Technical Specialist

Momentum Health


Date: 15 hours ago
City: Durban, KwaZulu-Natal
Contract type: Full time
Introduction Through our client-facing brands Momentum Group, with Multiply (wellness and rewards programme), and our other specialist brands, including Guardrisk and Eris Property Group, the group enables business and people from all walks of life to achieve their financial goals and life aspirations. We help people grow their savings, protect what matters to them and invest for the future. We help companies and organisations care for and reward their employees and members

Disclaimer As an applicant, please verify the legitimacy of this job advert on our company career page
Role Purpose To utilise technical expertise and enhance service delivery through improving membership processes for the Employer Group Services (Momentum Medical Scheme and Health4Me) team by recommending technology-driven solutions and partnering with relevant internal stakeholders, developing and updating Standard Operating Procedures (SOP) which solve complex technical problems

Requirements

  • Matric (grade 12) certificate (essential)

  • Diploma in Operations Management/ Business Management and or equivalent relevant qualification (essential)

  • 5 + years experience within a medical aid administration environment (essential)

  • 3 + years experience in Membership/ Employer Servicing/ Broker environment (essential)

  • Membership processes, procedures and operating systems (Momentum Medical Scheme and Health4Me)

  • Membership processes, procedures and operating systems (Momentum Medical Scheme and Health4Me)

  • Knowledge of the legal framework and regulations, including the Medical Scheme's Act and related guidelines, ensuring compliance and adherence to regulatory requirements. (Momentum Medical Scheme and Health4Me)

  • Relevant legislation and Scheme rules (Momentum Medical Scheme and Health4Me)

  • Membership processing methods and techniques (Momentum Medical Scheme and Health4Me)

  • Familiarity with logging of IT help desk calls (Momentum Medical Scheme and Health4Me)

  • Understanding of the medical aid industry, specifically membership procedures, best practices and legislation (Momentum Medical Scheme and Health4Me)


Duties & Responsibilities PROCESS

  • Provide operational and technical support by ensuring that the business processes are maintained and in accordance with Scheme rules

  • Identify technical gaps in processes and propose improvements with the aim of maximising efficiency and reducing administrative costs in line with daily operations

  • Draft communications for business requirements and reviewing standard operating procedures (SOPs)

  • Analyse and drive all relevant projects for Employer Group Services (Oracle and Digital platforms) by collaborating with the Project Manager, and business analyst to execute project expectations, encompassing system and business processes, whilst ensuring professional and timely completion of all projects

  • Coordinate the connections between different business units and IT, where necessary, and interpret and ensure the implementation of any changes or requirements within the Employer Group Services Team

  • Analyse technical specifications for business requirements, testing and performing User Acceptance Testing (UAT) for new developments introduced to Employer Group Services. This includes setting up test packs, developing testing plans based on technical specifications, and new developments in the Employer and Broker interface to ensure its functionality and accuracy

  • Troubleshoot system errors or bugs, and if necessary, log defects with IT

  • Implement reports for internal and external stakeholders, conduct testing and quality assurance for new reporting implementations, and enhance reporting functionality through automation to reduce reliance on manual intervention

  • Provide assurance reports for key control reviews and perform key account reconciliations and reviews

  • Conduct adhoc investigations, including Membership interfacing exceptions, while considering delivery deadlines and reporting requirements

  • Deal effectively with inbound report requests emanating from areas such as the Scheme, SPN’s, and any other operational areas

  • Document new systems functionality for users in preparation for UAT

  • Year End, support the national Employer Group Services Team with all year-end planning and requirements – Broker Spreadsheets, support to BA’s in preparation for all year end projects that require review of requirement documents for business UAT and sign-off


CLIENT


  • Liaise and build key relationships with internal and external stakeholders such as IT, Service Provider Network's (SPN's) Hello Doctor, National Employer Group services team, Employer Groups and Brokers

  • Investigate and resolve internal and external technical membership escalations and communicate with third parties regarding any technical interface queries and escalate where needed

  • Provide test packs for operational training document and act as support for end users

  • Coordinate and ensure users are adequately trained before new implementation and projects roll out, to create a pool of excellence


PEOPLE


  • Build strong relationships through providing specialist know-how with others and expressing positive expectations

  • Continuously develop own expertise in terms of industry and subject matter development and application thereof in an area of specialisation

  • Positively influence and manage change and offer specialist support where required

  • Contribute to continuous innovation through the development, sharing and implementation of new ideas and involvement of colleagues and staff

  • Participate and contribute to a culture of work centric thinking, productivity, service delivery and quality management

  • Take ownership for driving career development


FINANCE


  • Identify solutions to enhance cost effectiveness and increase operational efficiency. (Momentum Medical Scheme and Health4Me)

  • Implement and provide input into governance processes, systems and legislation within area of specialisation. (Momentum Medical Scheme and Health4Me)

  • Escalate unresolved policy and governance compliance issues via appropriate channels for investigation and resolution purposes. (Momentum Medical Scheme and Health4Me)

  • Provide input into the risk identification processes development and communicate recommendations in the appropriate forum. (Momentum Medical Scheme and Health4Me)


Competencies

  • Examining Information

  • Inviting Feedback

  • Producing Output

  • Interpreting Data

  • Meeting Timescales

  • Taking Action

  • Embracing Change

  • Checking Things
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