Senior Manager: Hospital Pre-Authorisation – Roodepoort needed at AfroCentric Group

About the job
Position Purpose:

• To lead the managed care operational teams and to provide support to departments, manage resources, processes and budget in order to deliver a customer-centric business environment. To ensure that the operational area is aligned to Medscheme and client schemes strategic objectives.

Experience:

• 10 years managed health care experience including 5 years at management level

Qualifications:

• Business Management and/or clinical degree.
• Compliance and Risk Management
• Ensure corporate service level agreements are maintained and delivered against set standardsResponsible for identifying risks for department, maintaining the risk register and lowering the risk ratings
• Legal, statutory and regulatory compliance on all requirements are implemented and maintained at defined standards for area of responsibility 
• Operational structures, measures and frameworks for risk control, management and governance within the area of responsibility are implemented 
• Ensure area of responsibility is a valuable contributor to the Afrocentric Group social awareness and corporate citizenship objectives and strategy

Financial Management

• Accountability for allocated cost centre budget, variances, reports and overall financial management
• Operating Model
• Develop operational plans to meet the defined delivery objectives, supporting and being supported by peer teams and areas of responsibility 
• Optimise the core operational internal processes and internal supply chain and resolve operational conflicts
• Operational Implementation of Strategy
• Plan and implement changes to the operations of the area of responsibility to respond to macro and micro-economic conditions, legislation, competition, market sentiment and the industry in general 
• Provide input into and develop the business plan for the area of responsibility 
• Ensure business plan is implemented in a manner that supports operational, quality and market imperatives 
• Communicate business plan in alignment with strategic context and strategic implementation plans to ensure operational best practice and continuous improvement

Operational Leadership

• Accountability for the operational performance by team as per Human Capital frameworks and policies to ensure delivery to agreed standards and objectives

Stakeholder Management

• Ensure appropriate, active and informative relationships with customers, value chain partners and industry players (if applicable) are in place

Generic Objectives

Specific deliverables:

• Compliance and Risk Management:
• Ensure corporate service level agreements are maintained and delivered against set standards
• Responsible for identifying risks for department, maintaining the risk register and lowering the risk ratings

Competency Requirements:

•  Attribute
• Influence: Engage with Customers and colleagues to advance the organisation’s welfareExercising judgement 
• Entrepreneurship: Take chances to continuously improve our Customer’s experiencesEnabling creativity 
• Credibility: Lead with integrity and trust others as you would like to be trustedFinding answers and delivering communications 
• Ownership: Make critical decisions based on what’s right for AfroCentric and CustomersLetting go and participating in decision making 
• Collaboration: Build work-related network and share knowledge with colleaguesEnergising the networks 

 Knowledge

• Knowledge, application and improvement of policies and procedures 
• Health Care Industry 
• Knowledge, application and compliance to relevant legislation and regulations