Role Purpose
The role is responsible for identifying clinical, operational and claims related risks that may impact scheme solvency, client value and health outcomes. Using a structured design thinking methodology, the Product Manager must define problems, formulate hypotheses, assess feasibility, and translate solutions into commercially viable, scalable and governance compliant product features.
Qualifications
- A tertiary clinical qualification (e.g. BCur, MBChB or equivalent).
- Postgraduate business qualification is advantageous.
Experience
- 7 to 10 years experience within medical schemes, managed care or health risk environments.
- Proven experience in product development, solution design or cross functional project leadership.
- Strong understanding of medical scheme legislation and funding models.
- Demonstrated experience in business case development and financial impact modelling.
Duties and Responsibilities
- Lead multiple complex initiatives through a structured design cycle:
- Problem definition and needs discovery
- Clinical and financial risk assessment
- Feasibility analysis
- Pilot design and testing
- Governance alignment
- Implementation planning
- Post implementation review
- Translate business and technical requirements into clear roadmaps with defined milestones, accountability and measurable outputs.
- Identify required human, technical and financial resources and secure alignment before implementation.
- Monitor project progress and proactively adjust timelines, scope or specifications where risks emerge.
- Ensure all initiatives meet governance, compliance and audit requirements before release.
- Define clear KPIs for each initiative including utilisation, cost impact, clinical outcomes and operational efficiency.
- Establish monitoring dashboards and provide structured monthly performance reporting with actionable insights.
- Close the loop on initiatives by conducting formal post implementation reviews and recommending optimisation actions.
- Build and independently manage relationships with internal and external stakeholders relevant to the portfolio.
- Serve as the accountable owner for stakeholder queries, escalations and performance concerns related to assigned initiatives.
- Present solution proposals and performance updates to management, clients or governance forums where required.
- Engage proactively with stakeholders to identify changing needs and recommend structured adjustments to service offerings.
- Ensure effective rollout and utilisation of solutions across relevant business units.