed implementation plans and procedures for assigned clinical research studies/trials.
• Provide oversight of clinical protocols, consent forms, data collection instruments, and preparation of suitable educational materials and regulatory documents for clinical research studies/trials.
• Provide advice on clinical trials and epidemiological studies, particularly to the preclinical groups on the design of studies and their relationship to the overall clinical development plan, as appropriate.
• Yield data required for design of efficacy trials appropriate to the populations for which vaccine candidates are designed, and/or which yields specimens for research that may elucidate the natural history, pathogenesis, and immune control of infection relevant for vaccine design.
• Lead Protocol Teams for assigned clinical studies.
• Lead communication with the Principal Investigators and select external stakeholders, as deemed appropriate for assigned projects.
• Design analysis plans with attention to endpoint selection and measurements, adverse event management, and data collection, and conduct of the interim and final analysis meetings.
• Chair and manage the Protocol Safety Review Team (PSRT), prepare the PSRT Charter and participate in the review of blinded safety data for assigned projects.
• Coordinate the selection of Independent Data Monitoring Committee (IDMC) Members, and preparation of the IDMC Charter in partnership with and under leadership of Head of Clinical Development or delegate.
• Act as IDMC liaison, as directed by Head of Clinical Development or delegate.
• Act as medical monitor for the conduct of clinical trials with a focus on safety data monitoring, as will be instructed by Head of Clinical Development or delegate.
• Provide oversight of CRO partner medical monitoring for studies where medical monitoring is outsourced.
• Prepare interim and final reports in collaboration with the site investigators and other members of IAVI Clinical Development for clinical research studies/trials involved in.
• Collaborate with site investigators to collect, analyze, and report the data from studies in scientific meetings and publications as directed by Head of Clinical Development or delegate.

• Support activities and contribute to design Clinical Development Plans, in collaboration with other members of Clinical Development and clinical investigators, including late phase clinical trials, if candidates are successful.

• Participate in the development and implementation of training activities relevant to projects involved in.

Other duties

• Maintain in-depth medical/scientific knowledge about the assigned therapeutic area or product/ project involved in, including any unique properties involving both disease and products for which the incumbent is responsible.
• Perform other duties as assigned by the VP, Head of Clinical Development.

Education and Work Experience:

• A Medical degree is required.
• Minimum 6 years of experience in clinical research is required.
• Board certification or equivalent in Medicine, Pediatrics, Infectious Diseases, or pharmaceutical medicine is highly desired.

Qualifications and Skills:

• Experience in preparing for and executing clinical trials or studies in international resource constrained settings is required.
• Knowledge and experience with implementation of Good Clinical Practices (GCP) in clinical trials conduct is required.
• Experience leading and managing Medical and Clinical teams in clinical trial research is preferred.
• Understanding of ethics and regulatory landscape in Africa is required.
• Experience working in developing countries, especially Africa region is required.
• Experience developing and implementing site preparation activities for clinical trials, particularly in developing countries is required.
• Diplomatic skills, excellent judgment, proven ability to present to all audiences ranging from high level scientific audiences to lay community groups.
• Strong organizational skills, resourceful, and mature self-starter, with proven experience in building a strong, coherent project and operations in resource poor settings with limited infrastructure.
• Willingness to travel up to approximately 35% of the time is required.

Organizational Overview:

IAVI is a nonprofit scientific research organization dedicated to addressing urgent, unmet global health challenges including HIV and tuberculosis. Our mission is to translate scientific discoveries into affordable, globally accessible public health solutions. Through scientific and clinical research in Africa, India, Europe, and the U.S., IAVI is pioneering the development of biomedical innovations designed for broad global access. We develop vaccines and antibodies in and for the developing world and seek to accelerate their introduction in low-income countries. IAVI programs and partnerships are grounded in the regions of the world where the disease burden is the greatest, and our approach emphasizes sustainability. Our network of clinical research center partners in Africa and India helps strengthen in-country research capacity and supports the training and education of the next generation of scientists. The global impact of our science includes fundamental contributions to understanding the biology of HIV infection, which IAVI and others are applying toward advancing vaccine science and immunology. IAVI accelerates scientific discovery and development by fostering unique collaborations among academia, industry, local communities, governments, and funders to explore new and better ways to address public health threats that disproportionately affect people living in poverty. Our global reach, including a clinical research network in five countries in sub-Saharan Africa and in India, has allowed us to make fundamental contributions to understanding the epidemiology, transmission, virology, and immunology of HIV. This work played a key role in facilitating the design of promising HIV vaccine candidates, as well as the discovery of broadly neutralizing antibodies that are now being advanced as promising approaches for HIV prevention. Our integrated capabilities in vaccine and antibody discovery, development, and clinical research take advantage of bio-pharmaceutical industry expertise to accelerate the development and testing of prevention methods for HIV and other diseases. Through the Product Development Center, we support external researchers with technical and scientific expertise to accelerate the development of their own products.

IAVI CORE VALUES:

• Dedication to the Mission: We are committed to the translation of scientific discoveries into affordable, globally accessible public health solutions.
• Innovative Evolution: We are committed to solving complex problems in creative and innovative ways, learning from our mistakes and successes and never giving up
• Integrity: We are committed to meeting the highest ethical and professional standards in everything we do and to taking responsibility for our actions to earn respect
• Collaboration: We are committed to embracing diversity, the power of global teamwork and the belief that by working as one we can make a difference

Disclaimer: Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time. The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities and skills required of personnel so classified. This document does not create an employment contract, implied or otherwise, other than an "at-will" relationship. IAVI is an equal opportunity employer and applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

IAVI IS AN EQUAL OPPORTUNITY EMPLOYER actively committed to fostering a diverse and inclusive global organization. IAVI believes that diversity and inclusion among our teammates is critical, and we seek to recruit, develop and retain the most talented people from a representative candidate pool. At IAVI, we celebrate the spectrum of colleagues' experiences and believe that dedication to our mission above all is essential to our success as a scientific global non-profit. IAVI upholds these principles through IAVI's Global Diversity and Inclusion Committee.

Compensation And Benefits Information:

Salary is paid in local currency, and is commensurate and competitive with the local labor market. Please note, there may be some variation based on experience level. In addition, this position offers competitive benefits including: generous retirement savings plan employer contributions; competitive health, dental and vision insurance plans; competitive paid time off policy; potential for annual bonuses based on performance; and other benefits. More information can be found on IAVI's career page.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

Chief Director: Medical Benefits

REF NO: HR 5/1/2/3/24

Re-advertisement applicants who previously applied are encouraged to re- apply

SALARY: R per annum, (all inclusive)

CENTRE: Compensation Fund, Pretoria

REQUIREMENTS: MBCHB Degree, or any NQF 7 in Healthcare and Allied Health Related

qualification/ or Bcom Accounting/ Business Science/ Bachelor of Science in Finance. Five (5) years' appropriate experience at a Senior Management Service level in Medical Claims Processing environment. Statutory Body Requirements: If an incumbent is a Practitioner, registration with HPCSA and or SANC is required. Knowledge: ICD 10 Coding and Medical Billing. DeL and Compensation Fund business strategies and goals. Directorate goals and performance requirements. Compensation Fund Services. Compensation Fund Value Chain and business processes. Public Service Regulations. Relevant stakeholders. Customer Services (Batho Pele Principles). Fund Values. Required IT knowledge. DPSA guidelines on COIDA. Technical knowledge. Legislative Requirement: COIDA Act, Regulations and Policies. Public Service Act. Occupational Health and Safety Act (OHS). PFMA and. National Treasury Regulations. Promotion of Access to Information Act. PAIA. Constitution Act 108 of 1996 (amended). General knowledge of the Public Service Regulations. Skills: Strategic Capability and Leadership. Programme and Project Management. Financial Management. Change Management. Knowledge Management. Service Delivery Innovation (SDI). Problem Solving and Analysis. People Management and Empowerment. Client Orientation and Customer Focus. Communication.

DUTIES: Provide research and best practice standards regarding medical services to

support the Funds compensation services. Oversee the Adjudication of medical claims and processing of medical accounts. Establish and maintain high-level relationship with various internal and external stakeholders. Manage the operations of the Chief Directorate and resources (Human, Finance, Equipment, Asset) in the Chief Directorate.

ENQUIRIES: Ms. F Fakir Tel No:

APPLICATIONS: Chief Director: Corporate Services: P O Box 955, Pretoria, 0001 or hand deliver

at 167 Thabo Sehume & Madiba Street, Delta Heights Building or direct your application to: Jobs-

FORATTENTION: Sub-directorate: Human Resources Planning Practices and Administration,

Compensation Fund.

NOTE: Coloureds, Indians Whites and Persons with disabilities are encouraged to

apply

CLOSINGDATE: 19 September 2025 at 16:00 (walk-in) and 00:00 (online)

NOTE: All attachments for online application must include an application form Z83 and

CV only, in PDF and as one (1) document or attachment, indicate the correct job title and the reference number of the post on the subject line of your email. Use the correct email address associated with the post. JPEG (picture/snapshot) application will not be accepted. Failure to do so, your application will be disqualified. Applications quoting the relevant reference number must be submitted on the new form Z83, obtainable from any Public Service Department or on the internet at Received applications using the incorrect application for employment (old Z83) will not be considered. Each post(s) advert must be accompanied by its own application form for employment and must be fully completed, initialled and signed by the applicant as instructed below. Failure to fully complete, initial and sign the Z83 form will lead to disqualification of the application during the selection process. All fields of Section A, B, C and D of the Z83 must be completed in full. Section E, F, G (Due to the limited space on the Z83 it is acceptable for applicants to indicate refer to CV or see attached. However, the question related to conditions that prevent re-appointment under Part "F" must be answered and declaration signed. Only an updated comprehensive CV (with detailed previous experience if any) and a completed and signed new Z83 application form is required. Only shortlisted candidates will be required to submit certified copies of qualifications and other related documents on or before the day of the interview following the communication from Human Resources and such qualification(s) and other related document(s) will be in line with the requirements of the advert. Non-RSA Citizens/Permanent Resident Permit holders in possession of foreign qualifications must be accompanied by an evaluation report issued by the South African Qualification Authority (SAQA) (only when shortlisted). The Department does not accept applications via fax. Applicants who do not comply with the abovementioned instructions/ requirements, as well as applications received late will not be considered. Failure to submit all the requested documents will result in the application not being considered. Correspondence will be limited to shortlisted candidates only. All shortlisted candidates shall undertake a pre-entry practical exercise as part of the assessment method to determine the candidate's suitability based on the post's technical and generic requirements. The requirements for application of Senior Management Services (SMS) include the successful completion of a SMS Pre-entry programme (Nyukela) as endorsed by the National School Government (NSG). Prior to appointment, a candidate should therefore have proof that they have registered for the Pre- Entry Certificate and have completed the course. The cost for Nyukela is at the applicants own expense. The course is available at the NSG under the name Certificate for entry into SMS and the full details can be obtained by following the below entryprogramme/. All shortlisted candidates for SMS posts will be subjected to a technical competency exercise that intends to test relevant technical elements of the job, the logistics of which be communicated by the Department, following the interview and technical exercise, the selection panel will recommend candidates to attend generic managerial competencies using the mandated DPSA SMS competency assessment tools. Suitable candidates will be subjected to a personnel suitability check (criminal record, citizenship, credit record checks, qualification verification and employment verification). Please note by responding to the advertisement, you consent to the collection, processing, and storing of your Personal Information in accordance with the Protection of Personal Information Act (POPIA) Your information will be used soley for the purpose of this promotion and will not be shared with third parties without prior consent unless required by law. If you have not been contacted within eight (8) weeks after the closing date of this advertisement, please accept that your application was unsuccessful. The Department reserves the right not to make any appointment(s) to the below advertised post(s). The successful candidate will be required to enter into an employment contract and

a performance agreement. The Department is an equal opportunity affirmative action employer. The Employment Equity Plan of the Department shall inform the employment decision. It is the Department's intention to promote equity (race, gender and disability) through the filling of this post(s)

Division: Claims

Reference No: 6084

Location:

East London, Eastern Cape, ZA

Employment Type: Fixed Term Contract

Disability (EE targeted role): Yes

T.A.S.K Grade: 11

Job Posting Salary: R501,775.00

Job Posting End Date: 25 Sep 2025

The Road Accident Fund's mission is to provide appropriate cover to all road users within the borders of South Africa; to rehabilitate and compensate persons injured as a result of motor vehicle accidents in a timely and caring manner; and to actively promote safe use of our roads.
CONSULTANT: MEDICAL MANAGEMENT T.A.S.K GRADE 11 (X24)
Note: These are 36-month, fixed-term contract positions
Purpose of the job:
The
Consultant: Medical Management
is responsible for implementing the medical management activities, medical exception handling and providing administration support in claims processing.

Key Performance Areas
Medical management

• Conduct medical assessment and compile injury assessment reports.
• Conduct assessments and bill reviews on submitted claims, focusing on the appropriate level of care, the length of stay, and quality of care.
• Incorporate tariffs, cost savings initiative recording, and treatment protocol to ensure that all service providers adhere to the rules, and the tariff as guided by the RAF and / or any that is considered reasonable.
• Preauthorize submitted claims aligned to RAF clinical guidelines including the RAF formulary, treatment protocols and related tariffs.
• Escalation of complex cases for multi-disciplinary review and adjudication.
• Participate in the consultations process on the implementation of medical claims processes.

Exception handling.

• Ensure the implementation and maintenance of a formal exception handling process within the medical management.
• Maintain the documentation and regular updating of the exception handling process.
• Maintain the implementation of an unusual occurrence procedure.

Reporting

• Track and report against set objectives and targets.
• Report on emerging risks.
• Provide ad hoc reports on process improvement initiatives.
• Produce documents, briefing papers, reports, and presentations.

Stakeholder management

• Deal with/and respond to correspondence.
• Maintain healthy relationships with all stakeholders.
• Follow up and resolve all queries and make recommendations on which corrective actions are appropriate.
• Follow up and feedback to all stakeholders to keep them updated on the status of a query.
• Respond to queries within the predefined turnaround times.

Qualifications

• Bachelor's Degree/Advanced Diploma in Health Sciences /Medical related qualification.
• Registration with HPCSA/SANCA

Experience

• Relevant 3 years' experience in a Medical related environment

Technical And Behavioral Competencies Required

• Claims management process/ processes and systems.
• Medical product management
• Medical bill reviewing
• Medical case management
• Complex problem identification, solving and decision making
• Customer value proposition
• Strong clinical analytical capabilities
• Knowledge of motor vehicle accident legislation
• Planning, Organising and Coordinating.
• Personal Mastery.
• Judgement and Decision Making.
• Ethics and Values.
• Client Service Orientation.

NB: "RAF offers Total Employment Cost packages with no additional contributions from the Employer, successful candidates are required to structure their packages in a manner that will suit their needs."
The Road Accident Fund subscribes to the principles of employment equity and preference will be given to People with Disabilities.
Applicants who have not received any correspondence from us within six weeks from the closing date can consider themselves unsuccessful
Security Vetting shall be conducted on all prospective employees
It is the applicants' responsibility to have foreign qualification evaluated by the South African Qualification Authority (SAQA) and to provide proof of such evaluation.

Division: Claims

Reference No: 6068

Location:

Johannesburg, Gauteng, ZA

Employment Type: Fixed Term Contract

Disability (EE targeted role): No

T.A.S.K Grade: 11

Job Posting Salary: R501,775.00

Job Posting End Date: 28 Oct 2025

The Road Accident Fund's mission is to provide appropriate cover to all road users within the borders of South Africa; to rehabilitate and compensate persons injured as a result of motor vehicle accidents in a timely and caring manner; and to actively promote safe use of our roads.
NB: This is a Three (3) years Fixed-Term Contract position
Purpose of the job:
The
Consultant: Medical Management
is responsible to implement the medical management activities, medical exception handling and providing administration support in claims processing.

Key Performance Areas
Medical Management.

• Conduct medical assessment and compile injury assessment reports.
• Conduct assessments and bill reviews on submitted claims, focusing on the appropriate level of care, the length of stay, and quality of care.
• Incorporate tariffs, cost savings initiative recording, and treatment protocol to ensure that all service providers adhere to the rules, and the tariff as guided by the RAF and / or any that is considered reasonable.
• Pre authorise submitted claims aligned to RAF clinical guidelines including the RAF formularory, treatment protocols and related tarrifs.
• Escalation of complex cases for multi disciplinary review and adjudication.
• Participate in the consultations process on the implementation of medical claims processes.

Exception Handling.

• Ensure the implementation and maintenance of a formal exception handling process within the medical management.
• Maintain the documentation and regular updating of the exception handling process.
• Maintain the implementation an unusual occurrence procedures.

Reporting.

• Track and report against set objectives and targets.
• Report on emerging risks.
• Provide ad hoc reports on process improvement initiatives.
• Produce documents, briefing papers, reports and presentations.

Stakeholder Management

• Deal with/and respond to correspondence.
• Maintain healthy relationships with all stakeholders.
• Follow up and resolve all queries, following up and making recommendations on which corrective actions are appropriate.
• Follow up and feedback to all stakeholders to keep them updated on the status of a query.
• Respond to queries within the predefined turnaround times.

Qualifications

• Bachelor's Degree/Advanced Diploma in Health Sciences /Medical related qualification.
• Registration with HPCSA/SANCA.

Experience

• Relevant 3 years' experience in a Medical related environment.

Technical And Behavioral Competencies Required

• Claims management process/ processes and systems.
• Medical product management
• Medical bill reviewing
• Medical case management
• Complex problem identification, solving and decision making
• Customer value proposition
• Strong clinical analytical capabilities
• Knowledge of motor vehicle accident legislation
• Planning, Organising and Coordinating
• Personal Mastery
• Judgement and Decision Making
• Ethics and Values
• Client Service Orientation

NB: "RAF offers Total Employment Cost packages with no additional contributions from the Employer, successful candidates are required to structure their packages in a manner that will suit their needs."
The Road Accident Fund subscribes to the principles of employment equity and preference will be given to People with Disabilities.
Applicants who have not received any correspondence from us within six weeks from the closing date can consider themselves unsuccessful
Security Vetting shall be conducted on all prospective employees
It is the applicants' responsibility to have foreign qualification evaluated by the South African Qualification Authority (SAQA) and to provide proof of such evaluation.

Division: 3300

Reference No: 6070

Location:

Johannesburg, Gauteng, ZA

Employment Type: Fixed Term Contract

Disability (EE targeted role): No

T.A.S.K Grade: 06

Job Posting Salary: R244,732.00

Job Posting End Date: 24 Oct 2025

The Road Accident Fund's mission is to provide appropriate cover to all road users within the borders of South Africa; to rehabilitate and compensate persons injured as a result of motor vehicle accidents in a timely and caring manner; and to actively promote safe use of our roads.
NB: This is a Three (3) Years Fixed-Term Contract position
Purpose of the Job:
The Administrative Assistant is responsible for providing administrative day-to-day support to the Medical Management Department.

Key Performance Areas
Compliance Administration

• Maintain up-to-date written documentation related to the departments business activities.
• Ensure compliance to the policies and process standards.
• Keep abreast of internal standards and business goals to ensure adherence to sound internal control.

Office Coordination

• Assist in making follow-ups on outstanding matters.
• Ensure all requests are handled and responded to within set timelines.
• Assist in ensuring the availability of stationery within the department.
• Validate and verify information and documents submitted for accurate capturing and further handling.
• Ensure the systems/registers used are kept up to date.
• Check for duplicate documents, requests and queries and report on them.
• Allocate reference numbers and accurately capture related documents on different systems.
• Allocation of matters to responsible team members.
• Draft and send out letters to all stakeholders as required.

Meeting Support

• Arranging meetings on behalf of the department.
• Assist with taking and distributing minutes in accordance to set governance standards.
• Create and maintain a register to track matters outstanding.
• Maintain a follow-up plan on meeting resolutions and matters outstanding.
• Ensure confirmation of meetings and management of team diaries.
• Schedule appointments with internal and external stakeholders as and when required.

Document and Records Management

• Administer the records management and filling processes in line with the RAF filling plan
• Ensure that the filing system is always up-to-date and functional.
• Retrieval of information at all times as requested in the office.
• Ensure confidentiality of all documents under control and that documentation reaches the intended recipients.
• Acknowledge the receipt of documentation, apply a file number allocation, record data onto the computer system and file appropriately.

Qualifications

• Matric or Grade 12 certificate.

Experience

• Relevant 1 years' experience in Administrative or similar environment.

Competencies

• Behavioural

• Planning, Organising and Coordinating

• Personal Mastery
• Emotional wisdom and Decision Making
• Ethics and Values

• Client Service Orientation

• Technical

• Computer literacy in MS Word, Excel, PowerPoint.

• Excellent planning and organisational skills.
• Good administrative skills.
• Ability to access required information.
• Writing skills.
• Basic understanding of SCM processes.
• Basic financial acumen.

NB: "RAF offers Total Employment Cost packages with no additional contributions from the Employer, successful candidates are required to structure their packages in a manner that will suit their needs."
The Road Accident Fund subscribes to the principles of employment equity and preference will be given to People with Disabilities.
Applicants who have not received any correspondence from us within six weeks from the closing date can consider themselves unsuccessful
Security Vetting shall be conducted on all prospective employees
It is the applicants' responsibility to have foreign qualification evaluated by the South African Qualification Authority (SAQA) and to provide proof of such evaluation.

Division: Operations

Reference No: 5996

Location:

Durban, Kwazulu-Natal, ZA

Employment Type: Fixed Term Contract

Disability (EE targeted role): Yes

T.A.S.K Grade: 11

Job Posting Salary: R501,775.00

Job Posting End Date: 15 Oct 2025

The Road Accident Fund's mission is to provide appropriate cover to all road users within the borders of South Africa; to rehabilitate and compensate persons injured as a result of motor vehicle accidents in a timely and caring manner; and to actively promote safe use of our roads.
Purpose of the Job:
The Consultant: Medical Management is responsible to implement the medical management activities, medical exception handling and providing administration support in claims processing.

NB: This is a 3 Years Fixed Term Contract.
Key Performance Areas
Medical management.

• Conduct medical assessment and compile injury assessment reports.
• Conduct assessments and bill reviews on submitted claims, focusing on the appropriate level of care, the length of stay, and quality of care.
• Incorporate tariffs, cost savings initiative recording, and treatment protocol to ensure that all service providers adhere to the rules, and the tariff as guided by the RAF and / or any that is considered reasonable.
• Preauthorize submitted claims aligned to RAF clinical guidelines including the RAF formularory, treatment protocols and related tariffs.
• Escalation of complex cases for multi-disciplinary review and adjudication.
• Participate in the consultations process on the implementation of medical claims processes.

Exception handling

• Ensure the implementation and maintenance of a formal exception handling process within the medical management.
• Maintain the documentation and regular updating of the exception handling process.
• Maintain the implementation of an unusual occurrence procedure.

Reporting.

• Track and report against set objectives and targets.
• Report on emerging risks.
• Provide ad hoc reports on process improvement initiatives.
• Produce documents, briefing papers, reports and presentations.

Stakeholder management.

• Deal with/and respond to correspondence.
• Maintain healthy relationships with all stakeholders.
• Follow up and resolve all queries, following up and making recommendations on which corrective actions are appropriate.
• Follow up and feedback to all stakeholders to keep them updated on the status of a query.
• Respond to queries within the predefined turnaround times.

Qualifications And Experience

• Bachelor's Degree/Advanced Diploma in Health Sciences /Medical related qualification.
• Registration with HPCSA/SANCA.
• Relevant 3 years' experience in a Medical related environment.

Behavioral competencies

• Planning, organization and coordinating.
• Personal mastery.
• Judgement and Decision Making
• Ethics and values.
• Client service orientation

Technical competencies

• Claims management process/ processes and systems
• Medical product management
• Medical bill reviewing
• Medical case management
• Complex problem identification, solving and decision making
• Customer value proposition
• Strong clinical analytical capabilities
• Knowledge of motor vehicle accident legislation

The Road Accident Fund subscribes to the principles of employment equity and preference will be given to People with Disabilities.
Applicants who have not received any correspondence from us within six weeks from the closing date can consider themselves unsuccessful
Security Vetting shall be conducted on all prospective employees
It is the applicants' responsibility to have foreign qualification evaluated by the South African Qualification Authority (SAQA) and to provide proof of such evaluation.