Job Description

Business Unit:

Discovery Health

Function:

Clinical

Date:

16 Apr 2025

Discovery Health


Functional Head: Wellness Solutions


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 Health Care Services
Discovery Health Care Services consists of eight subsidiary businesses that are supported by dedicated Shared Services and Finances. The subsidiary businesses are:


Executive Wellness Corporate Wellness Health Coaches Southern Rx Pharmacy Discovery Medical Suppliers Home Health (Home Care & Hospital at Home) Corporate Clinics Nano labs



Through its teams, Discovery Health Care Services 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.



Key purpose
To ensure that the necessary system requirements and process optimizations are implemented to support efficient and streamlined operational outputs across the subset of Wellness Solution Businesses. (Corporate Wellness, Executive Wellness, Corporate Clinics, Southern Rx Pharmacy and Discovery Medical Suppliers) Analyze and work with various data sets and reports for effective reporting to internal stakeholders, identifying opportunities for improvement in business processes and recommend opportunities to grow and expand the businesses. Managing key business functions to support effective day-to-day operations. Responsible for coordinating projects and managing these projects from inception to completion.




Key Outputs may include but are not limited to
Drive efficiency with process optimization and implementing / leveraging off new or existing systems to improve the day-to-day operations and reduce manual workarounds. Initiate and drive projects from inception to completion to ensure that operational strategies are implemented efficiently. Post Go live monitoring system enhancements and or Go Live's to ensure any gaps/trends are addressed as soon as possible. Attend and or chair key forums and or steercoms and be responsible for managing key stakeholder relationships. Support the Operational Team with quality audits and methods to improve quality in service delivery internally and with third party operators. Support the Operational team with training and development. Oversee and support manual, electronic and paper claims processes in addition to invoicing and billing for the areas to meet the required SLA's. Oversee implementation and building of new systems, apps and other tools to increase automation within the operational areas. Keep abreast of the latest industry developments to identify opportunities to grow the business areas. Support the operational areas with research concepts and trends locally and globally. Manage stakeholders' expectations and ensure they are kept up to date of project progress. Sign off and approve concept papers and functional documents related to new business cases, system changes/enhancements. Oversee user acceptance and regression testing. Be responsible for supporting the operations team with the implementation of strategic projects and or pilots. In collaboration with the wellness solutions leadership team manage and sign off on YE projects. Work with the necessary system and functional teams to track, monitor, and identify root causes and solutions for outages and incidents affecting the operational areas. Manage contractual agreements with vendors, service providers, suppliers, pharmaceutical companies etc. Manage and oversee procurement processes for timeous delivery and completion.


Personal Attributes and Skills
Advance Excel SharePoint Confluence MS PowerPoint Knowledge of Discovery Products and Services across the group Knowledge of Scheme Benefits Financial principles Communication skills Data analysis Deciding and initiating action Relating and networking Persuading and Influencing Planning and Organizing Writing and Reporting Applying Expertise and Technology



Experience, qualifications, and mandatory requirements
Extensive experience in data handling and statistics Minimum 3 years' experience and knowledge of the Discovery Health Systems Minimum 3 years' experience within a Customer Services environment Minimum 2 years' experience within a financial environment with experience in claims, invoicing, billing Minimum 2 years' experience in a leadership position.





Advantageous:


Existing experience within a Functional Head role Financial acumen Project management experience Experience with Power BI Solumed Flexgen BMS



EMPLOYMENT EQUITY



The Company's approved Employment Equity Plan and Targets will be considered as part of the recruitment process. As an Equal Opportunities employer, we actively encourage and welcome people with various disabilities to apply.