Fraud, Waste and Abuse Manager

Fraud, Waste and Abuse Manager - Pretoria

Medical Aid Industry

Duties include but are not limited to:

This position is responsible for leading, managing, and advancing the organisation’s initiatives related to fraud, waste, and abuse prevention, detection, and investigation across all healthcare-related claims and provider interactions.

The incumbent will develop, implement, and oversee strategies to prevent, detect, investigate, and address fraudulent, wasteful, and abusive activities within the Scheme.

This role is tasked with ensuring compliance with regulatory requirements, maintaining the Scheme’s financial integrity, and upholding member and provider trust.

Minimum requirements:

• Grade 12
• Degree in forensic auditing, forensic accounting, risk management or related fields
• 5 – 7 years of experience in fraud management/investigations
• 5 years of experience managing large scale investigations
• 3 years’ experience in a medical aid scheme industry
• 3 years claims assessing experience
• Valid driver’s licence and own reliable vehicle

Salary will be determined based on experience.

Please send an updated CV to az.oc.axamyd@ofni

Closing date: 23 October 2025

Posted on 16 Oct 18:46, Closing date 15 Dec