Senior Health Compliance & Legal Advisor

Private Health Administrators (Pty) Ltd; Centurion; Presencial; ZAR 550 000 - 800 000; Tempo integral

Resumo da oferta

Private Health Administrators (Pty) Ltd is looking for a Legal and Compliance Advisor to provide strategic legal and compliance support. The role offers an opportunity to work across the Medical Advisory Unit and Health Policy Unit, ensuring regulatory alignment and effective dispute resolution. Candidate must have at least 3-4 years experience in the medical schemes or CMS environment, possess strong legal drafting skills, and be proficient in MS Office. Join to strengthen governance and enhance member trust through compliance excellence.

Qualificações

• At least 3-4 years of working experience in the medical schemes or CMS environment.
• Knowledge of the managed care environment.
• Excellent written and verbal communication skills in English.
• Proficiency in Microsoft Office, with strong Excel capability.
• Experience drafting legal documents, including Heads of Argument, legal opinions and legal letters.

Responsabilidades

• Represent Schemes in Dispute Hearings and manage the end-to-end dispute resolution process.
• Draft, review, and respond to legal letters of demand and other legal correspondence.
• Ensure managed care policies comply with relevant legislation, regulations, and CMS requirements.
• Provide legal input on matters involving provider associations and stakeholder concerns.
• Contribute to member engagement processes by ensuring communications are legally sound.

Conhecimentos

Legal document drafting

Regulatory compliance knowledge

Excellent communication skills

Microsoft Excel proficiency

Dispute resolution experience

Descrição da oferta de emprego

Private Health Administrators (Pty) Ltd is looking for a Legal and Compliance Advisor to provide strategic legal and compliance support. The role offers an opportunity to work across the Medical Advisory Unit and Health Policy Unit, ensuring regulatory alignment and effective dispute resolution. Candidate must have at least 3-4 years experience in the medical schemes or CMS environment, possess strong legal drafting skills, and be proficient in MS Office. Join to strengthen governance and enhance member trust through compliance excellence.