Job title: Hospital Benefits Manager
Job type: Permanent
Emp type: Full-time
Industry: Medical Aid / Medical Schemes
Location: City of Tshwane Metropolitan Municipality, South Africa
Job published: 20/05/2020
Job ID: 32372
Contact name: Linda Pakshong
Contact email:

Job Description

An established Managed Healthcare Administration Company is urgently seeking to employ an Experienced Hospital Benefits Manager.  The ideal candidate will meet the following requirements:

This is an EE role and is open to both male and female applicants.

Minimum Requirements:

  • Grade 12 and a Registered Nursing Qualification (Non negotiable)
  • Must have a Sound Clinical Knowledge and background to support the Pre-Auth Consultants who report to this role.
  • Exposure to Managed Healthcare Policies and procedures, ISO principles and other related legislature would be an added advantage
  • Ability to effectively communicate at all levels
  • Computer literacy (MS Office and Medical Administration system)
  • Management Experience with working experience in the Managed Healthcare environment


Key Responsibilities:

  • Maintenance and effective communication amongst all stakeholders
  • Effective monitoring and maintenance of the day-to-day operations to ensure adherence to set standards and targets
  • To offer creative solutions in the day-to-day operations
  • Evaluation and support of the Groups training needs and compile action plan and provide feedback on performance and customer feedback
  • Analysis of the Product/Industry changes and sporadically review processes in order to identify risks or possible improvement suggestion within the Group
  • Planning and efficiently implementing approved operational changes to effectively respond to important external influences in a way that maintains operational best practice
  • Client management and management of escalations
  • Staff planning
  • Supporting the HOD: Managed Healthcare to implement business plan in a manner that supports operational and quality standards that meet the defined departmental priorities
  • Management of Staff
  • Escalate system problems including hardware faults timeously