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  • Posted: Sep 10, 2024
    Deadline: Not specified
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    The Road Accident Fund is a state insurer established by statute, it provides insurance cover to all drivers of motor vehicles in South Africa in respect of liability incurred or damage caused as a result of a traffic collision. Liability incurred in relation to property damage (such as damage to vehicles, buildings, vehicle contents) is excluded from cover.
    Read more about this company

     

    Consultant: Pre-Assessment

    Key Performance Areas

    Pre-Assessment of Prospective Claims

    • Record all the submitted documents for prospective claims.
    • Determine the benefits and the products submitted based on the submitted documents.
    • Assess the submitted documents to determine compliance as per defined processes and rules.
    • Apply compliance and/ lodgment rules in pre-accessing the prospective claim.
    • Identify duplicate claims and linked claims.
    • Examine the prescription of lodgment and apply prescription rules.
    • Verify mortality with Home Affairs
    • Communicate the assessment outcomes to the prospective claimants.

    Quality Assurance

    • Ensure that pre-assessment processes are implemented and maintained at the highest standards.
    • Maintain the implementation an unusual occurrence procedures.

    Administrative Support

    • Document the acknowledged claims.
    • Deal with/and respond to correspondence.
    • Produce documents, briefing papers, reports, and presentations.
    • Assist with typing and editing briefs, technical papers, letters to various parties, and memos.

    Reporting

    • Track and report against set objectives and targets.
    • Report on emerging risks.
    • Provide ad hoc reports on process improvement initiatives.

    Stakeholder Management

    • Maintain healthy relationships with all stakeholders.
    • Follow up and feedback to all stakeholders to keep them updated on the status of a query.
    • Respond to queries within the predefined turnaround times.

    Qualifications

    • Bachelor's Degree/ Advanced Diploma in a related qualification.

    Experience

    • Relevant 3 years’ experience in the claims environment.

    Technical and behavioral competencies required

    • Ability to differentiate different RAF Products
    • Knowledge of Motor vehicle Act
    • Complex problem identification, solving and decision making.
    • Customer value proposition
    • Good financial management skills
    • Strong analytical capabilities
    • Knowledge of Motor Vehicle Accident legislation
    • PFMA knowledge
    • Attention to detail.
    • Planning, Organising and Coordinating
    • Personal Mastery
    • Judgement and Decision Making
    • Ethics and Values
    • Client Service Orientation

    go to method of application »

    Consultant: Legal Costs x3

    Key Performance Areas

    Legal cost management

    • Keep up-to-date wih all incoming claims.
    • Read and interpret claims.
    • Review claims to ensure no fradulant or contradictory claims are made.
    • Determine if a claim requires the services of an attorney.
    • Determine the actual fees due to an attorney for each case.
    • Ensure all payments to attorney’s are fair and reasonable.
    • Consult different service providers to understand where the organisation could save on legal fees..

    Quality assurance

    • Ensure that invoicing processes are implemented and maintained at the highest standards.
    • Maintain the implementation of an unusual occurrence procedures

    Administrative support

    • Deal with/and respond to correspondence.
    • Produce documents, briefing papers, reports and presentations.
    • Assist with typing and editing briefs, technical papers, letters to various parties, and memos.

    Reporting

    • Track and report against set objectives and targets.
    • Report on emerging risks.
    • Provide ad hoc reports on process improvement initiatives.

    Stakeholder management

    • Maintain healthy relationships with all stakeholders.
    • Follow up and feedback to all stakeholders to keep them updated on the status of a query.
    • Respond to queries within the predefined turnaround times.

    Qualifications

    • Bachelor’s Degree/Advanced Diploma in a related qualification.

    Experience

    • Relevant 3 years’ experience in an insurance, legal or accounting related environment.

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    Officer: Legal Administration (x4)

    Key Performance Areas

    Legal Administration

    • Transcribe and proof-read legal documents for settlement discussions.
    • Collate all the directives and update on the case file database.
    • Retrieval of information at all times as requested in the office.
    • Administer process relating to the arbitration of disputes between parties.
    • Briefing experts for purposes of administering the claims.
    • Administer hearings sessions to ensure that all parties and present information or evidence relative to claims is obtained.
    • Ensure confidentiality of all documents under control and that documentation reaches the intended recipients.
    • Follow-up on outstanding matters on behalf of the Legal Administration department in the office.
    • Document the proceedings and follow up on the action log relation to the settlement of the claim’s discussion.
    • File all settlement agreements.

    Block Settlements

    • Arrange meetings for block settlements.
    • Management of court documentation and filing.
    • Diarise and monitor court processes.
    • Narrate and provide clarity on the assessment and determination on the claims offer done

    Reporting

    • Contribute to the preparation and submission of reports.
    • Report regularly and periodically perform necessary submissions as and when required to provide progress updates and/or inform management decisions.

    Stakeholder Management

    • Aid in proactive and progressive relationships with key stakeholders.
    • Deal with inquiries and requests for information from both internal and external stakeholders.

    Qualifications

    • Bachelor's degree in law or equivalent.

    Experience

    • Relevant 3 years’ experience in a Legal Administration related environment

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    Consultant: Verification and Validation (x2)

    Key Performance Areas

    Verification and Validation.

    • Apply sound legal RAF Act and Regulations to Act, Case Law) knowledge on daily basis to validate claims.
    • Search for and apply relevant Case Law during verification and validation.
    • Determine the need to call in the injured for questioning in line with the RAF act.
    • Apply RAF procedures to validate the claims.
    • Assess duplicate claims to address mandates and minimise further processing of duplicate claims.
    • Examine and apply the prescription of rules at the claim and product level.
    • Verify data and information with relevant stakeholders.
    • Assess the validity of death benefits products to determine locus standi.

    Quality Assurance

    • Maintain and update necessary reporting standards as per standard operating procedure.
    • Adequate and sound quality assurance.
    • Ensure that verification and validation are maintained at the highest standards.
    • Maintain the implementation of an unusual occurrence procedure.

    Administrative Support

    • Document the acknowledge pre assessed claims.
    • Deal with/and respond to correspondence.
    • Produce documents, briefing papers, reports, and presentations.
    • Assist with typing and editing briefs, technical papers, letters to various parties, and memos.

    Stakeholder Management

    • Maintain healthy relationships with all stakeholders.
    • Follow up and feedback to all stakeholders to keep them updated on the status of a query.
    • Respond to queries within the predefined turnaround times.

    Reporting

    • Track and report against set objectives and targets.
    • Report on emerging risks.
    • Provide ad hoc reports on process improvement initiatives.

    Qualifications

    • Bachelor's Degree/ Advanced Diploma in a related qualification.

    Experience

    • Relevant 3 years’ experience in the claims enviroment.

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    Officer: Occupational Health & Safety

    Key Performance Areas

    Contribute to OHS strategies

    • Contribute to the development and maintenance of OHS strategy
    • Proactively promote the OHS of all employees, visitors and contractors.
    • Develop and maintain the OHS and safety strategies through facilitation.
    • Development of effective codes and standards to address occupational health and safety hygiene.
    • Benchmark and research.
    • Analyse and compile OHS reports.
    • Write executive OHS summaries.
    • Develop and implement National Occupational Disease prevention programme

    OHS and Contingency Planning

    • Conduct threat/ risk analysis and recommend proactive and reactive plans.
    • Conduct fire risk assessment in order to develop fire prevention strategy and program.
    • Develop and implement contingency plan.
    • Participate in emergency management committee and organize such meetings.
    • Liaise with fire department, disaster management centre and SAPS on evaluation and endorsement of the contingency plan.
    • Review and update contingency plan on annual basis.
    • Co-ordinate emergency/ fire drill evacuation at least once a year.

    Conduct OHS special investigations and reporting

    • Investigate all OHS incidences.
    • Report all incidences to Facilities/OHS and Administration Manager.
    • Record all OHS incidences to incident register.
    • Conduct incident investigations on reportable incidents

    Perform OHS audits

    • Participate in establishing OHS audit schedule.
    • Conduct internal audits, workplace  inspections and investigate complaints.
    • Regularly evaluate the risks associated with  business activities.
    • Analyse trends and feedback obtained through incident/ audit reports.

    Workers compensation/injury management

    • Ability to maintain confidentiality at all times.
    • Process workers Compensation claims.
    • Liaise with rehabilitation specialists, HR and EWS to ensure documentation and application of rehabilitation procedures are followed.
    • Conduct incident and accident
    • investigations and compile a report
    • Education, training and induction of all employees.
    • Participate in the review of relevant policies and procedures

    OHS Champions management

    • Ensure OHS committee members attend meetings
    • Train OHS/ committee members & employees and conduct awareness programs.
    • Ensure that tasks are being performed and that the representatives follow the correct procedures.
    • Training of all personnel to ensure that they    are aware of their functions.
    • Ensure monthly meetings with organized  labour and Committee Chairpersons to discuss OHS matters.

    Qualifications and Experience

    • Bachelor’s Degree in Occupational Health and Safety related qualification.
    • Certificate in First aid training
    • Certificate in Firefighting training
    • Certificate in SAMTRAC would be an added advantage
    • Relevant 3 years working experience in Occupational Health and safety related environment
    • Experience of the OHS Act, SABS and ISO 2001 regulations

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    Manager: Tariff & Pharmaceuticals

    Key Performance Areas

    Develop and Update Medical Tariffs and Relate Pricing

    • Serves as a medical expert and provide clinical leadership within the medical advisory team. 
    • Analyse clinical research data.
    • Provide clinical support to the clinical research team responses to all clinically related queries of RAF stakeholders e.g. attorneys, hospitals, etc.
    • Check medical trends, experience and approaches and provide recommendations to the Senior Manager: Medical Advisory Management.
    • Assist in the development of clinical work templates.
    • Develop & implement health education programs for claimants and relevant stakeholders.

    Develop Pharmaceutical Benefit Management (PBM) and Related Tools

    • Update and manage tools for managing acute and chronic medication.
    • Provide training and support to medical management in the use of PBM tools and decision making aligned to regulated rates

    Clinical Research, Expertise and Support within the Clinical Research Team

    • Serves as a medical expert and provide clinical leadership within the medical advisory team.
    • Analyse clinical and pharmaceutical research data.
    • Provide clinical support to the clinical research team responses to all clinically related queries.
    • Review medical trends, experience and approaches and provide recommendations to the Senior Manager.
    • Assist in the development of clinical work templates.

    Policy Review and Implementation

    • Update and develop medical tariffs based on healthcare policies in line with clinical development.
    • Provide training and support to medical management in the use of medical tariffs and decision making aligned to regulated rates.
    • Assist in managing decisions, actions, clinical information, communication and support related to claims processes, treatment and procedure.
    • Develop and update medical tariffs for the RAF to assist in reduction of medical costs.

    Stakeholder Management

    • Liaise with key external and internal service providers on Medical Tariffs and drive adoption and adherence.
    • Build collaborative working relationships with medical management for implementation purposes.
    • Use clinical acumen to build and function in strong teams to ensure high performance.

    Reporting

    • Collection of patient statistics to inform future decisions.
    • Compile monthly reports.
    • Develop and implement health education programs for claimants and relevant stakeholders.

    People Management

    • Ensure the sourcing, development and retention of a high-performance team.
    • Manage staff in the department to ensure that they achieve their objectives in line with the strategic objectives of the RAF. Manage the implementation of human capital processes and
    • procedures to control/ regulate workplace conflict and/or institute corrective measures and consultation processes to address deviations from standards.
    • Allocate, direct, motivate and evaluate subordinates to help them achieve their individual goals.

    Qualifications and Experience

    • Medical Degree (MBChB) or equivalent.
    • Registration with the HPCSA as a Medical Doctor.
    • Certificate in Evidence Based training (PTCMA) or Health Technology assessment (HTA) training or in progress of obtaining the qualification advantageous
    • Postgraduate qualification will be advantageous.
    • Relevant 6 - 8 years’ experience as a medical doctor in a managed care/ insurance/ healthcare environment, medical advisory work of which 2 years’ experience must have been on a management/ supervisory level/ area of expertise.
    • Experience in the development and application of medical tariffs, pharmaceutical drug reviews policies, and working with a multi-disciplinary team of researchers to develop the medical tariffs.

    go to method of application »

    Consultant: Invoicing x3

    Key Performance Areas

    Invoicing

    • Keep client information details up-to-date.
    • Create and send invoices and statements to clamaints.
    • Check data input to ensure the accuracy of the final bill.
    • Track payments and ensure that the cash flow into the company is profitable and does not result in losses for the organisation.
    • Report issues or irregularities where necessary.
    • Fix billing errors by issuing debit and credit memos.
    • Initiating new procedures for billing where gaps are identififed.
    • Recover any outstanding debts owed to the organisation as a resut of over or double payment.
    • Provide payout progress.
    • Categorise received Invoices by type.
    • Validate the details of supplier claim or supplier invoice.
    • Effective invoicing.
    • Validate the expert invoice and expert details.
    • Conduct duplicate checks on all invoices before issueing.

    Quality assurance

    • Ensure that invoicing processes are implemented and maintained at the highest standards.
    • Maintain the implementation of an unusual occurrence procedures

    Administrative support

    • Deal with/and respond to correspondence.
    • Produce documents, briefing papers, reports and presentations.
    • Assist with typing and editing briefs, technical papers, letters to various parties, and memos. 

    Reporting

    • Track and report against set objectives and targets.
    • Report on emerging risks.
    • Provide ad hoc reports on process improvement initiatives.

    Stakeholder management

    • Maintain healthy relationships with all stakeholders.
    • Follow up and feedback to all stakeholders to keep them updated on the status of a query.
    • Respond to queries within the predefined turnaround times.

    Qualifications

    • Bachelor’s Degree/Advanced Diploma in a Finance related qualification.

    Experience

    • Relevant 3 years’ experience in a invoicing or accounting related environment.

    go to method of application »

    Occupational Therapist

    Key Performance Areas

    Review. Align and Update Existing OT related Tariffs including In-Built Rules Applicable to OT Profession

    • Review and identify gaps in the existing OT tariffs.
    • Align the updated tariff to the developed evidence-based treatment protocols.
    • Develop in-built rules and align them with the updated tariff.

    Define and Develop Evidence Based Treatment Protocols in Respect of the Categories Injuries

    • Define Treatment protocol framework comprising of clinical policies, processes and guidelines.
    • Ensure that associated treatment protocols are identified for each case.
    • Develop associated treatment plan templates which accommodates the following codes: ICD10 codes, CPT codes and NAPPI codes (cross walks).
    • Organise for review of the protocols, guidelines and tariffs by relevant specialist in the field
    • Ensure that treatment protocols are designed to assist patients to get back to their maximum potential in both work and sport, including adaptation to permanent disabilities.
    • Develop processes for implementation for assessing clinical functions to:
    • Conduct assessments to measure physical and functional abilities.
    • Plan and directs specific therapeutic/rehabilitative programs.
    • Select and designs a variety of activities that assist an affected movement or function.
    • Assist patients to gain or regain skills in social, leisure and work environments through graded individual and group therapy and activity programs.
    • Monitor the progress of patients and adjust treatment programme where required.

    Draft Clinical Guidelines and Processes

    • Draft concrete and specific guidelines to assist the medical/ rehabilitation staff on what type of care that should be provided.
    • Visit work employees work places and homes to plan rehabilitation and re-intergration.
    • Work as a member of a holistic rehabilitation team.
    • Devise procedures and standards for treatment and exercise programs.
    • Provide guidelines for need for appropriate orthopaedic assistive devices.
    • Research, benchmark best practice for vocational rehabilitation.
    • Draft guidelines for vocational rehabilitation and return to work.

    Policy Review and Implementation

    • Contribute to the development and implementation of departmental policy, procedures and processes.
    • Keep up to date with effective policy and practice execution strategies.

    Stakeholder Management

    • Consult with relevant stakeholders (Professional Bodies) on a regular basis to keep up with industry updates, eg. OTASA
    • Ensure stakeholder awareness and buy-in on the new protocols being developed.
    • Develop reports/ procedures and guide the process through the alignment of the documents to the overall RAF’s Strategy.
    • Develop functional reporting systems, for management, projects or performance reporting.
    • Prepare proposals, briefings, presentations, reports, and other documentation and provide management information both verbally and in report format.

    Reporting

    • Collect patient statistics to inform future decisions
    • Compile monthly reports
    • Develop & implement health education programs for claimants and relevant stakeholders
    • Ensure processes are in place to have accurate and timeous patient data and information.

    Qualifications and Experience

    • Bachelor’s Degree/ Advanced Diploma in Occupational Therapy related qualification.
    • Valid registration with the HPCSA as an Occupational Therapist.
    • A qualification in evidence-based medicine and/or treatment protocol development will be advantageous.
    • Relevant 5 - 7 years’ experience in the field of Occupational Therapy.
    • Experience in Vocational Rehabilitation and Return to work guidelines.
    • Experience in defining and developing evidence-based treatment protocols of Occupational Therapy-related treatment protocols
    • With experience working with ICD 10 codes, CPT codes, NAPPI codes Experience in Functional Capacity Evaluation and associated reports and tariffs applicable.
    • Experience in Vocational Rehabilitation, Community or Home-based Occupational Therapy, with a good understanding of issues of access, affordable and reasonable Home Modifications necessary for people living with disabilities.

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    Specialist: Network & Security Operations

    Key Performance Areas

    Policy review and implementation

    • Contribute to the development and implementation of departmental policy, procedures and processes.
    • Keep up to date with effective policy and practice execution strategies.

    Network planning, design and administration.

    • Plan and maintain connection to/ from different sites (WAN)
    • Plan and maintain LAN within a Branch.
    • Plan and maintain of backup links
    • Planning and design of new branches and offices
    • Design and implementation of remote access solutions.

    Network Installation/Configuration

    • Installation of Network Equipment (Cabinets, routers, switches)
    • Installation of RAS networking
    • Installation of wireless networking
    • Installation of network software Firmware)
    • Setup of network management server (adding/ removing of network items on management database)
    • Setup of QOS (quality of service) on links using layer for switching
    • Network Protocols

    Network Monitoring

    • Monitor WAN/LAN (links, usage, updown times, availability)
    • Engage network providers when the network lines are down
    • Monitor internet Links
    • Monitor backup links
    • Monitor network traffic
    • Monitor Firewall logs

    Network uptime and availability

    • Prepare Implement and maintain network redundancy and virtualization
    • Ensure network components and configuration information is backed up regularly
    • Ensure sufficient capacity and forecasting.

    Firewall and Infrastructure security related services

    • Manage and configure Firewall and all Infrastructure security tools.
    • Activate firewall logs on the firewall tools and extract them for further analysis by ICT Security team.
    • Identify unused firewall rules for cleanup.
    • Install and configure network security infrastructure devices.

    Ensure that change management and governance processes are adhered to

    • Adhere to the IT change management methodology for RAF.
    • Develop test plans for the proposed solution.
    • Implement network changes in line with best practices and set policies/standards/procedures
    • Monitor and report any discrepancies on the network implemented changes.

    Stakeholder management

    • Facilitate and manage communication with relevant internal and external stakeholders and proactively and progressively manage the relationships.
    • Communicate with all levels of stakeholder contact.
    • Represent the Fund in relevant external activities and events.

    Reporting

    • Track and prepare the project status report on the progress of the implementation of reporting requirements.
    • Analyse the incidents & assist network administrator to prepare incident analysis report.
    • Develop reports/ procedures and guide the process through the alignment of the documents to the overall RAF’s Strategy.

    Qualifications and Experience

    • Bachelor’s Degree/Advanced Diploma in Information Technology related qualification.
    • Certified Cisco Network Professional (CCNP)
    • Certified Cisco Security Professional (CCSP)
    • Certified Operational framework like ITIL v4 process.
    • Cisco Certified Internetwork Expert (CCIE) is an added advantage.
    • Relevant 5-7 years+ experience in Networking and Security environment.
    • Experience in Cisco firewall implementation and management.
    • Experience in full implementation of secure corporate network.
    • Experience in deployment of Cloud platform network services i.e. SDWAN is an added advantage.
    • Extensive knowledge of network configuration, routing, switching, data communications and network tools
    • Experience in identification of network related weaknesses or inefficiencies.
    • Expertise to secure computer network by enforcing policies and defining monitoring methods and access.
    • Experience in network capacity management and forecasting.

    go to method of application »

    Manager: Medical Management

    Key Performance Areas

    Policy Review and Implementation

    • Contribute to the development and implementation of claims medical operations policy, procedures and processes.
    • Keep up to date with effective claims
    • operations policy and practice execution strategies.

    Medical Management

    • Manage medical assessments including injury assessments of past and future medical care, preauthorization and clinical coding.
    • Manage the assessment of the seriousness of medical injuries and determination of future care.
    • Manage the implementation of the tariff, cost savings initiative recording and treatment protocol to ensure that all service providers adhere to the rules, and the tariff as guided by the RAF.
    • Review assessment reports  and provide recommendations.

    Exception handling

    • Develop tracking methods to report analysis results in business case scenarios.
    • Manage the development  and maintenance  of  formal  exception handling process within the medical management unit.
    • Management of supporting policies and procedures in line with managing exception handling with the division 
    • Represent  the  Fund  in  relevant

    Reporting

    • Prepare and submit regulation reports as and when required to provide progress updates and/or inform management decisions.
    • Develop reports/ policies/ procedures and guide the process through the alignment of the documents to the overall RAF’s Strategy.

    Stakeholder management 

    • Facilitate and  manage communication with relevant internal and external stakeholders proactively   and   progressively manage the relationships.
    • Communicate with all levels of stakeholder contact.
    • Represent  the  Fund  in  relevant external activities and events.

     People Management

    • Facilitate  and manage communication with relevant internal and external stakeholders proactively   and   progressively manage the relationships.
    • Communicate with all levels of stakeholder contact.
    • Represent  the  Fund  in  relevant external activities and events.

    Qualifications and Experience

    • Bachelor’s Degree/Advanced Diploma in Health Sciences or Medical  related qualification.
    • Postgraduate in a Health Sciences or Medical related qualification will be an added advantage.
    • Registration with HPCSA/SANCA.
    • Relevant 6-8 years’ experience in a Medical Management related environment of which 2 (two) years must have been on a management/supervisory level/area of expertise.

    go to method of application »

    Consultant: Pre-Assessment - JHB

    Key Performance Areas

    Pre-Assessment of Prospective Claims

    • Record all the submitted documents for prospective claims.
    • Determine the benefits and the products submitted based on the submitted documents.
    • Assess the submitted documents to determine compliance as per defined processes and rules.
    • Apply compliance and/ lodgment rules in pre-accessing the prospective claim.
    • Identify duplicate claims and linked claims.
    • Examine the prescription of lodgment and apply prescription rules.
    • Verify mortality with Home Affairs
    • Communicate the assessment outcomes to the prospective claimants.

    Quality Assurance

    • Ensure that pre-assessment processes are implemented and maintained at the highest standards.
    • Maintain the implementation an unusual occurrence procedures.

    Administrative Support

    • Document the acknowledged claims.
    • Deal with/and respond to correspondence.
    • Produce documents, briefing papers, reports, and presentations.
    • Assist with typing and editing briefs, technical papers, letters to various parties, and memos.

    Reporting

    • Track and report against set objectives and targets.
    • Report on emerging risks.
    • Provide ad hoc reports on process improvement initiatives.

    Stakeholder Management

    • Maintain healthy relationships with all stakeholders.
    • Follow up and feedback to all stakeholders to keep them updated on the status of a query.
    • Respond to queries within the predefined turnaround times.

    Qualifications

    • Bachelor's Degree/ Advanced Diploma in a related qualification.

    Experience

    • Relevant 3 years’ experience in the claims environment.

    Technical and behavioral competencies required

    • Ability to differentiate different RAF Products
    • Knowledge of Motor vehicle Act
    • Complex problem identification, solving and decision making.
    • Customer value proposition
    • Good financial management skills
    • Strong analytical capabilities
    • Knowledge of Motor Vehicle Accident legislation
    • PFMA knowledge
    • Attention to detail.
    • Planning, Organising and Coordinating
    • Personal Mastery
    • Judgement and Decision Making
    • Ethics and Values
    • Client Service Orientation

    go to method of application »

    Pharmacist

    Key Performance Areas

    Pharmacology Treatment Protocol Development

    • Evaluate scientific evidence in order to select appropriate drugs to support protocol development.
    • Assess the effectiveness of new treatments.
    • Utilise evidence-based clinical and research data to create drug utilisation related programs that improve patient quality of life.

    Patient Safety and Quality Assurance

    • Analyze utilization patterns and inform on best practice.
    • Identify prescription related problems drug/drug interaction, allergies, under or over-dosages
    • Provide input to the drug utilization and drug monitoring program.

    Provide Input to Pharmacy Benefit Design

    • Assist in the development of a  drug formulary or approved medication list for the Road Accident Fund.
    • Create a RAF participating’ pharmacy list.
    • Provide input in medical tariffs.

    Policy Review and Implementation

    • Contribute to the development and implementation of departmental policy, procedures and processes.
    • Keep up to date with effective policy and practice execution strategies.

    Stakeholder Management

    • Engage with relevant stakeholders (Professional Bodies) on a regular basis to keep up with industry updates.
    • Ensure stakeholder awareness and buy-in on the new protocols being developed.
    • Work in progress to be presented to the RAF team in order to get input.
    • Provide concrete and specific guidance to the clinical research project on cost effective and responsible drug use.

    Reporting

    • Collect relevant statistics to inform future decisions
    • Provide input to the compilation of monthly reports.
    • Ensure processes are in place to have accurate and timeous information on drug utilisation.
    • Perform administrative duties as and when required.

    Qualifications and Experience

    • B. Pharm degree or equivalent.
    • Registered with the South African Pharmacy Council, as a Pharmacist.
    • Certificate in Evidence Based training (PTCMA) OR Health Technology Assessment Training (HTA) will be advantageous.
    • Relevant 5 - 7 years’ experience as a pharmacist of which 2 years must have been within a Medical Aid / Managed Healthcare environment.
    • With experience working with ICD 10 codes, CPT codes and NAPPI codes.
    • Experience working within South African regulatory bodies.

    go to method of application »

    RAF Attorney: High Court x2

    Key Performance Areas

    Policy Review and Implementation

    • Contribute to the development and implementation of departmental policy, procedures and processes.
    • Keep up to date with effective policy and practice execution strategies.

    Preparation and Research on Related Litigation Matters

    • Conduct research that will provide information in preparation for all matters for trial.
    • Consult with client departments/ representatives, and witnesses for instructions and documentation for cases to be presented in Court.
    • Draft pleadings to provide clear motivation/justification on a particular position about the case.

    Mediation Process

    • All required steps regarding the mediation process, as governed by the amendment to the rules of court, are to be taken.
    • Upon conclusion of the mediation, parties shall inform Registrar and all other parties by a notice that Mediation is completed.
    • Parties & Mediator must within 5 days of completion of mediation issue a joint minute indicating.

    Represent the Road Accident Fund on all third party claims related litigation matters

    • Attend court appearances in all allocated third-party litigation matters.
    • Ensure file administration from opening to the conclusion of a legal case including adherence to trial dates.
    • Handle appearances at courts, tribunals, mediation hearings and inquiries.
    • Coordinate administrative legal actions to ensure compliance.
    • Approve instructions to appoint and instruct expert witnesses.

    Settle non-litigious matters before they are set down for trial

    • Block consultation, early assessment of files, and early instructions to experts and assessors.
    • Approve requests to appoint and instruct assessors and expert witnesses. 
    • Recommend a settlement.

    Provision of legal advice to RAF

    • Provide legal advice on arising legal matters and contracts.
    • Provide well-researched legal advice on matters impacting the organisation.
    • Conduct legal research and prepare legal opinions.

    Taxation

    • Deliver a full range of tax services in compliance with laws and regulations.
    • Build relationships and interact with clients to provide consulting and expertise in tax services.
    • Provide innovative tax planning and review complex income tax returns

    Reporting

    • Prepare and submit regulation reports as and when required to provide progress updates and/or inform management decisions.
    • Develop reports/ policies/ procedures and guide the process through the alignment of the documents to the overall RAF’s Strategy.
    • Develop functional reporting systems, for management, projects or performance reporting.
    • Prepare proposals, briefings, presentations, reports, and other documentation and provide management information both verbally and in report format.

    Stakeholder Management

    • Facilitate and manage communication with relevant internal and external stakeholders in relation to investments and proactively and progressively manage the relationships.
    • Manage relationships with vendors, service providers or procurement teams and ensure that all relevant procured items are invoiced and paid on time.
    • Communicate with all levels of stakeholder contact.

    People management

    • Ensure the sourcing, development and retention of a high-performance team.
    • Manage the recruitment of the operational workforce in line with employment equity targets.
    • Manage staff in the department to ensure that they achieve their objectives in line with the strategic objectives of the RAF.
    • Manage the implementation of human capital processes and procedures to control/regulate workplace conflict and/or institute corrective measures and consultation processes to address deviations from standards.
    • Allocate, direct, motivate and evaluate subordinates to help them achieve their individual goals.

    Qualifications

    • Bachelor’s Degree in Law or equivalent.
    • Postgraduate in Law or equivalent.
    • Admission as an Attorney of the High Court or Advocate.
    • Right of appearance in the High Court.

    Experience

    • Relevant 5-7 years legal experience post-graduation or admission of which 2 years must have been on area of expertise (personal injury litigation).

    Method of Application

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