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Consultant: Medical Management (x5)

Consultant: Medical Management (x5)

Division:  Claims

Reference No:  4880

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:  25 Oct 2024

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 12-Month 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.

Senior Officer: Skills Development

Division:  Corporate Support

Reference No:  4931

Location:  

Centurion, Gauteng, ZA

Employment Type:  Permanent

Disability (EE targeted role):  No

T.A.S.K Grade:  12

Job Posting Salary:  R579,259.00

Job Posting End Date:  29 Oct 2024

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: Reporting to the Manager: Learning and Development the successful incumbent is accountable to administer and coordinate various skills development initiatives alignment to the skills development legislative environment to ensure that RAF is in compliance with the Skills Development legislation in the development of skills.

Key Performance Areas

Stakeholder Engagements

  • Liaise with InSETA regarding requirements and the organisation’s compliance with these requirements.
  • Build a quality relationship with the InSETA.
  • Liaise with service providers.
  • Maintain an up-to-date knowledge regarding developments in InSETA and skills development.
  • Conduct regular information sharing sessions with staff.
  • Deal with administrative queries both internally and externally with stakeholders.

Workplace Skills Plan Implementation Facilitated

  • Align the company information system to the InSETA reporting requirements.
  • Co-ordinate the communication process for skills development planning and implementation within the organisation.
  • Advise on learning interventions to meet the requirements of the WSP.
  • Gather and capture statistics and data prior implementation of WSP for implementation report (WSPIR).

Learnerships and Skills Programmes Implemented within the Organisation

  • Advocate skills development to the organisation.  
  • Interpret and understand business objectives and implications for skills development. 
  • Understand and apply the National Skills Development Strategy (NSDS) and InSETA sector skills plan (SSP).
  • Understand the business objectives of the organisation. 
  • Support the development and roll out of the needs analysis (PDP) or Skills Audit within the Organisation
  • Document the results of the needs analysis into a formatted WSP.        
  • Ensure that WSP complies with requirements of the InSETA.
  • Ensure that the WSP aligns with sector skills requirements and organisational needs / business objectives.

Workplace Skills Plan Implementation Report (WSPIR) Compiled and Implemented

  • Ensure that the WSPIR complies with requirements of the InSETA.
  • Gather information (from current records/ information systems and from business areas).
  • Synthesis of information into report.
  • Submit report on designated date. 

Reporting

  • Contribute to the preparation and submission of Regulation reports.
  • Aid in the development of functional reporting systems, for management, project or performance reporting.
  • Report regularly and periodically perform necessary submissions as and when required to provide progress updates and/or inform management decisions.

Qualifications and Experience

  • Bachelor’s Degree/ Advanced Diploma in a related qualification.
  • ODETDP qualification.
  • Relevant 4 years’ experience in a similar environment of which 1 year must be on a supervisory level.

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.

Lead: Production

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Lead: Production

Division:  Corporate Support

Reference No:  4934

Location:  

Centurion, Gauteng, ZA

Employment Type:  Permanent

Disability (EE targeted role):  No

T.A.S.K Grade:  14

Job Posting Salary:  R771,969.00

Job Posting End Date:  29 Oct 2024

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: Reporting to Manager: Multimedia, the successful incumbent is responsible for directing and supervising the creation and production of multimedia content to support the organisation’s marketing and communications initiatives. This role involves conceptualizing, planning and executing multimedia projects across various digital platforms to engage and inform target audiences effectively.

Key Performance Areas

Video Production and Editing

  • Direct and supervise the pre-production to ensure that the foundation of the video is in place.
  • Supervise the creation of online video content for RAF products.
  • Create, maintain and coordinate production schedules, including shooting schedules and post-production timelines.
  • Utilise Blackmagic and other cameras and editing software for high-quality production, adhering to industry best practices.
  • Oversee equipment setup.
  • Edit and retouch videos to enhance visual appeal.
  • Edit and assemble raw video footage into high-quality video content.
  • Ensure that all audio-visual equipment is in optimal condition for shooting sessions.
  • Develop video concepts and storyboards.
  • Package the content to go live on the RAF’s social and digital platforms including the RAF’s internal TV network.
  • Ensure that all video content is consistent with the RAF’s brand identity and core values.

Photography

  • Apply colour correction and visual effects to enhance the aesthetic appeal and overall quality of photographs.
  • Edit photos to improve clarity, composition, and visual impact, ensuring they meet the desired standards.
  • Generate visually appealing content through creative framing, lighting, and composition techniques.
  • Provide creative input and innovative ideas to enhance the visual identity of photographic content.
  • Maintain a well-organised photo directory and ensure proper storage of all digital and physical photographs.
  • Shoot both the visual and the ordinary images.

Policy Review and Implementation

  • Contribute to the development and implementation of departmental policy, procedures and processes.
  • Keep up to date with effective policy and practice execution strategies.

Reporting

  • Report on production progress and feedback from events.
  • Track and report on video and image (photographs) metrics and key performance indicators, such as the number of views, likes, shares, and conversions.
  • Report on systems functionality for management, project, or performance reporting.
  • Report on service providers’ performance.

Video Content Creation

  • Conduct research to understand the RAF’s interests and audiences, developing scripts aligned with brand objectives and seeking managerial approval before production.
  • Enhance videos with graphics, captions, and special effects to engage viewers, maintaining brand consistency.
  • Evaluate the performance of video content through analytics and feedback to improve future productions.

Stakeholder Management

  • Work with stakeholders across the organisation to align internal and external content.
  • Collaborate with external service providers, including creative agencies and production houses to ensure high-quality multimedia productions that aligns with the RAF’s mandate and strategic objectives.
  • Maintain close working relationships with different team members to create a cohesive and consistent RAF brand and content.
  • Actively engage with the RAF’s social media followers and cultivate a sense of community around RAF products.
  • Work with different media and applicable publication platforms such as the RAF’s website, intranet, social media platforms and cloud storage solutions.

Agency and Service Provider Coordination

  • Develop detailed production briefs for creative agencies.
  • Coordinate with external service providers to ensure high-quality audio-visual productions and photography that meet RAF standards.
  • Review and approve work from agencies to ensure alignment with the RAF’s brand and strategic objectives.
  • Monitor service providers’ deliverables and deadlines to ensure timely and on-budget project completion.
  • Maintain effective communication with service providers to address any issues promptly and ensure smooth project execution.

Production Budget Management

  • Formulate and project the annual production budget, for submission to the Manager: Multimedia.

People Management

  • Manage production crew, including camera operators, sound technicians, lighting technicians, and other personnel as required.
  • Ensure the motivation, cohesiveness, and alignment of the organization’s team members.
  • Supervise staff in the department to ensure that they achieve their objectives in line with the strategic and divisional objectives of the RAF.

Qualifications and Experience

  • Bachelor’s Degree/ Advanced Diploma in Film/ Broadcasting/ Media Studies/ Marketing/ Communications/ Digital Media or related field from a recognised South African institution.
  • Certifications in multimedia production/ visual communication or digital content creation will be an added advantage.
  • Relevant 5 – 7 years’ experience in video production, editing and photography of which 2 years must be ona supervisory level/ area of expertise
  • Experience in camera operation, lighting techniques, composition, and post-processing software.

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.

Specialist: Systems Training

Division:  Corporate Support

Reference No:  4929

Location:  

Centurion, Gauteng, ZA

Employment Type:  Permanent

Disability (EE targeted role):  No

T.A.S.K Grade:  14

Job Posting Salary:  R771,969.00

Job Posting End Date:  29 Oct 2024

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: Reporting to Manager: Learning and Development Systems, the successful incumbent is accountable to supervise and facilitate training related to system-based computer training.

Key Performance Areas

Manage Training Requirements

  • Conduct training needs analysis as per the PDP (Personal Development Process).
  • Design, develop and/or source appropriate learning solution.
  • Design and conduct formative and summative assessments.
  • Evaluate the required effectiveness and efficiency of learning solutions.

Legislative Compliance

  • Benchmark learning and development standards for possible implementation in the RAF.
  • Develop appropriate tactics and strategy to ensure compliance with legislative changes.
  • Implement WSP to ensure developmental needs are addressed.
  • Maintain compliance with training interventions.
  • Evaluate training interventions.
  • Design of standard curriculum and courses within professional Learning Academy.
  • Standardise all operational learning interventions for implementation throughout the organisation.

Manage Information Toolbox and Training Calendar

  • Manage the training calendar for all RAF Regional offices.
  • Design Legal Circulars for publication to the organisation.
  • Supervise the development of Training Manuals in line with the INSETA standards.

Act as a Member of the Skills Development Committee (SDC)

  • Ensure learning solutions are in-line with National Skills Development Strategy.
  • Align the implementation of learning solutions with the Annual Training Report and Workplace Skills Plan.
  • Participate in SDC meetings.

Reporting and Administration

  • Prepare and submit regulation reports as and when required to provide progress updates and/or inform management decisions.
  • Develop reports/ procedures and guide the process through the alignment of the documents to the overall RAF’s Strategy.
  • Develop functional reporting systems, for management, projects or performance reporting.
  • Prepare proposals, briefings, presentations, reports, and other documentation and provide management information both verbally and in report format.
  • Ensure maintenance of training records (e.g. attendance registers, training evaluation forms etc.).

Policy Review and Implementation

  • Contribute to the development and implementation of departmental policy, procedures and processes.
  • Keep up to date with effective policy and practice execution strategies.

Stakeholder Management

  • Facilitate and manage communication with relevant internal and external stakeholders in relation to investments and proactively and progressively manage the relationships.
  • Communicate with all levels of stakeholder contact.
  • Represent the Fund in relevant external activities and events.

Finance Management

  • Comply with budget restrictions as outlined by the finance and procurement departments and the PMFA.
  • Evaluate training cost optimization and budget control.

Assessments and Moderation of all Internal Programmes

  • Develop Assessments and other criteria for internal programs.
  • Moderate Assessments based on moderation principles as set by SAQA.

Qualifications and Experience

  • Bachelor’s Degree/ Advanced Diploma in a related qualification.
  • Relevant 5 – 7 years training and facilitation experience of which 2 years must have been in area of expertise.
  • Experience in a third-party claim and claims systems environment will be advantageous.

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.

Senior Officer: Internal Communications

Division:  Corporate Support

Reference No:  4933

Location:  

Centurion, Gauteng, ZA

Employment Type:  Permanent

Disability (EE targeted role):  No

T.A.S.K Grade:  13

Job Posting Salary:  R668,708.00

Job Posting End Date:  29 Oct 2024

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: Reporting to the Manager: Corporate Communication, the successful incumbent is responsible for creating and delivering internal communications to keep staff informed and engaged. The role involves facilitating the delivery of content through internal communication channels, implementing the internal communication strategy, and ensuring alignment with the organisation’s objectives, core values and culture. Additionally, the role supports various business units within the RAF by managing and creating content that promotes engagement and awareness.

Key Performance Areas

Internal Communications

  • Create and deliver internal updates and announcements.
  • Develop content for internal communication channels, including the intranet and newsletters.
  • Conduct interviews and research for internal articles and updates.
  • Collaborate with stakeholders to ensure content accuracy and relevance.
  • Attend events to gather insights and content for internal communications.
  • Explore innovative, cost-efficient ways of engaging with internal stakeholders to enlarge the scope and influence of internal communications in the organisation’s strategy.

Content Management

  • Language check all internal communications prior to submission for copy editing.
  • Ensure all communications maintain a unified, on-brand look and feel.
  • Coordinate the design and production of communication materials, including newsletters, posters, videos, infographics and digital content.
  • Develop and update templates for internal documents, such as emails, corporate stationary, memos and internal corporate forms.
  • Monitor the RAF’s internal calendar to ensure timely and relevant communications and that staff are informed of upcoming events.
  • Implementing feedback mechanisms to gather input and insights from employees regarding the effectiveness and relevance of internal communications.

Photography, Videography

  • Take photos of events and activities for internal usage.
  • Record basic videos for internal communication purposes.
  • Ensure proper storage of photographs and videos (image and video bank)where applicable work with the Specialist: Production for quality in video production.
  • Design newsletters and layouts for internal communications using Adobe InDesign, Microsoft Publisher, or similar software.

Reporting

  • Collate and report the number of published communications and other relevant internal communication analytics on a regular basis.
  • Provide post-analysis of internal communication campaigns, awareness drives and initiatives.
  • Regularly update the Manager: Corporate Communication on weekly and monthly deliverables.
  • Provide input into the Corporate Communications Sub Division’s monthly and quarterly reports.

Stakeholder Relations

  • Assist with inquiries and requests for information from both internal and external stakeholders.
  • Engage all levels of stakeholders as required.
  • Solicit feedback from stakeholders to understand their needs, concerns, and suggestions, and incorporate this feedback into internal communication plans and initiatives.

Internal Promotional Drives and Initiatives

  • Collaborate with other divisions/units on internal drives, campaigns, and initiatives.
  • Track project progress and milestones as per agreed standards and timelines.
  • Gather and incorporate feedback from stakeholders to inform the planning and execution of internal drives.

Service Provider Liaison and Creative Brief Writing

  • Coordinate with service providers to ensure alignment with organisational goals, standards and quality requirements.
  • Write detailed and comprehensive creative briefs that will be approved by the Manager and shared with an appointed agency or service provider.
  • Inform agencies of the RAF’s Corporate Identify Guidelines and Language Style requirements in order to ensure compliance.

Coordination of Media Production for Corporate Publications

  • Collaborate with appointed service providers to oversee the media production process for corporate publications such as the Annual Report, Annual Performance Plan, and Strategic Plan.
  • Provide clear direction and guidance to service providers regarding project requirements, timelines, and quality standards.
  • Review drafts and proofs before submission to ensure accuracy, consistency, and alignment with organisational requirements.
  • Coordinate with internal stakeholders to gather relevant content and input for corporate publications.

Internal Event Coordination and Management

  • Plan, coordinate, and execute internal events.
  • Collaborate with departments/stakeholders to determine event objectives and logistics.
  • Monitor event budgets and coordinate with service providers.
  • Communicate event details to attendees and address inquiries.

Qualifications and Experience

  • Bachelor’s Degree/ Advanced Diploma in a Communications/ Public Relations/ Marketing related qualification.
  • Relevant 4 years’ experience in an Internal Communications or related environment.
  • Experience in compiling and managing an organisational calendar of events and happenings for a large organisation such as the RAF.

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.

Senior Officer: Project Delivery Management

Division:  Strategy and Transformation

Reference No:  4937

Location:  

Centurion, Gauteng, ZA

Employment Type:  Permanent

Disability (EE targeted role):  No

T.A.S.K Grade:  12

Job Posting Salary:  R579,259.00

Job Posting End Date:  29 Oct 2024

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: Reporting to the Senior Manager: Pogramme Delivery Management, the successful incumbent is accountable to provide both technical and administrative support service to the overall Programme Delivery Management department by coordinating project activities, maintaining project documentation and monitoring project schedules to ensure that project tasks are completed on time and within the budget.

Key Performance Areas

Project Coordination and Compliance

  • Ensure that the project is conducted accurately aligned to the project defined standards and guidelines.
  • Participate in the assessment of risk and challenges to the success of the project.
  • Proactively carry out project support functions.
  • Establish responsible deadlines and personal work plans and ensuring effective time management.
  • Ensure project handover is done as per agreement.

Project Administrative Support

  • Administer the planning and scheduling of project activities.
  • Monitor and track project schedule activities and timelines.
  • Track and ensure that all items sourced are received within the stipulated project schedule.
  • Ensure proper record keeping for all projects artefacts on the project management or content management platform.
  • Produce, maintain and update project documentation according to project standards.

Project Financial Management

  • Coordinate project management budgets and expenses.
  • Coordinate the preparation of expense and variance reports to track spending against budget.
  • Facilitate and follow up on the procurement processes to ensure that all required project related items are received as per the project schedule.
  • Ensure that all items sourced are received within the stipulated project schedule.
  • Ensure that items received are in good quality and the right quantity.

Reporting

  • Compile reports for the Programme Management committee and other relevant committees.
  • Prepare ad-hoc reports in case of crisis/ issues that require attention of stakeholders.
  • Contribute to the preparation and submission of Regulation reports.
  • Participate in the development of functional reporting systems, for management, project or performance reporting.
  • Report regularly and periodically perform necessary submissions as and when required to provide progress updates and/or inform management decisions.

Stakeholder Management

  • Liaise with internal and external stakeholders to ensure effective project execution to completion.
  • Resolve queries and attend to requests for information promptly.
  • Contribute to and maintain positive relationships with vendors, service providers, and team members.

Qualifications and Experience

  • Bachelor’s Degree/ Advanced Diploma in Project Management or related qualification.
  • Certification in project management methodology (Prince2/ PMBOK/ Agile) will be an added advantage.
  • Relevant 4 years’ experience in project environment.
  • Experience in coordinating projects in line with project management methodologies.
  • Experience in project management tools.

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.

Click here to apply

All the best with your applications.

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