About the position
Introduction
The position of Associate: Clinical Risk Management is vacant. The Associate: Clinical Risk Management will report directly to the Senior Management: Clinical Risk Management and forms part of the Healthcare Management Division. The position is based at GEMS Head Office in Pretoria.
The total remuneration package will be R 576 206 per annum, based on the Scheme's Remuneration Policy.
The closing date for applications will be Tuesday, 19 May 2026.
Duties & Responsibilities
The Associate Clinical Risk Management will be required to support the Senior Manager Clinical Risk Management through the implementation of the following Key Performance Areas (KPAs):
- Provide admin support to the CRM team through coordination of meetings and ensuring that meeting deliverables are met
- Oversee documentation and data management related to disease risk assessments and medicine management
- Provide day-to-day administrative support related to medicine procurement, reporting and documentation
- Manage the Senior Manager's diary
- Facilitate meeting set-up and provide support for CRM meetings
- Maintain a document tracker for all submissions to the CRM team
- Compile minutes and action lists for all CRM meetings
- Draft divisional Memos and follow through on their finalisation, approval and archiving
- Support in the management of divisional budget in line with budget allocation
- Involvement in procuring medicines and healthcare supplies while adhering to the budget constraints
- Administer all procurement activities for office supplies for the CRM team
- Coordinate all training, conference and travel arrangements for the business unit
- Responsible for the business unit's scorecard and work plan updates
- Ensure accurate documentation of disease management processes, patient data and procurement activities
- Maintain formal communication with internal stakeholders, vendors and health authorities
- Prepare and present reports on risk management, procurement and progress on disease management strategies
- Provide project management support, including tracking and reporting for the successful and timeous implementation of new and existing initiatives and projects
- Oversee the execution of disease risk management programs and strategies
- Coordinate the CMS Healthcare Utilisation Data-Annual Statutory return (ASR) projects
- Provide required support and co-ordination of Year End projects and implementation
- Liaise with the GEMS SPN on CRM related matters
- Attend relevant healthcare or disease management committees to share insights and provide recommendations
- Review all reports submitted by Service Providers and identify anomalies
- Prepare presentations and reports for the DRMM unit and ensure the timeous submission thereof
- Assist in the development and implementation of a quality assurance and utilisation review programmes for member benefits
- Support the CRM team in the development, evaluation, revision and curating of SOPs in relation to all benefits and clinical risk management
- Facilitate resolution of queries from internal and external stakeholders
- Build strong working relationships with key stakeholders in order to ensure success in the achievement of the strategic objectives
- Assist, support and engage with Scheme's SPNs and other internal divisions as well other stakeholders as directed
- Oversight of the Scheme's SPN processes, integration and interfaces
- Ensure that the targets are submitted timeously for review by the Scheme and ensure monthly progress monitoring
- Expertise in using health information systems, medicine tracking systems or other healthcare management software
- Technical Application: Use of statistical and analytical software for disease modeling and risk prediction
- Proactively identify potential risks in disease outbreaks, medicine shortages or program inefficiencies
- Develop strategies to reduce or eliminate identified risks
- Participate in the creation of emergency plans to address unexpected disease risks or health crises
- Assist in the monitoring, mitigation and closure of CRM specific audit findings
- Support the CRM unit in tracking and monitoring the performance of the various service providers in line with SLAs, including reporting and logging of arising transgressions
- Support the CRM unit to mitigate any operational risks
Qualification Requirements
- Minimum of a 3-year diploma or certificate in Medical Science or health related field or NQF level 5 equivalent
- Minimum of 3-5 years in disease risk management, healthcare funding/managed care and management or a related field will be advantageous
- Demonstrated experience in managing complex healthcare or disease management projects
- Prior experience in identifying, assessing and mitigating disease-related risks
- Critical thinking skills
- Ability to work independently under pressure
- Team player with good organisational skills
- Adaptable and resilient
- Project Management skills will be an added advantage
- Proficient with MS Office Suite
- Excellent verbal communication and writing skills
- Organised and have good time management skills
- Excellent interpersonal skills
- Ability to work in a team
- Adaptable and resilient
- Self-motivated and pro-active (self-starter)
- Analytical and problem-solving skills
Interested?
Should you be interested, please apply for the position by emailing your CV to [Email Address Removed]
The closing date for applications is 16 April 2026. Should you not hear from us by 31 July 2026, please consider your application unsuccessful.
GEMS employs people with the highest level of integrity - submission to the appropriate pre-employment assessment is obligatory to be considered for the position.
Please note that the information provided on the application for the position may be shared with a third party for vetting purposes and will be stored by GEMS for a period of five years. ***
Kindly note that information is required for Recruitment and Selection Purposes, and information gathered is strictly used according to the intended purpose of collection, unless there is a legal need or permission is granted from the applicant themselves to make use of it for other purposes.
Should you wish to have your information removed from the GEMS database, kindly send a request in writing to [Email Address Removed] .
GEMS adopts a hybrid work model.
GEMS is guided by the principles of employment equity. Preference will be given to groups who are underrepresented in accordance with the GEMS Employment Equity Plan.
An internal employee must be in their current role for at 12 months before they will be considered for other vacancies within the Scheme.
GEMS reserves the right not to proceed with an appointment.
Successful candidates will be required to seek approval to conduct other work outside of GEMS.
GEMS Employees are required to conduct themselves in a manner that reflects the organisation's paramount values: Excellence, Member Value, Integrity, Innovation, and Collaboration.
