Operational Governance Specialist

Momentum Health; Sandton; On-site; ZAR 700,000 - 1,100,000; Full time

Job summary

Momentum Health Solutions, part of Momentum Metropolitan Holdings, seeks an experienced Health Risk & Administration professional to provide administrative support and strengthen risk governance. The role focuses on controlling key process risks while optimizing the client experience.

You will develop risk strategies, coordinate audits, document controls, and support BC/DR planning to ensure regulatory compliance and resilient operations across the region.

Qualifications

• Matric or equivalent qualification.
• Relevant degree or Risk Management certification or course would be advantageous.
• 5 years experience in Health administration operations.
• Combination of Audit, Risk and Forensic knowledge base.
• Sound knowledge of Medical Schemes Act and Regulations.
• In-depth knowledge of MMI Health administration systems (Oracle).
• Prepared to develop Corbit 5, C Risk and BCP methodology knowledge.
• Sound working knowledge of Microsoft Office suite.
• Engaging at a senior management/executive level.

Responsibilities

• Contribute to the development of risk strategies that support client requirements and business objectives.
• Continuously review risk strategies and plans in anticipation of regulatory changes to ensure compliance.
• Develop effective short, medium and long term plans to manage risk.
• Support the central risk function with the allocation of risk owners.
• Collaborate with stakeholders to develop a risk treatment plan.
• Work with stakeholders to determine the approach to risk treatments.
• Track risk treatment plans with reporting to leadership and risk function.
• When appropriate, execute risk treatment initiatives.
• Assist management with audit finding mitigation; represent client interests.
• Attend Scheme meetings and document key business controls.
• Support managers with design and implementation of business controls.
• Document process risks, controls and efficiency measures; ensure governance.
• Collaborate to identify process efficiencies and elimination of waste.
• Capture business concerns for business continuity and feed into Health BCP Function.
• Coordinate BC and DR site security and documentation; ensure services meet needs.

Skills

Matric/Equivalent

Degree or Risk cert

Health admin experience

Audit/Risk/Forensic

Medical Schemes Act knowledge

Oracle/IT systems

Corbit 5/BCP knowledge

MS Office

Executive engagement

Education

Relevant degree

Risk Management certification

Tools

Oracle

Job description

Momentum Health Solutions, an entity of Momentum Metropolitan Holdings delivers sustainable, integrated health solutions that meet the needs of clients in the different segments and maximise lifetime client value. We build and maintain a culture of innovation, and create value through unique insights of how to achieve specific outcomes by using a defined set of Health capabilities.

Role Purpose

To provide administrative structure and support to business operations that fosters an operational environment where risks associated with key processes are controlled and managed effectively whilst optimising the client experience.

Requirements

• Matric or equivalent qualification
• Relevant degree or Risk Management certification or course would be advantageous
• 5 years experience in Health administration operations
• Combination of Audit, Risk and Forensic knowledge base
• Sound knowledge of Medical Schemes Act and Regulations
• In-depth knowledge of the MMI Health administration systems i.e. Oracle as well as general processes for IT Infrastructure and operations.
• Expected to have or be prepared to develop substantial knowledge of Corbit 5, C Risk and BCP methodology
• Sound working knowledge of Microsoft office suite of products
• Engaging at a senior management/executive level

Duties & Responsibilities

• Contribute to the development of risk strategies that support client requirements and business objectives;
• Continuously review risk strategies and plans in anticipation of anticipated and actual regulatory changes to ensure that compliance will be enabled;
• Develop effective short, medium and long term plans to effectively manage risk;
• Support the central risk function with the allocation of risk owners;
• Collaborate with the relevant stakeholders to develop a risk treatment plan;
• Work with the relevant stakeholders to determine the approach to risk treatments;
• Tracking of risk treatment plans with reporting on progress to leadership as well as the central risk function;
• When appropriate, (assigned by Risk Owner or Leadership), execute risk treatment initiatives;
• Assist management teams in audit finding mitigation;
• Represent interest of client and report customer viewpoint to business, keeping business informed of client developments, demands, concerns and agreed deliverables
• Attendance at Scheme meetings when required.
• Collaborate with the relevant stakeholders to document and record a catalogue of key business controls;
• Support operational managers with the design and implementation of business controls;
• Represent interest of client and report customer viewpoint to business, keeping business informed of client developments, demands, concerns and agreed deliverables
• Work with management to ensure that reviews of key controls are completed;
• Compile operational dashboards to document and monitor operational delivery against agreed client service levels;
• Support the central health risk function with defining and delivering on the MMI Health Combined Assurance Plan;
• Facilitate (co-ordinate) auditor activities during audits;
• Governance oversight of the year end benefit rollover review process;
• Facilitation of system access reviews;
• Work with business to build a central catalogue of key processes with assigned ownership;
• Work with business to document process risks, controls and efficiency measures;
• Work with business to design effective supporting processes to ensure governance and controls are sustainable and not dependent on a single resource;
• Collaborate with the relevant stakeholders to identify process efficiencies and the elimination of waste;
• Capture business concerns and requirements for business continuity and feed them into the central Health BCP Function;
• Collaborate with the relevant stakeholders to secure BC and DR sites for the region;
• Participate in business impact assessments and assist in the co-ordination of assessment;
• Ensure that the BC and DR documentation is current and that services and practices meet the needs of the business and clients;