Structural Information Job number: 10031757 Job title: Executive: Strategic Customer Programme Management Job grade: M3 Group/ BU: Openserve Division: Openserve Span of control: 5-10 Reports to: Top Management Core Description The Executive: Strategic Customer Programme Management
Private Health Administrators (Pty) Ltd is seeking a clinical assessor to provide expert evaluation and decision support for ex gratia applications, CMS complaints, appeals and disputes. You will review clinical documentation, apply PMB regulations, and ensure
A health management company based in South Africa is seeking a Professional Registered Nurse to manage the spending of member funds through clinical interventions. The role requires at least 3 years of nursing experience, with a
Position Purpose : To manage the spending of member funds by means of clinical interventions and managed care protocols. Experience: At least 3 years general medical and surgical nursing experience in the private sector. ICU training
Position Purpose : To manage the spending of member funds by means of clinical interventions and managed care protocols. Experience: At least 3 years general medical and surgical nursing experience in the private sector. ICU training
The suitable candidates main responsibilities and duties include, but are not limited to, the following:⯠⯠Vetting Oversight & Management Manage the end-to-end vetting process, including background checks, investigations, polygraph scheduling, and key control functions. Ensure
Key Responsibilities: Process engineering and optimisation : Analyse existing software development, delivery, and support processes to identify inefficiencies, bottlenecks, and risks. Design and implement future-state processes aligned to modern digital and software engineering practices. Apply Lean,
AI Product Owner – Johannesburg or Pretoria (Hybrid) Contract: 6–12 months (project dependent) Hybrid: 3 days onsite 2 days remote Our client is seeking an experienced AI Product Owner to lead the strategy, roadmap, and delivery
Are you a seasoned project professional with a deep understanding of the financial services landscape? Our client is looking for a strategic and results-driven Senior Project Manager to oversee their portfolio of work and lead large-scale
As a Software Tester, you will work under the guidance of the QA team to ensure the quality and reliability of our software products. Your role will involve creating and executing test plans, identifying defects, and
An exciting opportunity for an analytical and attention-to-detail Pre- Authorisation Consultant exists in the Hospital Benefit Management group. The successful candidate will utilise their Clinical, Pre-Authorisation & Case Management experience to build effective relationships with our members
Executive: Property Mgt Procurement & Supplier Relationship Management (SRM) Job title: Executive: Property Mgt Procurement & Supplier Relationship Management (SRM) Job grade: M3 Group/ BU: Corporate Division: Procurement Services Span of control: 5-10 Reports to: Top
Key Responsibilities: Process engineering and optimisation : Analyse existing software development, delivery, and support processes to identify inefficiencies, bottlenecks, and risks. Design and implement future-state processes aligned to modern digital and software engineering practices. Apply Lean,
Key Responsibilities: Assess and analyse claims to determine coverage, merits, liability, and quantum. Investigate facts, obtain statements, consult with relevant parties, and instruct experts where necessary. Conduct independent legal research on case law, legislation, and legal authorities.
Position Purpose: To provide expert clinical assessment and decision making in relation to Ex gratia applications, regulatory (CMS) complaints, appeals, disputes and escalations. Experience: 2-5 years relevant managed care, health risk and clinical customer service within
Automation Frameworks: API automation using Karate or Postman; UI automation using Playwright Role Purpose Ensure the end-to-end quality of the MWL Platform, with a specific focus on MWL application testing including Gemstone and Visualworks, through comprehensive
Spec: Database Administrator MS/SQL - Fixed Term Contract Department: Data Management Services - Oracle Core Description To provide a stable and secure production database environment which performs in alignment with predefined standards and is recoverable in
Qualifications, Knowledge & Experience: Degree or diploma in Information Technology, Computer Science, Information Systems or related discipline preferred. Testing certification such as ISTQB or ISEB preferred. 810+ years testing experience, including strong technical testing, integration testing,
Qualifications, Knowledge & Experience: Degree in IT / Computer Science (preferred) Testing certification (ISTQB / ISEB) 810+ years testing experience, with strong automation focus Strong financial services / investments experience preferred Technical Skills: Required: Automation Frameworks
Key Responsibilities Lead enterprise data and AI transformation. Assess current data maturity and enterprise information capabilities. Establish data-quality baselines. Lead data governance and master data initiatives. Support development of the enterprise customer-data foundation. Define data architecture