Johannesburg: Medical Operations Manager posted by Business Capital Group
Posted on 2025-05-18 00:00:00
| Employer | Business Capital Group |
|---|---|
| Category | Other Management |
| Location | Gauteng / Johannesburg |
Job Summary
E JOB AT A GLANCE As the Manager
- Medical Operations, you will be responsible for all aspects of Managed Care within the Medical Operations section. WHAT WILL YOU DO?
Managed care of hospital admissions and downstream cost
Oversee and support team leaders pension medical case auditors and case management
Analysis of hospital medical spend and provider usage patterns
Identify and establish potential provider networks
Regular communication to hospitals and provider network sharing RMA information and industry trends
Assist and training of RMA staff on managed care
Address risk management and mitigating actions appropriately
Identify gaps and shortfall of subordinates on performance and agree on personal development plan
Management of departmental budget
Review and update of medical policies and protocols on managed care with publishing on share point
Attend committee meetings
System update and signed agreement of negotiated tariffs
Risk management actions appropriately addressed
Submission of monthly reports within the first 3 working days of any new month or within the stipulated deadline for ad hoc reports
Service levels measured on the average delay of contact centre referrals (Annexure E)
Conduct regular visits and information sessions with hospitals
Budget management.
- WHAT YOU’LL BRING TO THE TABLE?
Relevant clinical/ medical qualification in Nursing/ Nursing Science
Experience in Managed Care and health management
Client liaison
- SKILLS AND EXPERIENCE
- Insurance background
Valid Drivers license
3 5 years relevant industry experience with 2 – 3 years managerial experience in the managed care and medical insurance environment
Building Trust skill
Customer Focus skill
Driving for Results skill
Leadership Disposition skill
Selecting Talent skill
Facilitating Change skill
Aligning Performance for Success skill
Ability to gain commitment
Decision Making skill
Be objective
Knowledgeable Information and Information Management and Analysis
Be Patient
Have a Project wide perspective
Be resourceful
Be self-motivated.
- WHAT WILL YOU GET IN RETURN?
We offer great opportunities for personal and professional development in a stable company that is 130 years strong.
The role comes with a competitive salary package and various benefits. Furthermore, you will be part of a dedicated
group of colleagues who value teamwork and collaboration.
Turnaround time
The shortlisting process will only start once the advert due date has been reached. The time taken to complete this
process will depend on how far you progress within the recruitment process and the availability of our
managers. Kindly note that should you not receive a response within 21 days, please consider your application
unsuccessful.
Our Commitment to transformation:
In accordance with the employment equity plan of Rand Mutual Assurance and its employment equity goals and
targets, preference may be given, but is not limited, to candidates from under-represented designated groups.
Click Go Apply to apply online!
Get Similar Job Alerts
More jobs in Johannesburg
More jobs in Gauteng
Browse Other Management Jobs
Browse Business Capital Group Jobs
Apply directly for this position. Please read all instructions carefully.
We do not process job applications; we simply aggregate and display job listings.
More related positions
Johannesburg North: Hairstylist – Highended / Exclusive posted by Studio 9 hair barber beauty
A Qualified Stylist with knowledge of doing coloring, highlights ,Brazilian blow waves, cutting and styling.
View Job
Hairstylist – Highended / Exclusive
Johannesburg: Technical Sales Representative – Urgent posted by Montana Recruitment
Technical Sales Representative is Required by a Engineering Company in JohannesburgResponsible for the sale of the companys technical...
View Job
Technical Sales Representative – Urgent
Johannesburg: Sage Consultant – Urgently needed posted by JobCrystal
A business offering bespoke system development, integration and customisation, expert training, and professional support is looking for a Sage Consultant in...
View Job
Sage Consultant – Urgently needed
Gauteng: Senior Contracts/Project Manager: – Johannesburg. Permanent position. posted by Montana Recruitment
Senior ContractsProject Manager Johannesburg. Permanent position.Oversee site management of installations of aluminium Windows Doors on residential ...
View Job
Senior Contracts/Project Manager
Johannesburg: Junior TAX Accountant (JB5147) posted by Kontak Recruitment
Junior TAX Accountant JB5147 Rosebank, Gauteng R18 000 to R22 000 a month CTCPermanentA well-established accounting and financial services firm is looking...
View Job
Junior TAX Accountant (JB5147)
Johannesburg: Tutor – Urgently needed posted by Phenom Edge Tutoring
Were seeking passionate tutors to teach small groups max 15 learners in Mathematics, Mathematics Literacy, Physical Science, Life Sciences, English,...
View Job
Tutor – Urgently needed
Johannesburg City: Bursary & Private Accounts Manager posted by CV Desk
Position Bursary Private Accounts ManagerLocation BraamfonteinDepartment Student DepartmentReporting to National Leasing Receivables ManagerBasic salary...
View Job
Bursary & Private Accounts Manager
Johannesburg: Orthopaedic Trauma Sales Representative posted by Total Solution Medical
Location GautengJob Type Full-timeSalary Competitive, based on experienceThe RoleWe are looking for an ambitious and experienced Trauma Sales Representative...
View Job
Orthopaedic Trauma Sales Representative
Johannesburg: Inventory & Admin Clerk (JB5159) posted by Kontak Recruitment
Inventory Admin Clerk JB5159Crown Mines, JohannesburgR 6500.00 negotiable after 3-month probationDuration PermanentA growing business in Crown Mines is...
View Job
Inventory & Admin Clerk (JB5159)
Johannesburg: External Sales Representative (JB5158) posted by Kontak Recruitment
External Sales Representative JB5158Crown Mines, JohannesburgCompensation R15 000 basic, plus comm, fuel and cell allowanceCategory SalesDrive external...
View Job
External Sales Representative (JB5158)
Johannesburg: Production Manager (JB5149) posted by Kontak Recruitment
Production Manager JB5149 Chloorkop, Gauteng R500 000 to R600 000 Annually CTCPermanentA well-established manufacturing company specializing in precision...
View Job
Production Manager (JB5149)
Johannesburg: Operations Manager – Retirement Centre (JB5157) posted by Kontak Recruitment
Operations Manager Retirement Centre JB5157 Florida , GautengR40 000 per month including benefitsDuration Permanent Our client, a well-established...
View Job
Operations Manager – Retirement Centre (JB5157)
Johannesburg: Operations Manager – Retirement Community (JB5156) posted by Kontak Recruitment
Operations Manager Retirement Community JB5156 Krugersdorp, GautengR65 000 per month including benefitsDuration Permanent Our client, a well-established...
View Job
Operations Manager – Retirement Community (JB5156)
Johannesburg City: Facilities Officer posted by The Individual Touch CC
The purpose of a Facilities Officer is to ensure the safety and functionality of a building and its surroundings. They are responsible for meeting health...
View Job
Facilities Officer
Johannesburg North: Admin – debtors,creditors salaries etc posted by UNITIP
DEBTORS CREDITORS ClerkAssist with payroll safetyGeneral Admin and files etc.
View Job
Admin – debtors,creditors salaries etc
Johannesburg City: Metered Taxi driver – Urgently needed posted by Sabelo Shange Transportation
Driver needed in Johannesburg area must have a pdp and 3 years experience
View Job
Metered Taxi driver – Urgently needed
Johannesburg South: Electrician – Urgently needed posted by Top Notch HR Solutions
Location Selby, JohannesburgStarting date ASAPJob SummaryInstall, maintain, and repair electrical systems, including wiring, circuits, and electrical...
View Job
Electrician – Urgently needed
Johannesburg South: Welder – Urgently needed posted by Top Notch HR Solutions
Job Title WelderLocation Selby, JohannesburgNB ONLY SOUTH AFRICAN NATIONALS NEED APPLY.Starting date ASAPJob SummaryJoin metal parts together using heat and...
View Job
Welder – Urgently needed
Johannesburg South: Mechanic – Urgently needed posted by Top Notch HR Solutions
Job Title MechanicLocation Selby JohannesburgNB ONLY SOUTH AFRICAN NATIONALS NEED APPLY.Starting date ASAPSalary Range- Junior Mechanic 0-2 years of...
View Job
Mechanic – Urgently needed
Johannesburg South: Caster – Urgently needed posted by Top Notch HR Solutions
Job Title CasterLocation Selby JohannesburgJunior Caster R8000 R12000 per monthExperienced Caster 1-3 years R12000- R18000 per monthSenior Caster 3 years...
View Job
Caster – Urgently needed
Johannesburg City: Lathe Turner – 2 – 4m lathe operator posted by Cemo Pumps
Lathe OperatorAdvantageous if able to use vertical or horizontal boring mill.Lathes vary from 1.5m to 4m.Sleeves and shafts in pump manufacturing.
View Job
Lathe Turner – 2 – 4m lathe operator
Johannesburg: Regional Occupational Health Nurse Manager posted by Workforce Healthcare
Bachelors degree or certificate in Occupational Health NursingRegistered with South African Nursing Counsel SANCSouth African Society of Occupational Health...
View Job
Regional Occupational Health Nurse Manager
Johannesburg: New Vehicle Sales Executive posted by Intercon Recruitment
Premium brand dealership in Fourways, Johannesburg is looking for an experienced New Vehicle Sales Executive with previous Motor Dealership New Vehicle...
View Job
New Vehicle Sales Executive
Johannesburg City: Plumber / Driver posted by Nivroc Building Contractors
Building maintenance company seeking a Plumber Driver.Must have South African drivers license with a minimum of 5years of driving experience. Must be an...
View Job
Plumber / Driver
Johannesburg: Resource Development Officer posted by CCA Recruitment & Consulting
The ideal candidate for this role will possess the following skill sets A proactive fundraiser who is skilled at identifying, researching, and engaging...
View Job
Resource Development Officer