Latest Recruitment at Discovery Limited

Key Purpose:

The successful candidate will be responsible for driving in-hospital effectiveness and high-quality hospital engagement for Hospital Benefit Specialists across the country based in regional hospitals, in order to facilitate the achievement of reduction of inappropriate admissions. This role forms part of the In Hospital stream within the Discovery Care division. We are looking for an energetic and resilient individual, with a passion for enabling the success of others to join our team. Experience of Onsite Case Management is advantageous but not required.
Areas of responsibility may include but not limited to:

The successful candidate will be required to but not limited to the following key outputs:

• On the Job Training and coaching/ development of the Hospital Benefit Specialists.
• Conducting needs assessments with respect to knowledge & skills gaps across the team and working with the Field Force Enablement team and Care trainer t ensure these needs are met.
• Spending on average 4 days per week in the field coaching and working with the Hospital Benefit Specialist team.
• Contribute to the design and execution of appropriate assessment activities across all roles within the Hospital Benefit Specialists.
• Maintain an external network to stay close to industry, risk trends and best practice.
• Monitor and prepare annual budget for all enablement-related activities including training and development, in collaboration with the Departmental Manager for the area.

Change Management:

• Design and management of change management strategies to support the adoption and utilization of new tools, offerings and structures rolled out to the Onsite Case Management teams.
• Ensure appropriate reporting and monitoring in place to track the outcome of these strategies.
• Research best practice with respect to effective change management with a view to introducing new and innovative approaches to our team.

Onsite Case Management effectiveness in line with enablement strategies:

• Work closely with the Functional stream and Risk Division to identify and execute on strategies to improve productivity and effectiveness in the hospitals.
• Research and recommend new tools to enhance the quality of in hospital interactions.
• Contribute to the hospital segmentation and targeting process.
• Contribute to the design of appropriate Hospital Benefit Specialist incentive schemes, in collaboration with Functional Stream and Operational stakeholders aligned to business priorities.
• Contribute to the implementation and roll-out plan for the onboarding programme for Hospital Benefit Specialists, working closely with Discovery People and the Onsite trainer.

Internal and external stakeholder relationships:

• Provide input to other business areas as subject matter expert on Hospital Benefit Specialist analysis by providing insights on all aspects of the Onsite enablement model and how this has been implemented.
• To drive the vision and understanding of the Onsite enablement function across relevant stakeholders in business
• Maintain Relationships with Risk, Functional Stream and Hospitals.

N.B. Location: Must be based in Gauteng 

Competencies:
The successful candidate will be required to demonstrate the following critical competencies:

• Dealing with Ambiguity
• Business Acumen
• Caring about direct reports
• Conflict Management
• Interpersonal Savvy
• Negotiating
• Drive for results

Education and Experience:

• Matric
• Registered Nurse or equivalent

Experience:

• Background and work experience in Case Management would be advantageous but is not essential
• Leadership experience of 2 years
• In-hospital experience of 1 year
• Discovery Health experience of 1 year (Advantageous)
• Operational Experience (Advantageous)

Skills Required:

• Analytical & reporting skills
• MS office – Strong PowerPoint and Excel skills
• Relevant coaching and team development skills
• Advanced interpersonal relationship skills
• Conflict Management skills

Knowledge that would be advantageous:

• Operational management & servicing principles
• Healthcare legislation and industry knowledge
• Experience with knowledge of Discovery Products and processes preferable

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.

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Key Purpose:

To accurately review and assess In Hospital related queries and updates, in line with Discovery Health products and in accordance with benefit entry criteria and established protocols.

Key outputs:

The successful applicant will be responsible for but not limited to the following job functions:

• Dealing with all IH queries and escalations through to resolution
• Enforcing policy, protocol and benefits decisions
• Answering inbound calls timeously
• Meeting daily Operational Targets, TWT, Hunt line SLA etc.
• Ad Hoc duties based on business requirements
• Communicating effectively and accurately, progress, outcomes to complainants verbally and in writing
• To liaise with relevant stakeholders involved in the member’s care to ensure the best possible member journey

Skills ;

• Adapts interpersonal style to suit different people or situations
• Adapts to changing circumstances
• Assertive and confident
• Attention to detail
• Customer focused
• Demonstrates integrity
• Shows urgency and passion for servicing

Behavioral Attributes:

• Action Oriented - Enjoys working hard; is action oriented and full of energy for the things he/she sees as challenging; not fearful of acting with a minimum of planning; seizes more opportunities than others.
• Dealing with Ambiguity - Can effectively cope with change; can shift gears comfortably; can decide and act without having the total picture; isn't upset when things are up in the air; doesn't have to finish things before moving on; can comfortably handle risk and uncertainty.
• Integrity and Trust - Is widely trusted; is seen as a direct, truthful individual; can present the unvarnished truth in an appropriate and helpful manner; keeps confidences; admits mistakes; doesn't misrepresent him/herself for personal gain.
• Learning on the Fly - Learns quickly when facing new problems; a relentless and versatile learner; open to change; analyzes both successes and failures for clues to improvement; experiments and will try anything to find solutions; enjoys the challenge of unfamiliar tasks; quickly grasps the essence and the underlying structure of anything.
• Organizational Agility - Knowledgeable about how organizations work; knows how to get things done both through formal channels and the informal network; understands the origin and reasoning behind key policies, practices, and procedures; understands the cultures of organizations.
• Perseverance - Pursues everything with energy, drive, and a need to finish; seldom gives up before finishing, especially in the face of resistance or setbacks.
• Written Communications - Is able to write clearly and succinctly in a variety of communication settings and styles; can get messages across that have the desired effect.

Qualification & experience:

The following requirements are essential:

• Matric
• Nursing Qualification (Enrolled/Professional Nurse)
• Valid SANC Registration
• Discovery Health working experience in a clinical role
• Discovery Health products and system knowledge
• PMB Legislation Knowledge
• Analytical Skills
• Effective Communication Skills (Written & Verbal)
• MS Office

The following requirements are advantageous:

• 1 year CRM Experience
• Discovery Health Pre-Authorizations working experience
• 3-6 months consistent on/above par performance

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.

go to method of application »

Key Purpose of the role

This Learnership leads to a nationally recognised FETC: Long Term Insurance NQF Level 4 qualification; which consists of structured learning components combined with practical/workplace experience in the Financial Services industry.

Areas of responsibility may include but not limited to

Long Term Insurance – Discovery Health:

Call Centre: Medical Aid client servicing, claims, new business and health benefits administration

Personal Attributes and Skills

• Innovative/ critical thinking/ and problem solving skills
• Good attention to detail and levels of accuracy
• Sets high standards for quality and quantity and works in a systematic, methodical and orderly manner.
• Time management and planning skills
• Ability to effectively prioritize and execute tasks in a high pressure environment
• Ability to work independently and in a team orientated environment
• Service driven, a sense of urgency and a team player.
• Adapts to changing circumstances and handles criticism well and learns from it.

Education and Experience

Grade 12 is essential.

• Maths (Minimum Level 4 – 50%)
• English (Minimum Level 4 – 50%)
• Maths Literacy (Minimum Level 5 - 60% )
• 2nd language (Minimum Level 4 – 50%)

May have an incomplete tertiary qualification (advantage)

Specific Requirements:

• Not be engaged in post Matric studies or formal employment;
• Not have completed any previous Learnership.
• Be between the ages of 18 and 25 years;
• Have effective communication skills in the written & verbal English language;
• Possess basic computer skills mainly MS Excel & MS Outlook