Senior Manager:Orthocare Operations

Position Purpose:

• To lead and provide strategic direction to the team and drive end to end operational, financial and risk management of the OrthoCare Programme, ensuring delivery of agreed clinical, member, operational and financial outcomes within the approved capitation model.
• To ensure that the business area is aligned to Medscheme and client schemes strategic objectives. Accountable for managing the Defined Risk Pool, monitoring utilisation and claims experience, ensuring effective implementation of clinical and operational risk-management levers, and identifying emerging financial, clinical or operational risks before they materially affect programme sustainability. This is a commercially and financially accountable operational leadership role, not solely a service-delivery position. Experience:
• A minimum of 8 years’ management experience within the healthcare industry, including extensive leadership and recruitment experience, with at least 5 years’ experience senior operational leadership experience, risk management, quality assurance, reporting and trend analysis, strategic planning, and budget management.
• Experience with capitation, value-based/ outcome care or risk-sharing arrangements will be advantageous Qualifications: Bachelors Degree (3 years) / NQF level 7 Key Outputs:
• Provide strategic leadership and operational oversight of the Orthocare Programme to achieve clinical, operational and financial objectives.
• Drive end-to-end programme performance within the approved capitation and risk-sharing model to ensure sustainability and value delivery.
• Lead financial management, budget control and cost optimisation initiatives across the programme.
• Monitor utilisation trends, claims experience and risk indicators to proactively identify and mitigate emerging risks.
• Ensure delivery against service level agreements, quality standards and customer satisfaction targets.
• Develop and implement operational strategies aligned to client scheme and Medscheme business objectives.
• Lead governance, compliance and risk management frameworks to ensure regulatory and contractual compliance.
• Deliver executive reporting, operational insights and business recommendations to support strategic decision-making.
• Build and maintain strategic relationships with clients, healthcare providers, business partners and key stakeholders.
• Lead, inspire and develop high-performing multidisciplinary teams while fostering a culture of accountability, innovation and continuous improvement. Kindly Note: Candidates in Johannesburg and Cape Town can apply. Turnaround TimeThe shortlisting process will only start once the application due date has been reached. The time taken to complete this process will depend on how far you progress and the availability of line managers.Our Commitment to TransformationAfroCentric is committed to transformation and embracing diversity. Our Employment Equity plan and targets will be considered as part of the recruitment process. This commitment is what drives us to achieve a diverse workplace with employment equity as a key goal to create an inclusive workforce, representative of the demographics of our society as well as people with disabilities.Should you not hear from us within a month of applying, consider your application unsuccessful.