Fraud, Waste and Abuse ManagerLocation: | Pretoria | Type: | Permanent | Company: | Dymaxa |
Fraud, Waste and Abuse Manager - Pretoria Medical Aid IndustryDuties include but not limited to:- To lead, manage, and enhance the organisation’s fraud, waste, and abuse prevention, detection, and investigation efforts across all healthcare-related claims and provider engagements.
- Responsible for developing, implementing, and overseeing strategies to prevent, detect, investigate, and mitigate fraudulent, wasteful, and abusive activities for the Scheme.
- The role ensures compliance with regulatory requirements, protects the Scheme’s financial integrity, and safeguards member and provider trust.
Minimum Requirements:- Grade 12
- Degree in Forensic Auditing, Forensic Accounting, Risk Management or related fields
- Five – Seven years of experience in fraud management/investigations
- Five years of experience managing large scale investigations
- Three years’ experience in a Medical Aid Scheme industry
- Three years claims assessing experience
- Valid Driver’s licence and own reliable vehicle
Salary is commensurate with experience level. Please send your updated CV to target="_blankClosing date – 02/09/2025 Posted on 28 Aug 12:31, Closing date 27 Oct Or apply with your Biz CVCreate your CV once, and thereafter you can apply to this ad and future job ads easily. |
| |
|
|