Manager Fraud/ Risk/ Governance and Compliance Management - Sandton Verfied

R 720K per annum Sandton, Gauteng Sandton, Gauteng more than 14 days ago 29-06-2018 1:41:24 PM
24-08-2018 1:41:24 PM
Title of vacancy
Manager: Fraud, Risk, Governance and Compliance Management
EE/AA and non-EE/AA candidates

Area: Sandton, Johannesburg

Package: R720 000 pa CTC

Employment standards: Full Performance skills, abilities and Knowledge

Duties:

• Management and execution of the oversight of fraud detection and prevention within the Medical Aid Fund
• Responsible for the management and execution of providing the organisation with innovative techniques for execution and continuous improvement in each of the areas under discussion
• The incumbent needs to continue to keep abreast of, and up to date with, the latest legislative changes in all the disciplines covered
• Risk Management including risk identification and mitigation
• Governance of the Fund following best practices and guidelines from the Board of Trustees and Council for Medical Schemes
• Delivering the required forensic investigation and reporting functions for the organisation in terms of the service level agreed by the Board of Trustees
• Managing the forensic team assigned, monitoring work-flow, training and motivating, and generally ensuring departmental objectives are achieved
• Actively participating in development of staff
• Fostering teamwork and innovative thinking
• Interacting and reporting to the organisation stakeholders and any other clients
• Developing and maintaining good working relationship, internally with peers and externally with business decision makers and service providers of the organisation
• Develop and test data models for the detection of member and service provider fraud, waste and abuse etc.
• Collaborate with the CEO to ensure that required quality standards are met
• Maintenance of Risk and compliance Registers
• Driver's license, own transport and willingness to travel

Formal Education:

• Preferred qualifications - CA(SA), LLB, BCom (Hons)
• CFE qualification will be an advantage
• Minimum of 2-5 years’ experience at a Senior Management level with Fraud Risk Management experience and/or data analytics experience
• Experience in the Healthcare industry or public sector advantageous
• Clinical Experience will be an advantage

Knowledge and Skills:

• Substantial knowledge of data analytics and PC based tools e.g.
• Access database would be an advantage
• Working knowledge of the Medical Schemes Act and Regulations is essential
• Working knowledge of the Companies Act is an advantage
• Strong analytical, technical and interpersonal skills
• Excellent written and verbal communication skills
• Critical thinking skills
• Excellent report writing skills
• Excellent technical system skills
• Ability to co-ordinate and manage several engagements, supervise and motivate staff as well as prioritise cases

Personality Requirements:

• Self-motivated
• Positive attitude and proactive
• Honest
• Professional
• High work standards
• Flexible and adaptable
• Customer centric
• Strong personal integrity

Recruiter: PCSES