Fraud, Waste and Abuse Manager (Pretoria)

1 week ago 11
Location:Pretoria
Type:Permanent
Company:Dymaxa

Fraud, Waste and Abuse Manager - Pretoria

Medical Aid Industry

Duties 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="_blank

Closing date – 02/09/2025

Posted on 28 Aug 12:30, Closing date 27 Oct

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Dymaxa

At Dymaxa Recruitment Solutions we’re more than just recruiters—we’re matchmakers for success. Our mission is clear: to connect you with the right talent.

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