Fraud, Waste and Abuse Manager
| Location: | Pretoria |
| Type: | Permanent |
| Company: | Dymaxa |
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.
- 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 12:31, Closing date 27 Oct
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