Senior Risk Manager
Private Health Administrators Ltd
Centurion, TshwaneOn-siteFull-timeR13 200–R18 000 p/m (estimated)
Position Purpose: The Senior Risk Manager is responsible for providing strategic leadership, governance and oversight of the Medical Advisory Unit’s clinical risk portfolio, with specific accountability for the Appeals and Disputes Team, including Appeals, Disputes, Council for Medical Schemes (CMS) complaints, Ex-gratia funding requests and regulatory escalations. The incumbent ensures that clinical decisions are evidence-based, legally compliant, ethically sound and aligned with Scheme Rules,…