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GOVERNMENT EMPLOYEES MEDICAL SCHEME (GEMS) VACANCIES
GOVERNMENT EMPLOYEES MEDICAL SCHEME (GEMS)
ACTUARIAL SPECIALIST RD2302
Type: Permanent
Salary: The total remuneration package will be based on qualifications and experience.
The position of Actuarial Specialist is vacant. The Actuarial Specialist will report directly to the Senior Manager Actuarial Services and forms part of Research and Development Division of the Scheme based in Pretoria.
The total remuneration package will be market related and is negotiable, based on qualifications and experience.
The Actuarial Specialist will be required to support the Senior Manager Actuarial Services through the following KPA’s:
Key Performance Areas (KPAs):
Qualification requirements are:
Behavioural Competencies
Desirable
All external candidates, please apply via Career Junction using the following link:https://www.careerjunction.co.za/companies/35144/government-employees-medical-scheme
The closing date for applications is 18 May 2023. Should you not hear from us by 31 July 2023, please consider your application unsuccessful.
*** GEMS employs people with the highest level of integrity – submission to the appropriate pre-employment assessment is obligatory to be considered for the position.
*** Kindly note that the information provided on application of the position may be shared with a third party for vetting purposes and will be stored by GEMS for a period of 5 years.
*** Kindly note that information is required for Employment Equity Purposes and information gathered is strictly used according to the intended purpose of collection, unless there is a legal need or permission is granted from the applicant themselves to make use of it for other purpose
*** Should you wish to have your information removed from the GEMS database, kindly send a request in writing to jobs@gems.gov.za.
*** GEMS adopts a hybrid work model
***GEMS is guided by the principles of employment equity. Preference will be given to groups who are underrepresented in accordance with GEMS employment equity plan.
ACTUARIAL SPECIALIST RD2302
Type: Permanent
Salary: The total remuneration package will be based on qualifications and experience.
The position of Actuarial Specialist is vacant. The Actuarial Specialist will report directly to the Senior Manager Actuarial Services and forms part of Research and Development Division of the Scheme based in Pretoria.
The total remuneration package will be market related and is negotiable, based on qualifications and experience.
The Actuarial Specialist will be required to support the Senior Manager Actuarial Services through the following KPA’s:
Key Performance Areas (KPAs):
- Provide accurate monthly and annual forecasts with appropriate well considered analysis and risk adjustments.
- Identify and effectively communicate cost efficiency opportunities.
- Analyse industry benchmarks and provide recommendations for the scheme’s performance.
- Conduct relevant research to identify trends and improve scheme performance.
- Analyse claim handling trends and identify areas of concerns.
- Analyse provider profile benchmarks and identify trends.
- Analyse data from various information sources to determine trends that emanate from fraud, waste and abuse.
- Analyse GEMS processes and information, identify key areas of efficiency, effectively communicate intervention recommendations.
- Assist in designing and putting into operation actuarial processes.
- Evaluating, processing, analysing, and interpreting statistical data and preparing them for publication, scientific papers and reports.
- Studying and improving actuarial and statistical theories and techniques for application in the organization
Qualification requirements are:
- B.Sc. or equivalent degree in Actuarial Science
- Newly or nearly qualified actuary
- Min of 5 years of experience in actuarial role, with 3 years in managerial role
Behavioural Competencies
- Good experience of Advanced Analytical Modelling tools e.g., SQL, SAS, R
- Strong Report writing and presentation skills with high proficiency in MS Office, particularly Word, PowerPoint, Excel
- Strong actuarial model development, data analysis and manipulation experience
- Strong research, qualitative and quantitative analytical abilities
- Good interpersonal skills
- Strong risk management knowledge
- Good written and oral communication skills especially at Board and Senior management level of the organization
- Knowledge of finance, accounting, and economics – especially health related
- Excellent problem-solving capabilities/Statistical analysis skills
- Solid understanding of complex and technical concept
- Ability to maintain confidential information and exercise discretion and tact
- Presentation skills
- High level of integrity and excellence
- Excellent attention to details
- Have the ability to work well as part of a team
- Have a diligent work ethic with attention to detail
- Interpersonal skills
Desirable
- A background in healthcare is advantageous, but candidates from other actuarial areas are also free to apply
All external candidates, please apply via Career Junction using the following link:https://www.careerjunction.co.za/companies/35144/government-employees-medical-scheme
The closing date for applications is 18 May 2023. Should you not hear from us by 31 July 2023, please consider your application unsuccessful.
*** GEMS employs people with the highest level of integrity – submission to the appropriate pre-employment assessment is obligatory to be considered for the position.
*** Kindly note that the information provided on application of the position may be shared with a third party for vetting purposes and will be stored by GEMS for a period of 5 years.
*** Kindly note that information is required for Employment Equity Purposes and information gathered is strictly used according to the intended purpose of collection, unless there is a legal need or permission is granted from the applicant themselves to make use of it for other purpose
*** Should you wish to have your information removed from the GEMS database, kindly send a request in writing to jobs@gems.gov.za.
*** GEMS adopts a hybrid work model
***GEMS is guided by the principles of employment equity. Preference will be given to groups who are underrepresented in accordance with GEMS employment equity plan.
PROVIDER RELATIONS ASSOCIATE
Type: Permanent
Salary: The total remuneration package will be based on qualifications and experience.
The position of Provider Relations Associate is vacant. The Provider Relations Associate will report directly to the Provider Relations Manager and forms part of the Healthcare Management Division. The position is based at Head Office in Pretoria.
The remuneration package for this position is negotiable based on qualifications and experience.
The Provider Relations Associate will be required to provide support to the Provider Relations Manager through the implementation of the following Key Performance Areas (KPAs):
- Managing the Scheme’s healthcare networks.
- Managing the Scheme’s Designated Service Providers (DSP)
- Monitoring and managing the Scheme’s Provider Relations Strategy (PRS), including meetings, workshops and conferences
- Uploading and updating documents on SharePoint
- Monitoring the Scheme’s Clinical Risk Profile
- Assess and mitigate risks
- Maintain regular and scheduled communication with healthcare providers associations.
- Assist with programme and project management function for the Healthcare Management Division, inclusive of the development, implementation and monitoring provider networks work plans;
- Support in management of divisional budget in line with budget allocation;
- Administer all procurement related activities for marketing promotional items for the business unit
Qualification requirements are:
- At least a 3 year Diploma or NQF Level 6 qualification in Office Administration or Secretarial Studies
- At least 1-2 years office administration work experience
- Be organised and have good time management skills
- Be analytical and have the ability to manage priorities
- Have excellent written and verbal communication and interpersonal skills
- Have ability to work well as part of a team;
- Be computer literate on advanced level
- Be responsible and reliable
- Have a diligent work ethics with attention to detail
- Self-motivated and pro-active
- Have resilient pressure management abilities
- Sound administrative skills
- Computer literacy skills and MS proficiency
- Planning and Organising skills
- Good Communication skills
- Have an understanding of the medical scheme industry
All external candidates, please apply via Career Junction using the following link: https://www.careerjunction.co.za/companies/35144/government-employees-medical-scheme
The closing date for applications is 15 May 2023. Should you not hear from us by 30 June 2023, please consider your application unsuccessful.
*** GEMS employs people with the highest level of integrity – submission to the appropriate pre-employment assessment is obligatory to be considered for the position.
*** Kindly note that the information provided on application of the position may be shared with a third party for vetting purposes and will be stored by GEMS for a period of 5 years.
*** Kindly note that information is required for Employment Equity Purposes and information gathered is strictly used according to the intended purpose of collection, unless there is a legal need or permission is granted from the applicant themselves to make use of it for other purpose
*** Should you wish to have your information removed from the GEMS database, kindly send a request in writing to jobs@gems.gov.za.
*** GEMS adopts a hybrid work model
***GEMS is guided by the principles of employment equity. Preference will be given to groups who are underrepresented in accordance with GEMS employment equity plan.