Fraud, Waste And Abuse Manager
Pretoria, GP, ZA, South Africa
Job Description
Fraud, Waste and Abuse Manager - Pretoria
Medical Aid Industry
Duties include but are not limited to:
This position is responsible for leading, managing, and advancing the organisation's initiatives related to fraud, waste, and abuse prevention, detection, and investigation across all healthcare-related claims and provider interactions.
The incumbent will develop, implement, and oversee strategies to prevent, detect, investigate, and address fraudulent, wasteful, and abusive activities within the Scheme.
This role is tasked with ensuring compliance with regulatory requirements, maintaining the Scheme's financial integrity, and upholding member and provider trust.
Minimum requirements:
Grade 12
Degree in forensic auditing, forensic accounting, risk management or related fields
5 - 7 years of experience in fraud management/investigations
5 years of experience managing large scale investigations
3 years' experience in a medical aid scheme industry
3 years claims assessing experience
Valid driver's licence and own reliable vehicle
Salary will be determined based on experience.
Please send an updated CV to info@dymaxa.co.za
Closing date:
23 October 2025
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Job Detail
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Job IdJD1559554
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IndustryNot mentioned
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Total Positions1
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Job Type:Full Time
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Salary:Not mentioned
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Employment StatusPermanent
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Job LocationPretoria, GP, ZA, South Africa
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EducationNot mentioned