Role Purpose

To oversee and take accountability for all Membership & Underwriting functions and as a result ensure that organization continues to provide leading administrative services efficiently and effectively, with a high focus on rolling out innovative products and services, to the Scheme and its members. To set the direction for an operational unit and develop and take accountability for a business plan which is aligned with the business strategy.

Requirements

• Matric or equivalent qualification essential.
• Degree essential ideally in the areas of Business administration.
• A post-graduate degree or MBA will be advantageous
• A minimum of five years of progressively responsible managerial experience in a designated facility, business entity, or area.
• A minimum of five years of senior management level experience within a major health care organization, health system setting, or large multi-operational corporate environment in complex industries similar to healthcare.
• Experience managing a budget. Strong financial and business acumen. Knowledge of budgeting and forecasting methodologies.
• Proven track record of driving successful performance outcomes and accomplishing organizational goals.
• Experience anticipating and responding to the needs of internal and external customers.
• A very strong Finance and Operational management background.
• Must have managed large-scale divisions and have strong people management skills.
• Comfortable engaging at the Executive level.
• Potential qualifications that would be valuable due to strong control requirements and finance awareness.

Duties & Responsibilities

• In collaboration with the Operations Executive and Business Unit EXCO, ensure that both the client’s and the organization’s strategic objectives and contractual obligations are met.
• Oversee and provide strategic management, leadership, and guidance to the Membership & Underwriting Department.
• Ensure that all service level agreements are always met and enhanced to ensure that MMH remains a market leader and well positioned to retain the client contracts.
• Provide effective input in the strategy for the Business Unit and specifically (but not limited to) where it relates to operational performance. Also, ensure that cost savings and revenue generation mechanisms are established and implemented in line with the client’s strategic objectives.
• Provide insightful operational input in client engagements (through the office of the Executive: CRM) and ensure that any interactions/submissions are managed professionally and in a manner that demonstrates the MMH values.
• Take responsibility for the ongoing management of operations in a growing and dynamic environment.
• Provide ongoing proactive and strategic input to our client on service-related trends through insightful analysis and interpretation.
• Communicate key information to the stakeholders of these service areas with respect to industry requirements/changes and the competitive environment.
• Negotiating with other stakeholders in achieving our internal objectives.
• Actively participate in Business Unit EXCO meetings.
• Liaison with relevant Senior Managers on major findings impacting on service delivery that require immediate intervention.
• Provide support to the Executive: Operations to effect performance enhancements in a timely manner across all business processes, irrespective of department. This will include the formulation of strategies and guidelines to improve the overall business environment.
• Review and propose enhancements to the current business processes currently in existence within the Business Unit.
• In collaboration with the Executive: Operations recommend new business processes to create accelerated efficiencies (both process and qualitative) within the Business Unit.
• Support the Executive: Operations in the planning and development of the new systems and business processes relevant to the Customer Services, Membership, Claims, and Business Support departments.
• Manage relationships of internal and external stakeholders relevant to Membership & Underwriting Department matters.
• Share within the Membership & Underwriting Department and the broader business, thoughts and suggestions on potential performance and quality improvements related or unrelated to the portfolio responsible for.
• Participate in matters affecting the broader business and provide input as and when required.
• Participate in industry and other professional networks/forums to ensure awareness of industry standards trends and best practices in order to strengthen organizational and technical knowledge.
• Demonstrate leadership, organizational development, and management skills.
• Lead by example in living the values of the organization and aligning to the values of the client.
• Create awareness of the Business Unit’s strategic objectives and their alignment to MMH strategic objectives.
• Ensure consistent compliance with company policies and procedures, corporate governance, and relevant legislative requirements.
• Provide guidance, coaching, and mentoring to employees reporting to this portfolio.
• Comply and champion the Ethics code within MMH, including encouraging Ethics interventions for employees in your unit.
• Through Ethics awareness strategies, provide awareness in your team on Ethics and the broader vision and strategy for transformation.
• Determine appropriate staffing levels within the department, taking cognizance of the constant growth.
• Monitor on an ongoing basis the training and development needs of employees within this portfolio.
• Ensure that succession planning is achieved, and that employees in this portfolio are developed to achieve their objectives and goals.
• Provide clear related succession plans for all key positions reporting directly to this portfolio.
• Manage the performance of staff within the expected levels of their job descriptions and/ or Performance Objectives.
• Conduct staff performance appraisals to ensure that all objectives are met, including the creation and implementation of Personal Development Plans.
• Recognize and reward value-added performance in line with MMH ïs Reward and Recognition standards.
• Ensure that the department achieves its transformation targets and objectives as provided by Human Resources and included in the Business Unit strategic plan.
• Participate in the recruitment of staff in accordance with MMH’s Employment Equity Targets.
• Enforce MMH Employment Equity principles and ensure that they are achieved by all respective departments within this portfolio.
• Provide transformation interventions on areas that require immediate attention in order to create harmonization and thereby accelerate performance.
• Provide transformation interventions on areas that require immediate attention in order to create harmonization and thereby accelerate performance., including the creation and implementation of Personal Development Plans.
• Recognize and reward value-added performance in line with MMH’s Rewards and Recognition standards.
• Ensure that the department achieves its transformation targets and objectives as provided by Human Resources and included in the Business Unit strategic plan.
• Participate in the recruitment of staff in accordance with MMH’s Employment Equity Targets.
• Enforce MMH Employment Equity principles and ensure that they are achieved by all respective departments within this portfolio.
• Provide transformation interventions on areas that require immediate attention in order to create harmonization and thereby accelerate performance.
• Ensure Membership & Underwriting Department budget is managed effectively and efficiently.
• Explore further cost savings mechanisms in all operations activities.

Competencies

• Business Acumen
• Client/ Stakeholder Commitment
• Drive for Results
• Leads Change and Innovation
• Motivating and Inspiring Team
• Collaboration
• Impact and Influence
• Self-Awareness and Insight
• Diversity and Inclusiveness
• Growing Talent