Job purpose

This role is responsible for supporting the medical management function in the Authority

Key Responsibilities/ Duties / Tasks

Managerial / Supervisory Responsibilities

• Supervise day to day operations in the unit


• Supervise, Coach and Mentor Staff

Operational Responsibilities / Tasks

• Ensure proper and accurate verification of invoices related to outpatient and inpatient medical claims and submit for data capturing in the iSupport system – Medical Module


• Ensure effective medical card management


• Pre-authorization and benefits adjustments in relation to medical benefits management


• Verify payments and deductions


• Ensures regulatory compliance with WIBA, labor laws


• Ensure relevant and related HR policies are understood and implemented consistently across the organization


• Facilitate identification and recommendation of medical service providers in the medical scheme


• Facilitate medical approvals in line with the medical policy


• Liaise with Finance division on payment matters


• Manage and implement medical management programs


• Communicate with Internal and External stakeholders


• Provide information, data, statistics and internal reports on medical issues for senior management considerations


• Implement medical management programs


• Day-to-day operations and supervision of staff in the unit


• Facilitate implementation of the work plans for the following corporate initiatives in the unit: Audit, Integrity, QMS and Risk Management.


• Drive initiatives to improve ethics, culture and facilitate change management in the unit

Job Dimensions:

Responsibility for Physical Assets

• Responsible for physical assets assigned by the institution.

Decision Making / Job Influence

• Make strategic, operational and financial decisions


• Plans the work of subordinates


• Assigns work to subordinates


• Monitors subordinates work performance


• Appraises/evaluates subordinates performance

Working Conditions

• Works predominantly in a comfortable environment/Office Setting

Job Competencies (Knowledge, Experience and Attributes / Skills).

      Academic qualifications

• A degree in Human Resource Management or related field from a recognized institution.

Professional Qualifications / Membership to professional bodies

• Diploma in HR/Post graduate Diploma in HR/ Certified Human Resource Professional (CHRP)


• Membership to a Professional Body – IHRM

Previous relevant work experience required.

• Minimum of 3 years work experience in a similar 

Functional Skills, Behavioral Competencies/Attributes:

• People management skills.


• Risk management and analysis.


• Results driven and analytical.


• Strong decision-making skills.


• Excellent communication skills.


• Good interpersonal skills.


• Technological ability.


• Tax business understanding.

All applications should be submitted online by 27th June, 2022.