Job Description

Closing Date 2023/10/06
Reference Number MMH230601-16
Job Title Technical Specialist
Position Type Permanent
Role Family Medical
Cluster Health Solutions
Remote Opportunity Some of the time
Location - Country South Africa
Location - Province KwaZulu-Natal
Location - Town / City Durban
Introduction

Through our client-facing brands Metropolitan and Momentum, with Multiply (wellness and rewards programme), and our other specialist brands, including Guardrisk and Eris Property Group, the group enables businesses and people from all walks of life to achieve their financial goals and life aspirations.

We help people grow their savings, protect what matters to them and invest for the future. We help companies and organisations care for and reward their employees and members. Through our own network of advisers or via independent brokers and utilising new platforms Momentum Metropolitan provides practical financial solutions for people, communities, and businesses.
Role Purpose

Providing technical support within the Clinical Modernisation Team of the Health Operations business Unit.
Requirements

QUALIFICATIONS

• Matric as a minimum
• National Diploma or B-Degree advantageous

EXPERIENCE

• 5+ yearsxe2x80x99 experience in the Healthcare Industry is preferable
• Sound experience in the Healthcare Administration Industry (especially Health Risk Management, Claims Payment Processes and Switch interactions)
• Comprehensive knowledge on the MHS systems (inclusive of Chroniline)
• Coaching / mentoring more junior team members
• Extensive knowledge & technical switching and funder application integration is non-negotiable

ATTRIBUTES

• A good working knowledge of MS Office (Outlook, Word, Excel and Powerpoint)
• A good working knowledge of the CMS accreditation standard and implementation process (regarding Scheme Benefit Design Implementation xe2x80x93 Payment matrices, Switch indicators, Benefit mapping, etc.)
• Well-developed communication skills (both Written & Verbal)
• Proven technical ability
• Sound analytical and problem solving skills
• Quality orientation and attention to detail
• Teamwork orientation
• Ability to coach and mentor a team
• Excellence planning and organization skills with the ability to make decisions
• Effective interpersonal skills to build and maintain effective working relationships at all levels (internal and external)
• Innovative

Duties & Responsibilities

DEVELOP AN UNDERSTANDING OF INTERNAL ENVIRONMENT IN LINE WITH BUSINESS REQUIREMENTS

INTERNAL PROCESSES

1. Provide project and second level support
2. Performing user application triaging and problem solving related authorization claims matching issues
3. Monitoring of Production processes after go-live
4. Assisting with training briefing for work delivered by projects
5. Assisting with the content of training materials for Learning & Development and various operational units
6. Assist with the drafting of specification documentation and enhancements required in Processes and systems across the health ecosystem
7. Receiving Health Operational queries and operational problems, providing solutions and feedback to end users and the business
8. Ad hoc queries
9. Logging Jiraxe2x80x99s and collaboratively solving problems and following up
10. Liaison with BSS and business
11. Monitoring workflow and operational processes and reports
12. Review conformance reports to detect operational process anomalies and share trends with core operational stakeholders
13. Contributing to regular Business Unit and Scheme reports
14. Improving and automating reporting functionality to limit the need for manual intervention

ENABLE CLIENT CENTRICITY WITHIN AREA OF RESPONSIBILITY

CLIENT SERVICES

1. Build and maintain relationships with clients and internal stakeholders
2. Deliver on service level agreements applicable to clients and internal and external stakeholders in order to ensure that client expectations are managed
3. Make recommendations to improve client service and fair treatment of clients within area of responsibility
4. Participate and contribute to a culture which builds rewarding relationships, facilitates feedback and provides exceptional client service
5. Continuously monitor turnaround times and quality standards and resolve issues speedily to enhance client service delivery
6. Drive client service delivery goal achievement in line with predefined standards in order to ensure that clients receive appropriate advise and after sales service
7. Manage client query processes and ensure that queries are tracked, accurately resolved and used as a mechanism to improve client service and business processes

SELF MANAGEMENT AND TEAMWORK

PEOPLE

1. Build strong relationships through providing specialist know-how and leadership to others, expressing positive expectations
2. Continuously develop own expertise in terms of industry and subject matter development and application thereof in an area of specialisation
3. Positively influence and manage change and offer specialist support where required
4. Contribute to continuous innovation through the development, sharing and implementation of new ideas and involvement of colleagues and staff
5. Participate and contribute to a culture of work centric thinking, productivity, service delivery and quality management
6. Take ownership for driving career development

CONTRIBUTE TO FINANCIAL CONTROLS AND PLANNING

FINANCE

1. Contribute to the development of area specific budgets to minimize expenditure, in alignment with operational plans
2. Identify solutions to enhance cost effectiveness and increase operational efficiency
3. Implement and provide input into governance processes, systems and legislation within area of specialisation
4. Escalate unresolved policy and governance compliance issues via appropriate channels for investigation and resolution purposes
5. Provide input into the risk identification processes development and communicate recommendations in the appropriate forum
Competencies

• Business Acumen

• Client Commitment

• Drive for Results

• Leads Change and Innovation

• Collaboration

• Impact and Influence

• Self- Awareness and Insight

• Diversity and Inclusiveness

Policy

We are committed to Employment Equity, diversity and inclusion when recruiting internally and externally. All appointments are made in alignment to our Employment Equity goals and we encourage people with disabilities to apply.

Momentum Metropolitan