Tariff and Rules Specialist

Kfml Holdings (Pty) Ltd; Gqeberha; On-site; ZAR 600,000 - 900,000; Full time

Job summary

KFML Holdings (PTY) Ltd seeks a detail-oriented Tariff and Rules Specialist to load and maintain tariffs and rates across medical aid schemes. You will work in a structured environment, applying solid knowledge of how SA medical aid schemes operate, including rules, benefits, and coding, and you will be responsible for ongoing tariff loading, maintenance and optimisation.

The role emphasizes accuracy, complex tariff configurations, and continuous improvement of pricing processes within the

Qualifications

• Solid grounding in how South African medical aid schemes operate, including scheme rules and benefit structures.
• Experience with coding and tariff configurations is advantageous.

Responsibilities

• Load and maintain tariffs and rates across medical schemes.
• Maintain and optimise tariff configurations and pricing structures.
• Support accuracy in scheme rules and benefit coding.

Skills

Tariff loading

Analytical

Detail-oriented

Medical aid knowledge

Job description

We are seeking a detail-orientated and analytical Tariff and Rules Specialist to load and maintain accurate tariffs and rates across our medical aid schemes.

The ideal candidate thrives in structured, high-accuracy environments and enjoys working with complex tariff and rule configurations. You will bring a solid grounding in how South African medical aid schemes operate such as scheme rules, benefit structures and coding. You'll be responsible for the ongoing loading, maintenance, and optimisation of our tariffs and medical scheme pricing.