GEMS Vacancies

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Senior Manager: Application Development

Pretoria
Permanent
Full Time
Published: 1 week ago
R1 529 010 – R1 911 263 CTC p/a
EE/AA, Non EE/AA

Introduction

The position of Senior Manager: Application Development is vacant. The Senior Manager: Application Development will report directly to the Chief Information Officer and form part of the Information and Communication Technology Division. The position is based at Head Office, Pretoria.

The total remuneration package will be R1 529 010 – R1 911 263 per annum, based on qualifications and experience.

The closing date for applications will be Tuesday, 19 November 2024.

Duties & Responsibilities

The Senior Manager: Application Development will be required to provide support to the Chief Information Officer, and will be responsible for maintaining, supporting and upgrading systems and applications. The incumbent will also be responsible for design, development and deployment of mission-critical information and software systems, through the following KPA’s:

Key Performance Areas (KPAs):

Manage the development and deployment of new applications, systems software, and/or enhancements to existing applications throughout GEMS.
Research and make recommendations on software products and services in support of procurement and development efforts.
Coordinate feasibility studies for software and system products under consideration for purchase, and give advice based on findings.
Ensure that any new software integration into GEMS’ and SPN’s systems, meets functional requirements, system compliance, and interface specifications.
Collaborate with analysts, designers, and system owners in the testing of new software programs and applications.
Manage and provide direction for the application development team in support of business operations.
Identify and resolve program errors.
Provide technical leadership to project managers and programmers working on development project teams.
Design, develop, and install enhancements and upgrades to systems and application software.
Liaise with network administrators and software engineers to assist with quality assurance, program logic, and data processing.

Desired Experience & Qualification

Qualification requirements are:

A Degree or Diploma in Informatics/ Data Metrics/ Information Sciences/ Software Engineering/or other relevant qualification.
Minimum 5 – 7 years’ work experience in the Healthcare Funding/ Medical Scheme industry.
Minimum 5 years as Manager/Supervisor in an ICT role.
Must have a strong orientation in Application Development and Deployment in the medical field of work.
Considerable knowledge of business theory, business processes, business processes, management, budgeting and business office operations will be advantageous.
Substantial exposure to data processing, hardware platforms, enterprise software applications, and outsourced systems will be advantageous.
Good understanding of computer systems characteristics, features, and integration capabilities.
Experience with system design and development from business requirements analysis through to day-to-day management.
Proven experience in IT planning, organization and development.
Excellent understanding of project management principles.
Demonstrated ability to apply IT in solving business problems.
Must have had experience in the development and presentation of management reports.

Behavioural Competencies:

Excellent computer literacy and MS Office skills.
Sound qualitative and quantitative analysis skills.
Excellent communication and writing skills.
Sound planning/ project management skills.
Attention to detail.
Must be a self-starter.

Desirable:

Have an understanding of medical schemes industry (highly Advantageous)

Interested?

The closing date for applications is 19 November 2024. Should you not hear from us by 28 February 2025, please consider your application unsuccessful.

GEMS employs people with the highest level of integrity – submission to the appropriate pre-employment assessment is obligatory to be considered for the position.

Kindly note that the information provided on application of the position may be shared with a third party for vetting purposes and will be stored by GEMS for a period of 5 years.

Kindly note that information is required for Employment Equity Purposes and information gathered is strictly used according to the intended purpose of collection, unless there is a legal need or permission is granted from the applicant themselves to make use of it for other purpose

Should you wish to have your information removed from the GEMS database, kindly send a request in writing to jobs@gems.gov.za.

GEMS is guided by the principles of employment equity. Preference will be given to groups who are underrepresented in accordance with GEMS employment equity plan.

Successful candidates will be required to seek approval to conduct other work outside of GEMS.

Collections and Debt Coordinator

Pretoria
Fixed Term, Temporary
Full Time
Published: 1 week ago
R 42 736,00 CTC p/m
EE/AA, Non EE/AA

Introduction

Internal Job Title: Contribution and Debt Coordinator

(6 Months Fixed Term Contract)

The position of Contribution and Debt Coordinator is vacant. The Contribution and Debt Coordinator will report directly to the Contribution and Debt Manager and forms part of the Administration and Transaction Services Division. The position is based at GEMS Head Office in Pretoria.

The remuneration package for this position is R 42 736,00 per month, based on qualifications and experience.

The closing date for applications will be Thursday, 21 November 2024.

Duties & Responsibilities

The Contribution and Debt Coordinator will be required to provide support to the Contribution and Debt Manager through the identification of event request received from various departments and the implementation of the following Key Performance Areas (KPAs):

Assist the Contribution and Debt Manager with ensuring that all Scheme operations are aligned to the Scheme’s strategic plan and objectives.
Develop operational project plans.
Work together with the Contribution and Debt Manager to coordinate the development of the unit’s operational plan in line with the Scheme’s strategic objectives.
Review, monitor, analyse and evaluate the operations performed by members of GEMS Service Provider Network (SPN).
Review weekly, monthly, and quarterly SPN reports.
Support all operational reviews with accurate qualitative and quantitative analyses.
Work together with the Contribution and Debt Manager to ensure SPN compliance to approved operational mandates, policies, and procedures.
Effectively co-ordinate, record and manage queries and requests to and from the SPN.
Support the Contribution and Debt Manager in employing appropriate business process management tools such as process facilitations, gap analysis, process improvements, ensuring quality management, process implementation, process modelling and documentation.
Consult with the Contributions and Debt Manager on contractual requirements and standards to ensure compliance.
Work together with Contributions and Debt Manager to effectively resolve member queries to and from the SPN.
Ensure optimal stakeholder participation in operational projects.
Assist in developing contracting risks and implement contract management risk assessments and mitigation strategies.
Report to Scheme and relevant stakeholders.
Assist with the coordination of SLA compliance reports for various Scheme projects.
Assist in the development of business process improvement, operational and risk management reports on trends, high impact issues.
Ensure the alignment of all work to the scheme’s mission, vision, and values.
Work closely with GEMS Contracts Officer to assist in the contracts management environment.
Assist in performing regular site visits to build and maintain healthy and sound relationships and assist by coordinating visit schedules to Service Provider Networks’ and provide regular feedback.
Assist the Manager: Contribution and Debt in the preparation for the chairing and coordinating operations meetings, the annual service provider strategy and planning sessions.

Desired Experience & Qualification

Minimum requirements are:

Minimum 6-12 months experience with medical aid contribution and debt management.
Minimum 3-year Diploma/administration and finance Sciences or equivalent.
Good understanding of the PERSAL payroll systems and processes will be an added advantage.
Relevant accreditation on Financial Governance codes will be an added advantage.
Good knowledge and hands on experience with Contribution and Debt management within a medical Scheme environment.
Good organisational ability and able to meet tight deadlines Accuracy and Attention to detail.
Interpretation and understanding of the operations and finance interphases.
A good understanding of the Medical Schemes Act.

Interested?

The closing date for applications is 21 November 2024. Should you not hear from us by 28 February 2025, please consider your application unsuccessful.

GEMS employs people with the highest level of integrity – submission to the appropriate pre-employment assessment is obligatory to be considered for the position.

Kindly note that the information provided on application of the position may be shared with a third party for vetting purposes and will be stored by GEMS for a period of 5 years.

Should you wish to have your information removed from the GEMS database, kindly send a request in writing to jobs@gems.gov.za.

GEMS is guided by the principles of employment equity. Preference will be given to groups who are underrepresented in accordance with GEMS employment equity plan.

Successful candidates will be required to seek approval to conduct other work outside of GEMS.

GEMS Employees are required to conduct themselves in a manner that reflects the organisation’s paramount values: Excellence, Member Value, Integrity, Innovation, and Collaboration.

Compliance Coordinator

Pretoria
Fixed Term, Temporary
Full Time
Published: 1 week ago
R 42 736,00 CTC p/m
EE/AA, Non EE/AA

Introduction

Internal Job Title: Compliance Coordinator: Administration and Transaction Services (ATS)

(6 Months Fixed Term Contract)

The position of Compliance Coordinator: Administration and Transaction Services is vacant. The Compliance Coordinator: Administration and Transaction Services will report directly to the Compliance Manager: Administration and Transaction Services and forms part of the Administration and Transaction Services Division. The position is based at GEMS Head Office in Pretoria.

The remuneration package for this position is R 42 736,00 per month, based on qualifications and experience.

The closing date for applications will be Thursday, 21 November 2024.

Duties & Responsibilities

The Compliance Coordinator: Administration and Transaction Services (ATS) will be required to provide support to the Compliance Manager: Administration and Transaction Services through the identification of event request received from various departments and the implementation of the following Key Performance Areas (KPAs):

Support the Compliance Manager in developing and maintaining a risk based internal audit plan, and risk & compliance management frameworks for ATS.
Assist the Compliance Manager in tracking, monitoring and reporting on all key compliance, risk and audit requirements within the ATS division; Mitigate the risks and findings.
Assist the Compliance Manager in interpreting operational plans, policies and objectives accordingly.
Support the Compliance Manager in the development of draft Service Provider Network (SPN) Performance Letters and Memos.
Support the Compliance Manager in the management of risk within allocated areas of responsibility.
Support the Compliance Manager in managing allocated projects within allocated timelines and budgets.
Adhere to operational objectives, plans and policies of GEMS in execution of responsibilities
Assist with the collation of information required for the identified Committee pack and other committee meeting arrangements as required from time to time.
Establish and maintain strong relationships with internal (GEMS) and external stakeholders (including Service Providers).
Coordinate and collaborate with other assurance providers and processes as necessary.
Correspond with scheme officials and service providers as necessary during execution of responsibilities and handle documentation received during engagements in line with GEMS applicable policies, procedures and code of conduct.
Attend employer, divisional and service provider meetings on a monthly, quarterly, annual and ad hoc basis.
Execute day to day work in line with GEMS policies and procedures.
Remain abreast of all legislation, policies and procedures as updated from time to time
Promote the organisation’s culture and values
Proactively handle additional duties as reasonably requested by the Senior Manager: Administration and Transaction Services and Chief Administration Officer from time to time.
Responsible for managing all ATS compliance, audit and risk document and records management.
Develop operational reporting as and when necessary, with the Compliance Manager’s guidance.
Assist the Manager: Compliance in preparing for the chairing and coordinating of applicable meetings and planning sessions.

Desired Experience & Qualification

Minimum requirements are:

Minimum 3-year National Diploma: Para Legal or Audit or Risk or NQF Level 6 Legal Qualification.
A 3-year Degree, Diploma or NQF equivalent in Commerce may be considered.
Must have at least two (2) years’ experience in the development of contracts, management of compliance, risk and or audit, and presentation of management reports and legal reports.
Experience in the healthcare funding/medical scheme industry/contracting/compliance/risk management environment will be advantageous.
Sound project management skills will be an advantage.

Other skills:

Have resilient pressure management abilities.
Be responsible and dependable
Be self-motivated and pro-active.
Be analytical and have the ability to manage priorities.
Be organised and have good time management skills.
Have excellent written, verbal communication and interpersonal skills.
Have the ability to work well as part of a team.
Be computer literate on advanced level.
Have a diligent work ethic with attention to detail.

Interested?

The closing date for applications is 21 November 2024. Should you not hear from us by 28 February 2025, please consider your application unsuccessful.

GEMS employs people with the highest level of integrity – submission to the appropriate pre-employment assessment is obligatory to be considered for the position.

Kindly note that the information provided on application of the position may be shared with a third party for vetting purposes and will be stored by GEMS for a period of 5 years.

Kindly note that information is required for Employment Equity Purposes and information gathered is strictly used according to the intended purpose of collection, unless there is a legal need, or permission is granted from the applicant themselves to make use of it for other purpose

Should you wish to have your information removed from the GEMS database, kindly send a request in writing to jobs@gems.gov.za.

GEMS is guided by the principles of employment equity. Preference will be given to groups who are underrepresented in accordance with GEMS employment equity plan.

Successful candidates will be required to seek approval to conduct other work outside of GEMS.

GEMS Employees are required to conduct themselves in a manner that reflects the organisation’s paramount values: Excellence, Member Value, Integrity, Innovation, and Collaboration.

Clinical Operations Coordinator

Pretoria
Fixed Term, Temporary
Full Time
Published: 1 week ago
R 42 736,00 CTC p/m
EE/AA, Non EE/AA

Introduction

Internal Job Title – Coordinator Technical Support, Rules Specialist and Clinical Operations

(6 Months Fixed Term Contract)

The position of Coordinator Technical Support, Rules Specialist and Clinical Operations is vacant. The Coordinator Technical Support, Rules Specialist and Clinical Operations will report directly to the Manager Technical Support, Rules Specialist and Clinical Operations and forms part of the Administration and Transaction Services Division. The position is based at GEMS Head Office in Pretoria.

The remuneration package for this position is R 42 736,00 per month, based on qualifications and experience.

The closing date for applications will be Thursday, 21 November 2024.

Duties & Responsibilities

The Coordinator Technical Support, Rules Specialist and Clinical Operations will be required to provide support to the Manager Technical Support, Rules Specialist and Clinical Operations through the identification of event request received from various departments and the implementation of the following Key Performance Areas (KPAs):

Assist the Manager: Technical Support & Rules Specialist and Clinical Operations Manager with ensuring that all Scheme operations are aligned to the Scheme’s strategic plan and objectives.
Develop operational project plans.
Work together with the Administration and Transaction Services team to coordinate the development of the unit’s operational plan in line with the Scheme’s strategic objectives.
Review, monitor, analyse and evaluate the operations performed by members of GEMS Service Provider Network (SPN).
Review weekly, monthly, and quarterly SPN reports.
Support all operational reviews with accurate qualitative and quantitative analyses.
Work together with the Manager: Technical Support & Rules Specialist and Clinical Operations Manager to ensure SPN compliance to approved operational mandates, policies, and procedures.
Effectively co-ordinate, record and manage queries and requests to and from the SPN.
Support the Manager: Technical Support & Rules Specialist and Clinical Operations Manager in employing appropriate business process management tools such as process facilitations, gap analysis, process improvements, ensuring quality management, process implementation, process modelling and documentation.
Participate in the Scheme’s various operational forums.
Oversee the implementation of operational risk mitigation strategies, based on the Scheme’s risk assessments.
Officiate the monthly service provider performance meetings.
Identify and record operational non-performance and interventions.
Work together with the Manager: Technical Support & Rules Specialist and Clinical Operations Manager to ensure that all recorded interventions are implemented.
Assist the Manager: Technical Support & Rules Specialist and Clinical Operations Manager in the preparation for the chairing and coordinating operations meetings, the annual service provider strategy and planning sessions.
Report to Scheme and relevant stakeholders.
Assist with the coordination of SLA compliance reports for various Scheme projects.
Sharing of knowledge to promote training and development of staff.

Desired Experience & Qualification

Minimum requirements are:

Diploma in Administration or Equivalent (NQF 6 level)
Minimum 6- 12 months in the healthcare funding/ medical Scheme industry.
Sound Knowledge of hospital medical practice across all disciplines and their therapeutic modalities.
Be organised and have good time management skills.
Be analytical and have the ability to manage priorities.
Have excellent written and verbal communication and interpersonal skills.
Have the ability to work well independently and as part of a team.
Be computer literate on advanced level.
Be responsible and reliable.
Have a diligent work ethic with attention to detail.
Self-motivated and pro-active
Have resilient pressure management abilities.
Sound qualitative and quantitative analytical skills.

Desirable:

Have an understanding of medical schemes industry.