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Monitoring Officer (Senior)
Monitoring Officer (Senior)
About Discovery
Discovery’s core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional individuals who understand and support our core purpose, and whose own values align with those of Discovery. Our fast-paced and dynamic environment enables smart, self-driven people to be their best. As global thought leaders, Discovery is passionate about innovating in order to not only achieve financial success, but to ignite positive and meaningful change within our society.
Job Purpose
The monitoring specialist is required to complete high quality monitoring reviews from planning to reporting, to contribute to the implementation of the Group Compliance Monitoring methodology and processes, and to ensure that Discovery Limited and all legal entities are conducting business in accordance with relevant regulations and applicable codes of conduct.
Areas of responsibility
The successful candidate will be required, primarily, but not limited to:
- To contribute to the development of and be able to develop an effective annual compliance monitoring plan.
- Execute the board-approved annual monitoring plan and conduct ad hoc monitoring when required.
a. Identify and analyse controls.
b. Identify potential areas of compliance vulnerability and risk.
c. Present the monitoring outcomes to business stakeholders.
d. Provide independent compliance advisory services through the development of recommendations for improvements to controls and processes, which will ensure adherence to legislative requirements and mitigation of risks.
- Translate compliance monitoring outcomes on specific scope of work to non-compliance breaches and exposures.
- Ensure that statutory and legislative knowledge is always current.
- Keep abreast with internal business context, standards, and goals.
- Contribute to the drafting and revision of company policies.
- Develop, encourage, and nurture collaborative relationships across area of specialisation.
- Display and encourage an appreciation for teamwork and inclusivity.
- Participate in planned activities that are appropriate for own development.
Education and Experience
- Degree in business related discipline; LLB, BCom, BA, Audit and/or certification in Compliance Management.
- 3-5 years’ experience in similar environment.
- Must be able to interpret and apply legislation to varying business environments within financial services.
- Attention to detail and must be able to analyse data and interpret results.
- Possess excellent communication skills and present concepts clearly and concisely.
Personal Attributes
- The successful candidate must have personal drive to achieve personal/organisational goals, possess excellent organisational skills to ensure that daily tasks are performed timely, and be able to adapt to short-term change quickly and calmly.
Click here to apply
Product Owner (Senior)
Digital Product Owner
About Discovery
Discovery’s core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional individuals who understand and support our core purpose, and whose own values align with those of Discovery. Our fast-paced and dynamic environment enables smart, self-driven people to be their best. As global thought leaders, Discovery is passionate about innovating to not only achieve financial success, but to ignite positive and meaningful change within our society.
Key Purpose
The Digital Product Owner is responsible for maximizing the value of the product and the work of the development team. This role has an extensive list of duties and responsibilities—even an entire mindset that drives different dimensions: technical, business and design. The digital product owner does not just administer the backlog but is responsible for tackling and solving difficult problems for customers and the business..
Areas of responsibility may include but are not limited to
- Define the product vision and measure customer value
- Planning (includes product roadmap), and impact mapping
- Manage the product backlog
- Prioritise needs (across scope, budget and time)
- Oversee development stages (engaging in all ceremonies)
- Anticipate client needs (research)
- Act as primary liaison (i.e. primary communicator and link between stakeholders and product team)
- Evaluate product progress at each iteration.
- Responsible for sprint goals being achieved and deciding if goals are successful or not.
- Ultimately responsible for product delivery.
- Driving/implementing product take up and engagement, working in partnership with data and marketing teams, and drive growth to targets
- Work with Product Manager to actively manage all 3rd party relationships that are integrally related to the product
Personal Attributes and Skills
- Tenacity
- Manage Ambiguity
- Cultivate Innovation
- Drives results
- Ability to facilitate/lead JAD sessions
- Solid understanding of systems development life cycle
- Knowledge of Discovery Products and legacy systems environment
Education and Experience
- BSc. Computer Science or equivalent from a recognised University Or BSc – Engineering with experience/focus on IT Or BCom Information Systems And/Or Dip.BA (FTI or equivalent)
- User interface analyst experience
- Usability research experience
- Agile solution delivery experience
- Min 2-3 years of business analysis and/or product owner experience as part of a digital product cross functional team.
- Experience and understanding using an SDLC (both traditional and agile) and some experience in delivery of integrated solutions of meaningful scale.
- Software engineering/development experience.
- Software project management/delivery experience
- Good communication skills (written/oral and presentation).
- Solid understanding of SDLC (traditional and agile), including phases, technical jargon, and artefacts (input and output).
- Usability and design principles and exposure/experience in user research and testing.
Click here to apply
Hospital Benefit Specialist
About Discovery
Discovery’s core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional individuals who understand and support our core purpose, and whose own values align with those of Discovery. Our fast-paced and dynamic environment enables smart, self-driven people to be their best. As global thought leaders, Discovery is passionate about innovating in order to not only achieve financial success, but to ignite positive and meaningful change within our society.
About Discovery Care
Discovery Care, a subsidiary of Discovery Health, comprises of several specialized clinical areas with segmented teams. The Chronic and PMB Management team handles the processing of Chronic and Prescribed Minimum Benefit requests and manages escalated clinical queries. The HIV/Oncology and In-Hospital Case Management teams review clinical cases specific to their areas of expertise. The High Touch team provides hands-on services and resolves escalated queries for sensitive cases. Additionally, the Hospital Benefit Specialists, as part of field force, are responsible for real-time risk management and the Care Coordination Services manages the Managed Care programs.
Key Purpose:
The successful applicant will be responsible for but not limited to the following job functions:
Assessing the case in relation to the following:
- Members clinical history
- Members benefit structure
- Clinical Information and coding supplied
- Level of care provided
- Appropriateness of the facility
- Appropriateness of the treating doctor
- Appropriateness of treatment
- Managing the benefit for the member and the risk for the relevant scheme through a thorough process to approve or decline Funding to ensure that the member gets the appropriate level of care
- Discharge planning by providing the member with alternatives to receive treatment (This includes Hospital @ Home, Homecare etc.)
Effective and accurate communication to all stakeholders:
- Case update to the provider
- Funding decisions and benefit confirmation to the members
- Request for additional information from the treating doctor or practice manager
- Engaging with Patient Services Manager and hospital staff
- Handling escalations from Providers and internal stakeholders
- Preparing and presenting complex case to clinical review
- Trend Analysis of inefficiencies and proposals to correct
- Appropriate internal case referrals for clinical management
Operational Targets:
- Attend to patients on daily report
- Review all low acuity admission requests
- Quality of processes
Competencies:
The successful candidate must demonstrate the following competencies:
| Role Specific Behaviours | ||
| ☒Ensures accountability.☒Action oriented☐Manages ambiguity.☐Attracts top talent.☐Business insight☐Collaborates☒Communicates effectively.☐Manages complexity.☐Manages conflict.☐Courage☒Customer focus☒Decision quality☐Develops talent | ☐Values differences☐Directs work.☐Drives engagement☐Financial acumen☐Global perspective☒Cultivates innovation.☐Interpersonal savvy☐Builds networks.☐Nimble learning☐Organizational savvy☐Persuades☐Plans and aligns.☒Being resilient | ☐Resourcefulness☒Drives results☐Demonstrates self-awareness.☐Self-development☐Situational adaptability☐Balances stakeholders☐Strategic mindset☐Builds effective teams.☐Tech savvy☐Instils trust.☒Drives vision and purpose☒Optimizes work processes |
Education and Experience:
The following requirements are essential:
- Matric
- Must be a Registered Nurse
- Valid SANC Registration
- 3 years Clinical experience in a private hospital setting (ICU, Trauma/Casualty, Medical/General ward preferable)
- 2 years Managed health care experience
- Microsoft Office (Specifically Excel experience)
- Valid Driver’s License and own transport ( working hours are between 08:30 -17:00 & travel up to 50KM may be required)
- Effective Communication Skills (Verbal & Written)
- Telephone Etiquette
- Active Listening Skills
The following requirements are advantageous:
- 1 – 2 years ICU experience
- Knowledge of DH SOP’s and Process experience (internal only)
- Provider payment arrangements (internal Only)
- Clinical coding knowledge of ICD-10 and/or CCSA
Personal Attributes or Competency Profile
The Discovery Person
- Values Driven
- Optimistic
- Learns on the Fly
- Resilient
- Instils Trust
- People Savvy
- Drives Results
- Problem Solver
Click here to apply
Operations Manager – Clinical
Discovery – Health
Operations Manager: Clinics
About Discovery
Discovery’s core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional individuals who understand and support our core purpose, and whose own values align with those of Discovery. Our fast-paced and dynamic environment enables smart, self-driven people to be their best. As global thought leaders, Discovery is passionate about innovating to not only achieve financial success, but to ignite positive and meaningful change within our society.
About Discovery HealthCare Services
DHCS consists of six teams that are supported by dedicated Shared Services, Finances and DHCS Business Support teams. The teams under DHCS are:
- Executive Wellness
- Corporate Wellness
- Health Coaches
- Southern Rx Pharmacy and Discovery Medical Suppliers
- Home Care
- Corporate Clinics
Through its teams, DHCS aims to:
- Provide quality care by bridging the gaps in the current market with high quality services.
- Enhance the member journey through convenience, reduced co-payments and lessening the administrative burden.
- Realise scheme savings by identifying the opportunities to expand through supply chain and capture value through better procurement and eliminating waste.
- Brand differentiation by providing members with innovative services that leverage the latest health technology.
About Health Clinics
Clinics is responsible for the full lifecycle design, setup, and implementation of on-site healthcare clinics for corporate employers. These clinics are often integrated with Discovery’s Group product framework to ensure affordability and maximise benefits for both employees and employers. The team delivers Primary Health and Occupational Health Care Services and oversees all operational aspects of each clinic. These incudes managing end-to-end processes, ensuring seamless day-to-day functioning, and providing integrated, accurate reporting to clients to support transparency, service quality, and informed decision-making.
Job Purpose
The Operations Manager is responsible for the end-to-end operational management of multiple primary and occupational health clinics. This role ensures efficient service delivery, regulatory compliance, patient-centred care, and operational excellence across all clinic sites. The Operations Manager drives performance, quality standards, financial sustainability, optimal staffing, and continuous improvement to deliver a seamless, high-quality healthcare experience.
Key Outputs
The successful applicant will be responsible for but not limited to the following job functions:
Operational Management
- Oversee day-to-day operations at all assigned clinics, ensuring high-quality and effective service delivery
- Develop, implement, and monitor standard operating procedures across all sites
- Ensure clinics are adequately equipped, functional, and aligned with health and safety standards
- Manage clinic scheduling, capacity planning and operational workflows
- Ensure service level agreements and targets are met or exceeded
- Continuously review and enhance performance metrics and targets for staff and operating clinics.
Clinical Quality and Compliance
- Ensure adherence to all regulatory, clinical governance, occupational health, and compliance standards
- Monitor clinical quality metrics, incident reporting, infection prevention and control, and quality improvement initiatives
- Ensure internal quality audit processes are implemented, and actively identify gaps/trends for continuous improvement
- Support clinical teams in implementing evidence-based best practices
People Management
- Lead, mentor, and develop multidisciplinary teams including Team Leaders, Nurses, Primary Care GP’s, Occupational Health Practitioners, Administrators, and support staff
- Manage performance, staffing levels, recruitment, onboarding, and training
- Cultivate a culture of accountability, teamwork, and patient centred care
Client and Stakeholder Engagement
- Build and maintain strong relationships with corporate clients, employers, service partners, and internal stakeholders
- Support client retention and satisfaction through effective communication, reporting, and service excellence
- Engage with clients to understand needs, propose solutions, and ensure contract compliance
- Attend and present at key forums and stakeholder meetings
- Attend onsite clinic meetings when required
- Perform site visit audits with respective reporting for newly planned clinics.
Reporting and Data Management
- Oversee accurate data capture, reporting, and system utilization across clinic sites
- Analyse operational and clinical performance reports to drive continuous improvement
- Provide regular updates to leadership on operational, financial, and quality indicators
- Provide regular comprehensive reporting to clients
Risk Management
- Identify operational risks and implement mitigation strategies
- Ensure business continuity plans and emergency response protocols are in place and tested
- Manage incidents investigations and implement corrective actions
- Apply financial prudence by closely monitoring cost of sales in clinics related to locum staffing, medication and consumable spend and implement active measures to drive down expenditure
Education required
Essential:
- Matric
- Batchelor’s degree in Health Care Management, Nursing, Occupational Health or a related clinical field
Preferred (would be advantageous)
- Post graduate qualifications in Business Administration, Operations Management, or Public Health Clinical qualification (degree or diploma)
Knowledge and skills required
- MS Office, Excel and Power Point
Advantageous:
- Knowledge of Power BI
Experience required
Essential:
- Experience on a managerial level dealing with People Management / Strategy roll out/ Key Accounts / Relationship Building.
- Minimum 5 years’ operational management experience in healthcare, primary care or occupational health settings.
- Experience managing multi-site operations
- Proven track record of successful implementation of strategic business initiatives.
- Experience with managing strategic relationships
- Extensive experience working with stakeholders (internal and external)
- Solid experience leading areas of 30+ employees
- Business presentation skills
- Knolwlege of the OHS Act, COIDA, NIOSH standards and primary health clinical protocols.
- Experience working with electronic medical systems and operational reporting tools.
Advantageous:
- Industry knowledge of Scheme and Non-Scheme products
- Start-up experience
- Discovery Group Products knowledge
- High level understanding of Discovery Health systems
Click here to apply
Client Support Consultant
Discovery – Corporate & Employee Benefits
Client Support Consultant (Temp)
About Discovery
Discovery’s core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional individuals who understand and support our core purpose, and whose own values align with those of Discovery. Our fast-paced and dynamic environment enables smart, self-driven people to be their best. As global thought leaders, Discovery is passionate about innovating in order to not only achieve financial success, but to ignite positive and meaningful change within our society.
About Discovery Corporate & Employee Benefits
Discovery Corporate & Employee Benefits is the first and only employee benefits provider to be shaping employee behaviour, creating healthier and wealthier workforces. It is an exciting business to be in as we reimagine the way retirement savings and life insurance is brought to companies and employees.
Key Purpose
The primary function of this role is to deliver the Discovery standard of professional, effective and efficient customer service in a contact centre environment. The role requires that the quality of service exceeds customer expectations and establishes constructive relationships with the client base whilst dealing with complex queries and providing accurate product information in line with standards and protocols.
Areas of responsibility may include but not limited to
- Providing telephonic and email support in the Technical Support Centre
- Responding to all queries, issues and problems raised internally and externally telephonically and via correspondence.
- Comprehensively understand and investigate complaints relating to policy, protocol and benefits.
- Tracking and identifying trends and revert with feedback to appropriate parties.
- Keeping accurate and comprehensive stats on a daily, weekly and monthly basis.
- Building and establishing relationships at all levels with external partners and internal departments to facilitate expeditious resolution of queries.
- Keeping abreast of Discovery Employee Benefits schemes and in-house products, protocols and policies. Data analysis and reporting to various stakeholder
Personal Attributes
- High Sense of urgency and understanding of efficient and effective client service
- High EQ
- Excellent communication skills, verbal and written
- Action orientated
- Career Ambition
- Strong Interpersonal skills
- Customer focus
- Peer relationships
- Takes initiative
- Decision making
- Ability to work independently and within a team environment
- Problem solving
- Judgement
Education and Experience
- NQF level 6 equivalent qualification.
- Knowledge of Employee Benefits (Retirement Schemes & Group Risk schemes), Discovery in-house products and protocols (advantageous)
- 1 year customer service experience in a Contact Centre environment
- Track record of client query resolution
- Excellent written and verbal communication skills in English
- Intermediate computer literacy in Microsoft Office
- Preference will be given to Employee Benefit experience
- Must be able to work on a Saturday
Click here to apply
We wish you all the best with your applications
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