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Risk Manager: Managed Care Specialty Contracting
The Focus Group
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sandton, South-Africa
Location
sandton
Posted
June 17, 2026
Commute
Local Area
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Job Description
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