Introduction
Momentum Health, an entity of Momentum Group delivers sustainable, integrated health solutions that meet the needs of clients in the different segments and maximise lifetime client value. We build and maintain a culture of innovation, and create value through unique insights of how to achieve specific outcomes by using a defined set of Health capabilities.
Disclaimer
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Role Purpose
To work at the strategic interface between key clients, solution design and health risk management execution capabilities for the purpose of client-centric solution discovery, service management, risk management and relationship management. Incumbents will proactively serve as a “trusted advisor” and function as a key point of contact for the client on all matters pertaining to health risk management and wellness solutions. They will provide valued consulting level support and guidance through an in-depth understanding of the client’s needs, member health risk profiles, and key initiatives aimed at improving claims outcomes and reducing product and claims risk. They will also act as an advocate on behalf of clients and business stakeholders to ensure services meet business priorities, service level objectives and client needs.
Requirements
- MBCHB/ B Pharm/BCur (Registration with HPCSA or SANC).
- Post graduate Diplomas in Health Management (Advantageous).
- 5 years working experience in a managed care environment in a senior operational, managerial, or strategic capacity.
- At least 2 years of experience in a client facing role.
- Extensive medical aid, healthcare management, and managed care knowledge.
- A proven track record in terms of the key competencies listed above.
Duties & Responsibilities
- Build and maintain relationships with clients and internal and external stakeholders.
- Understand the client's workplace programmes and health issues and competitor activity as it relates to health and wellness solutions.
- Understand other relationships that the client has with external stakeholders in the health industry.
- Have a clear understanding of the client’s strategy and be able to advise clients relevant to their strategy and on how MHS can effectively partner with the clients to realise their health and wellness goals in context of the Value Proposition.
- Provide authoritative, expertise and advice to clients and stakeholders. (Strong clinical support requirement.)
- Contribute to the process of negotiating objective and realistic service level agreements, monitor appropriateness and recommend adjustments.
- Drive client service delivery goal achievement in line with predefined standards to ensure that clients receive appropriate advice, service and that client expectations are managed.
- Present regular reports on delivery of services against agreed service level agreements and in terms of overall client targets.
- Provide executive summaries and forthcoming solutions in a concise and impactful manner.
- Manage client query processes and ensure that queries are tracked, accurately resolved and used as a mechanism to make recommendations to improve client service and fair treatment of clients within area of responsibility.
- Participate and contribute to a culture which builds rewarding relationships, facilitates feedback and provides exceptional client service.
- Support and work closely with the Solution Design (Actuarial and Health Risk Management) Teams, to bring clinical and research insight as it relates to the emerging trends both locally and internationally.
- Work closely with the segment teams and provide health insight and support.
- Cooperating and assisting the execution and reporting teams to identify gaps as it relates to design and value reporting and suggest opportunities for improvement based on client feedback and emerging trends.
- Create a positive work climate and culture to give meaning to work, minimise work disruption and maximise employee productivity.
- Drive a culture that guides and directs best practice, fostering an environment of continuous learning, improvement and cohesiveness.
- Demonstrate exemplary leadership behaviour, through personal involvement, commitment and dedication in support of organisational values.
- Enable a learning and growth culture whereby information regarding successes, issues, trends and ideas are actively shared between team members.
Competencies
- Strategic thinking.
- Client/Stakeholder Commitment.
- Drive for Results.
- Impact and Influence.
- Diversity and Inclusiveness.
- Teamwork.
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