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A healthcare solutions provider in South Africa is looking for an Operations Consultant – Healthcare to manage healthcare and employee benefits solutions for corporate clients. The role involves overseeing operational delivery, ensuring data accuracy, and providing exceptional client support. Candidates should have over 3 years in relevant operations roles, a degree, and strong communication skills. Proficiency in Excel and project management experience are also required. This position offers a dynamic environment focused on enhancing service quality and compliance.
We are looking for an Operations Consultant – Healthcare to support the delivery of healthcare and employee benefits solutions for corporate clients. The role combines operational execution, project coordination, and client service, ensuring benefit programmes run smoothly, data is accurate, and clients receive high-quality service.
Key Responsibilities
Operational Delivery
Oversee day-to-day operational aspects of healthcare benefit programmes, including enrolments, changes, terminations, and exception handling.
Validate and manage client data, ensuring accuracy of member records with insurers and administrators.
Liaise with internal teams and external providers to monitor claims, resolve service issues, and implement client requests.
Support renewals and benefit changes by preparing documentation, tracking deadlines, and coordinating with stakeholders.
Client Engagement & Support
Act as a primary operational contact for client HR teams.
Prepare concise updates and follow-ups after client meetings involving healthcare services.
Communicate clearly with internal teams and external providers to align expectations and ensure service quality.
Project Coordination
Assist with implementation projects such as scheme migrations, option comparisons, and benefit upgrades.
Track project tasks, timelines, and deliverables, escalating risks or bottlenecks as needed.
Process & Compliance
Contribute to operational procedures and service documentation.
Ensure processes comply with internal standards and external regulatory requirements relevant to medical schemes and benefit administration.
Monitor service performance metrics and report on trends or issues.
Required
3+ years in employee benefits operations, healthcare benefits administration, or a related operational role.
Degree
Strong organisational skills and ability to manage detailed, process-driven work with multiple stakeholders.
Excellent written and verbal communication skills for technical and non-technical audiences.
Project Management skills and abilities
Proficiency in Excel and experience handling and reporting on data
Exposure to consulting or professional services environments.