Job Description

It's fun to work in a company where people truly BELIEVE in what they're doing!

Pick n Pay Medical Scheme (PnPMS) is a restricted membership scheme registered in terms of the Medical Schemes Act and has been servicing the employees and retirees of Pick n Pay Retailers and its affiliates for over 28 years.
PNPMS is seeking to appoint a suitably qualified and experienced Principal Officer. This position is accountable to the Pick n Pay Medical Scheme Board of Trustees and reports to the Chairman of the Board. The incumbent will be responsible for the effective management of the Scheme, including amongst others, operations, communication, finances and governance.

• Degree preferably in Law, Finance, or a Medical field
• 5 years senior management experience in healthcare
• Minimum of 10 years experience in healthcare
• Post graduate qualification would be advantageous
• Proficiency in MS Excel (Advanced), MS Word, MS PowerPoint & MS Outlook
• Fit and proper to hold the position as Principal Officer

To serve as the Principal Officer of the Medical Scheme and ensure compliance with all requirements of the Medical Schemes Act and the Council for Medical Schemes

To serve as the Information Officer for the Medical Scheme and ensure Compliance with all the requirements of the PoPI Act

To manage and co-ordinate all Board of Trustee and Sub-Committee Meetings, including the compilation of the agenda, effective minutes of the proceedings and attendance at all Scheme meetings, including with administrators, consultants, service providers and other third parties.

To ensure that the Board of Trustees are kept appraised of any industry developments and CMS requirements

To enforce Governance and Compliance, including but not limited to:

• Ensure compliance with the Medical Schemes Act and its Regulations as well as any directives issued by the Council for Medical Schemes or other Regulatory body
• Interprete and apply the Registered Rules of the Scheme and Annexures or Schedules thereto;
• Prepare, interprete and apply Practice Notes and Resolutions approved by the Board of Trustees and / or relating to the effective administration and application of the Schemes Registered Rules
• Ensure retention of documents, safe custody of books, records, documents and other effects of the Scheme
• Ensure interpretation, application and enforcement of all contractual agreements that the Scheme has with any administrator, managed care provider, service provider, supplier, contractor, consultant or any other third person or entity
• Execute instructions by the Board of Trustees that are compliant with the Schemes Registered Rules, the Medical Schemes Act and the Employers Policies and Protocols
• Ensure timeous submission of all statutory requirements as per the Council for Medical Schemes
• Manage the strategic business plan of the Medical Scheme, ensuring the integration with the overall strategic direction of the Employer

To ensure the Executive Management of the Scheme, including but not limited to:

• Management of all operational aspects of the Scheme
• Interactions between the employers HR division and the administrators of the Scheme, relating to Scheme membership, underwriting
• Approval for payment of all accounts or invoices relating to work done or services rendered to the Scheme by any administrator or service provider in terms of a contract approved by the Board or any duly appointed Committee of the Board.
• Resolution of all escalated queries from members and medical service providers to ensure that neither the Scheme nor the Employer suffers reputational risk
• Enhancement of processes within the Scheme and between Employer and Scheme to improve efficiencies

To execute the Legal and Contractual Management of the Scheme, including but not limited to:

• Review of all new contracts and annexures prior to sign off by the Board of Trustees
• Signing of all contracts, annexures and addendums as approved by the Board of Trustees
• Review of all existing contracts with administrators, managed care providers, service providers, suppliers, contractors, consultants or any other third person or entity to ensure delivery on performance measurements

To act as a Liaison with the Employer with regards to:

• Training of employer representatives on the Scheme Rules and Benefits
• Creating synergies between the employers initiatives and the Scheme or its service providers
• Support the employers policies and initiatives
• Streamlining of internal processes within the Employer to ensure efficiencies between the two organisations.

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Effective marketing and communication:

• To promote the Scheme, its benefits and other value-added services so as to enhance the value proposition and positioning of the Employer
• Drafting of communication materials
• Maintenance of the Schemes website
• Introduction of e-initiatives to streamline communications and assist in member education across all channels.

Competencies:

• Excellent interpersonal and communication (written and verbal) skills
• Client focussed
• Professional demeanour
• Excellent report writing skills
• Effective time management skills
• Process orientated
• Self-motivated with a strong focus on delivery
• Conceptual thinking skills
• Must be able to work under pressure, individually and as a member of a team

CLOSING DATE: 16 February 2024

If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!

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