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
Posted on 28 Aug 12:30, Closing date 27 Oct
Or apply with your Biz CV
Create your CV once, and thereafter you can apply to this ad and future job ads easily.
Financial Manager
Randburg
Company Mcliroy Northern Electrical Projects Location Ferndale Ranburg Reports to General Manager and Group CFO
Reddit Manager
Johannesburg, R 70 - R 70 per hour
We are the biggest Social Media Management Agency in the US and Australia that helps manage creator's social media accounts and we are on a mission to take over the...
Procurement Manager
Johannesburg, Ferndale, Randburg
To manage the procurement of goods and services in accordance with organisational policies, procedures, and compliance requirements, ensuring cost-effectiveness...
Senior Account Manager
Johannesburg, Bryanston
Isilumko Activate is on the hunt for a Senior Account Manager who’s all about strategic client magic, flawless execution, and bringing the fun factor to our...
Project Manager - The Forum Unboxed
Johannesburg, Bryanston, R 20000 - R 24000 per month neg
About the forum | company overview
The Forum is a purpose-driven business that curates elevated hospitality experiences across premier venues and catering offerings.
Operations Manager
Johannesburg, Bryanston, R 20000 - R 24000 per month neg
What we are looking for:
A dynamic and detail-driven Operations Manager to join a team of professionals who will work between our Johannesburg venues, to manage and...
Marketing Manager
Johannesburg, Midrand, R 35500 - R 37500 per month
Marketing Manager – Shopping Centre in Witpoort, Midrand, GautengAn exciting opportunity exists for a dynamic Marketing Manager to join a leading regional shopping...
Word For Word Marketing PTY Ltd
Finance Manager
Johannesburg, R 700000 - R 800000 per year
Purpose
The Finance Manager will oversee a wide range of financial, governance, and day-to-day operational activities for both Siyavula Foundation and SEE.
General Manager
Johannesburg, Kempton Park, R 40000 - R 45000 per month
Base of Operations: OR Tambo International Airport Full-Time | 3-Month Probation
About
The business is a proudly South African beauty and lifestyle brand operating...
Account Manager
Johannesburg
We look forward to receiving applications from Account Managers to join our creative team.
Shop Fit and Production Manager
Johannesburg, Wynberg Sandton
About a Popular Bunch: We're a bold, creative experiential marketing agency that brings big ideas to life through flawless execution.
Client Services Manager (Mid level)
JHB, Sandton (Illovo)
Company: CBR Marketing Solutions
CBR Marketing Solutions
Location: Ilovi Jhb
Johannesburg
General
Job Title:
Mid Client Service...
Key Account Manager
Johannesburg, Johannesburg
Purpose of Role:
The Key Account Manager plays a pivotal role in optimizing and strengthening our supplier network.
Market and Events Manager
Johannesburg, Braamfontein
Market and events manager
Create experiences that move the cityPlay Braamfontein is looking for a dynamic and detail-driven market and events manager to lead the...
General Manager
Johannesburg, Braamfontein
Hospitality General Manager
About the opportunity
This is not your typical General Manager role, this is a career-defining opportunity to lead the beating heart of...
Play Braamfontein (Pty) Ltd
Financial Manager
Johannesburg, Rosebank
Roles and responsibilities
1. Financial planning and forecasting:
Ensure relevant information is gathered from deans and budget managers and prepare the financial...
Business Development Manager
Johannesburg
An exciting and challenging career opportunity for a strong new business developer with the ability to do strategic, high level sales both locally and cross border into...
Social Media Manager
Johannesburg, Bedfordview, R 15000 - R 20000 per month
We are looking for a Social Media Manager with ad agency experience to join our small, but growing agency to start immediately.
Digital Account Manager
Ekurhuleni, Bedfordview, R 18000 - R 25000 per month
About Motsepe AdvertisingWe’re a proudly black-owned agency built on excellence, execution, and bold creativity.
Key Account Manager
Gauteng
Your purpose
Drive measurable, sustainable business growth by securing and growing strategic partnerships with motor dealerships and dealer groups.
Conference Programme Manager
Johannesburg, Bryanston
Conference Programme Manager required
We require the services of an experienced Conference Programme Manager to help formulate, develop, source speakers and invite...
Field Sales Manager
Johannesburg, johannesburg and surrounding
Purpose of Role:
The Field Sales Manager role is to drive sales and build strong client relationships within a designated territory.
Social Media Manager
Johannesburg, Johannesburg, Bryanston
Social Media Manager (Contract Role)
In-office | [Bryanston]
Sector: Marketing & Advertising
Are you a creative storyteller with a passion for social...
PR Account Manager
Johannesburg, Sandown, Sandton, R 12500 - R 15000 per month
Our dynamic strategic communications firm is looking for a new account manager to work...
National Sales Manager
Johannesburg
National Sales Manager
A leader in innovative solutions for standby power, power efficiency, and renewable energy is seeking a dynamic and experienced National Sales...
Full Stack C# Development Manager
Woodmead
Africa’s largest supplier of promotional products and corporate gifts is looking for a Full Stack C# Development Manager to lead their talented development team...
Account Manager
Johannesburg
About us
At ZaPOP we believe in inspiring meaningful connections, and it is our goal to attract top talent that shares in our mission, to expand and evolve every...