Orthocare Operations Leader - Capitation & Risk Management

AfroCentric Group; Johannesburg; On-site; ZAR 1,800,000 - 2,600,000; Full time

Job summary

AfroCentric Group in Johannesburg seeks a senior operations leader to steer the OrthoCare Programme, ensuring delivery of clinical, member, operational and financial outcomes under a capitation model.

You will drive strategic direction, governance and risk management across the programme, oversee budgeting and performance, and build strong partnerships with clients and providers to sustain value-based care.

Qualifications

• Minimum 8 years of management experience in healthcare, incl. senior operational leadership.
• Experience with capitation, value-based care or risk-sharing arrangements is advantageous.
• Bachelor's degree (3 years) or NQF level 7 required.

Responsibilities

• Provide strategic leadership and operational oversight of the Orthocare Programme to achieve clinical, operational and financial objectives.
• Drive end-to-end programme performance within capitation and risk-sharing model to ensure sustainability and value delivery.
• Lead financial management, budget control and cost optimisation initiatives across the programme.
• Monitor utilisation trends, claims experience and risk indicators to proactively identify and mitigate emerging risks.
• Ensure delivery against service level agreements, quality standards and customer satisfaction targets.
• Develop and implement operational strategies aligned to client scheme and Medscheme business objectives.
• Lead governance, compliance and risk management frameworks to ensure regulatory and contractual compliance.
• Deliver executive reporting, operational insights and business recommendations to support strategic decision-making.
• Build and maintain strategic relationships with clients, healthcare providers, business partners and key stakeholders.
• Lead, inspire and develop high-performing multidisciplinary teams while fostering a culture of accountability, innovation and continuous improvement.

Skills

Strategic leadership

Operational management

Risk management

Budget management

Team leadership

Strategic planning

Education

Bachelor's Degree / NQF level 7

Job description

AfroCentric Group in Johannesburg seeks a senior operations leader to steer the OrthoCare Programme, ensuring delivery of clinical, member, operational and financial outcomes under a capitation model.

You will drive strategic direction, governance and risk management across the programme, oversee budgeting and performance, and build strong partnerships with clients and providers to sustain value-based care.