Risk Manager: Managed Care Specialty Contracting

CLIENT

A top medical aid administrator with a strong managed care program for Optometry and Renal Dialysis (amongst other disease areas) is seeking candidates who either have strong OPTOMETRY or RENAL DIALYSIS subject matter expertise (two positions) coupled with strong benefits design optimization, risk management, contracting management, and regulatory compliance experience as well as strong industry stakeholder relationships.

Key Purpose

To manage strategic risk priorities with contracted specialty groups focusing on optometry and renal providers:

• To manage and oversee all aspects of optometry benefits, risk, and industry engagement across all schemes and plan options within Discovery Health and serve as the strategic and operational Subject Matter Expert (SME) on optometry, ensuring benefit design optimization, regulatory compliance, and sustainable utilization while maintaining strong industry relationships; AND/OR
  Full-time Operations & Business Administration