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Health Executive – Operations at Kaelo
Randburg, Gauteng, South Africa - Full Time
Skills Needed
Operational Strategy, Health Insurance, Claims Management, Underwriting, Policy Administration, Customer Service, Provider Network Management, Financial Management, Regulatory Compliance, Risk Management, Process Optimization, Digital Transformation, Lean, Six Sigma, Leadership, Stakeholder Management
Specialization
Candidates must possess 10–15 years of experience in health insurance or healthcare funding, with at least 5–8 years in a senior operational leadership role. A bachelor's degree is required, and a postgraduate qualification such as an MBA is preferred.
Experience Required
Minimum 10 year(s)
CIO Advisory - Executive Partner at Gartner
, , South Africa - Full Time
Skills Needed
Digital Transformation, Strategic Planning, It Operations Management, Business Development, Executive Relationship Management, Artificial Intelligence, Business Intelligence, Machine Learning, Blockchain, Big Data, Cloud Computing, Consulting, Leadership, Stakeholder Management, Project Management
Specialization
Requires 15+ years of progressive technology exposure in consulting or CxO roles with experience in large-scale transformative initiatives. Candidates must possess extensive knowledge of CIO focus areas and demonstrable business development experience with executive-level stakeholders.
Experience Required
Minimum 10 year(s)
Senior Compliance Advisor at Telesure Investment Holdings (TIH)
Johannesburg, Gauteng, South Africa - Full Time
Skills Needed
Compliance Management, Regulatory Reporting, Risk Management, Governance, Policy Development, Stakeholder Engagement, Compliance Monitoring, Financial Services, Regulatory Affairs, Leadership, Data Analysis, Reporting Strategies, Contract Compliance, Compliance Automation, Business Process Improvement
Specialization
Candidates must hold a BProc or LLB degree and be registered as a Compliance Officer with the FSCA. A minimum of 5 years of experience in the financial industry and 1-3 years of supervisory experience are essential.
Experience Required
Minimum 5 year(s)
Clinical Nurse (R/N) - Experienced-Paediatric Ward at Netcare
Polokwane, Limpopo, South Africa - Full Time
Skills Needed
Paediatric Nursing, Patient Assessment, Nursing Care Planning, Emergency Treatment, Resuscitation, Clinical Documentation, Patient Advocacy, Multi Disciplinary Team Collaboration, Staff Supervision, Quality Management, Risk Management, Clinical Facilitation, Mentoring, Electronic Patient Records, Medical Technology Implementation
Specialization
Candidates must be registered as a Professional Nurse with the South African Nursing Council. They are required to have thorough knowledge of general and specialized nursing theory, practice, and modern nursing care principles.
Experience Required
Minimum 2 year(s)
MACHINE OPERATORS at Mount Family Group, LTD
Durban, KwaZulu-Natal, South Africa - Full Time
Skills Needed
Machine Operation, Equipment Monitoring, Quality Control, Safety Compliance, Preventive Maintenance, Haccp, Iso Standards, Documentation, 5s Practices, Housekeeping
Specialization
Candidates are expected to adhere to strict hygiene and safety regulations such as HACCP and ISO standards. The role requires the ability to report equipment faults and maintain accurate production documentation.
DRIVERS CODE 10 NEEDED at Mount Family Group, LTD
Durban, KwaZulu-Natal, South Africa - Full Time
Skills Needed
Delivery Driving, Vehicle Operation, Forklift Operation, Tractor Operation, Time Management, Organizational Skills, Customer Service, Payment Collection, Log Maintenance, Reporting, Route Planning
Specialization
Candidates must possess a valid professional driver's license and a clean driving record with no traffic violations. Proven experience in delivery driving and the ability to operate forklifts and tractors are required.
Experience Required
Minimum 2 year(s)
FORKLIFT OPERATOR at Mount Family Group, LTD
, Western Cape, South Africa - Full Time
Skills Needed
Forklift Operation, Material Handling, Warehouse Operations, Safety Compliance, Attention To Detail, Loading And Offloading, Inventory Stacking
Specialization
The ideal candidate should have experience in a fast-paced warehouse environment and demonstrate strong attention to detail. Reliability, a commitment to safety procedures, and the ability to work under pressure are essential requirements.
MACHINE OPERATORS at Mount Family Group, LTD
, Western Cape, South Africa - Full Time
Skills Needed
Machine Operation, Equipment Monitoring, Quality Control, Safety Compliance, Preventive Maintenance, Haccp, Iso Standards, Documentation, Continuous Improvement, 5s Practices, Housekeeping
Specialization
Candidates are expected to adhere to strict hygiene and safety regulations such as HACCP and ISO standards. The role requires the ability to perform equipment maintenance and maintain accurate production records.
PETROL ATTENDANTS at Mount Family Group, LTD
, Western Cape, South Africa - Full Time
Skills Needed
Customer Service, Cashiering, Cash Handling, Fuel Dispensing, Janitorial Duties, Communication, Safety Compliance
Specialization
Candidates should be enthusiastic and friendly with a focus on providing prompt and knowledgeable service to customers. The role requires the physical ability to lift and move boxes and perform general maintenance tasks.
DRIVERS CODE 10 AND ASSISTANTS NEEDED at Mount Family Group, LTD
, Western Cape, South Africa - Full Time
Skills Needed
Delivery Driving, Vehicle Operation, Forklift Operation, Tractor Operation, Time Management, Organizational Skills, Customer Service, Payment Collection, Log Maintenance, Reporting, Route Planning
Specialization
Candidates must possess a valid professional driver's license and have proven experience as a delivery driver. Additionally, they must be capable of operating forklifts and tractors under various conditions.
TEACHERS ASSISTANT at Mount Family Group, LTD
, Western Cape, South Africa - Full Time
Skills Needed
Interpersonal Skills, Classroom Management, Child Development, Teamwork, Assessment, Reporting, Learning Through Play, Communication
Specialization
Candidates must possess excellent interpersonal skills and the ability to work effectively within a team. The role requires a commitment to upholding the school's ethos and implementing an informal, play-based teaching style.
ADMIN CLERKS at Mount Family Group, LTD
, Western Cape, South Africa - Full Time
Skills Needed
Secretarial Support, Receptionist Duties, Meeting Coordination, Minute Taking, Document Management, Diary Management, Administrative Support, Communication, Scheduling, Record Keeping
Specialization
The position requires strong organizational and administrative skills to manage office operations effectively. Candidates must be capable of drafting agendas, taking minutes, and maintaining accurate records.
WAREHOUSE ASSISTANTS at Mount Family Group, LTD
, Western Cape, South Africa - Full Time
Skills Needed
Inventory Control, Order Fulfillment, Picking, Packing, Warehouse Maintenance, Logistics Support, Loading, Offloading
Specialization
The position requires the ability to perform manual warehouse tasks such as loading and offloading vehicles. Candidates must be capable of maintaining an organized and safe storage environment.
WAREHOUSE ASSISTANTS at Mount Family Group, LTD
Durban, KwaZulu-Natal, South Africa - Full Time
Skills Needed
Inventory Control, Order Fulfillment, Picking, Packing, Warehouse Maintenance, Logistics Support, Loading, Offloading
Specialization
The role requires the ability to maintain a clean and safe warehouse environment while accurately managing incoming and outgoing stock. Candidates must be capable of performing physical tasks related to logistics and inventory handling.
PETROL ATTENDANTS at Mount Family Group, LTD
Durban, KwaZulu-Natal, South Africa - Full Time
Skills Needed
Customer Service, Cashiering, Cash Handling, Fuel Dispensing, Janitorial Duties, Safety Compliance, Communication, Attention To Detail
Specialization
Candidates should be enthusiastic and friendly with the ability to handle cash transactions and credit card payments. The role requires physical capability to lift and move boxes as well as perform general cleaning tasks.
GENERAL WORKERS- HOSPITAL at Mount Family Group, LTD
, Western Cape, South Africa - Full Time
Skills Needed
Physical Labor, Multitasking, Organizational Skills, Time Management, Team Collaboration, Communication Skills, Attention To Detail, Problem Solving, Reliability, Punctuality
Specialization
Candidates must have the ability to perform physical tasks and possess strong organizational and communication skills. Reliability, punctuality, and a proactive attitude are essential for this role.
CLEANERS AND SCULLERY STAFF at Mount Family Group, LTD
Durban, KwaZulu-Natal, South Africa - Full Time
Skills Needed
Cleaning, Sanitizing, Waste Management, Floor Maintenance, Sweeping, Mopping, Dusting, Safety Compliance
Specialization
The role requires the ability to perform physical cleaning tasks such as sweeping, mopping, and sanitizing surfaces. Candidates must be able to follow safety protocols and maintain an organized warehouse environment.
ADMIN CLERKS at Mount Family Group, LTD
Durban, KwaZulu-Natal, South Africa - Full Time
Skills Needed
Secretarial Support, Receptionist Duties, Meeting Coordination, Minute Taking, Document Management, Diary Management, Administrative Support, Communication, Scheduling, Record Keeping
Specialization
The position requires strong organizational and administrative skills to manage office operations effectively. Candidates must be capable of handling meeting documentation, scheduling, and professional communication.
CLEANERS AND SCULLERY STAFF at Mount Family Group, LTD
, Western Cape, South Africa - Full Time
Skills Needed
Cleaning, Sanitizing, Waste Management, Floor Maintenance, Sweeping, Mopping, Dusting, Safety Compliance, Organization
Specialization
The position requires the ability to perform physical cleaning tasks and maintain organizational standards within a warehouse setting. No specific educational or experience requirements were explicitly stated.
FORKLIFT DRIVERS at Mount Family Group, LTD
Durban, KwaZulu-Natal, South Africa - Full Time
Skills Needed
Forklift Operation, Material Handling, Warehouse Operations, Safety Procedures, Attention To Detail, Loading And Offloading, Stacking, Reliability
Specialization
The ideal candidate should have experience in a fast-paced warehouse environment and demonstrate strong attention to detail. They must be reliable, safety-conscious, and capable of working effectively under pressure.
Health Executive – Operations at Kaelo
Randburg, Gauteng, South Africa -
Full Time


Start Date

Immediate

Expiry Date

01 Jul, 26

Salary

0.0

Posted On

02 Apr, 26

Experience

10 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Operational Strategy, Health Insurance, Claims Management, Underwriting, Policy Administration, Customer Service, Provider Network Management, Financial Management, Regulatory Compliance, Risk Management, Process Optimization, Digital Transformation, Lean, Six Sigma, Leadership, Stakeholder Management

Industry

Insurance

Description
Company Description About Kaelo Kaelo provides essential healthcare solutions ensuring the physical and psychosocial wellbeing of all South Africans towards lasting social change. Kaelo meets the Healthcare needs of Corporate and Retail clients across South Africa – products offerings include Medical Insurance, Medical Aid, Gap Insurance, Kaelo Money and employee assistance programmes. Job Description About the Role We are seeking an experienced and strategic Health Executive: Operations to lead and optimise all operational functions within our health insurance business. This is a critical executive leadership role responsible for ensuring the efficient, compliant, and customer-centric delivery of services across the full operational value chain. The successful candidate will play a key role in driving operational excellence, enhancing member and stakeholder experience, and enabling sustainable business growth through strong leadership, governance, and continuous improvement. Key Responsibilities Operational Leadership & Strategy Develop and execute operational strategy aligned with overall business objectives Translate strategic priorities into actionable plans across all operational divisions Foster a high-performance, service-oriented culture Ensure alignment across operations, product, distribution, and clinical teams Oversight of Core Operational Functions Lead and ensure performance across: Claims Management – adjudication, clinical validation, fraud prevention, and cost control Underwriting & Policy Administration – risk assessment, onboarding, and policy lifecycle management Customer Service & Call Centre Operations – multi-channel member and broker support Provider Network & Hospital Relations – contracting, partnerships, and service quality oversight Membership Onboarding & Servicing – seamless onboarding and ongoing member administration Billing Administration – premium billing, collections, reconciliations, arrears management, and financial accuracy in partnership with Finance Virtual Care & Digital Health Services – telemedicine, digital platforms, and remote care innovation Scheme / Product Administration – administration of benefits and scheme rules in line with regulatory requirement Customer & Stakeholder Experience Champion a customer-centric operating model Improve turnaround times, service quality, and first-contact resolution Build strong relationships with members, providers, brokers, and regulators Monitor and enhance satisfaction and retention metrics Financial & Performance Management Manage operational budgets and drive cost efficiency initiatives Improve cost-to-serve and operational productivity Establish and monitor KPIs, dashboards, and reporting frameworks Identify opportunities for operational scalability and efficiency Governance, Risk & Compliance Ensure adherence to all regulatory and compliance requirements Oversee operational risk management, including fraud mitigation Maintain strong internal controls and audit readiness Partner with Risk and Compliance functions to uphold best practices Process Optimisation & Digital Enablement Lead continuous improvement initiatives (Lean, Six Sigma, automation) Drive digital transformation across operational processes Enhance system integration, data usage, and decision-making capabilities Improve operational resilience and scalability People Leadership & Culture Lead, mentor, and develop a team of operational leaders Build leadership capability and succession pipelines Foster an inclusive, collaborative, and high-performance culture Drive employee engagement, accountability, and retention Qualifications Key Requirements Qualifications Bachelor’s degree in Business, Healthcare Administration, Actuarial Science, or related field Postgraduate qualification (MBA or equivalent) preferred Experience 10–15 years’ experience in health insurance, medical schemes, or healthcare funding 5–8 years in a senior operational leadership role Proven experience managing complex, large-scale operational environments Knowledge & Skills Strong understanding of health insurance operations and regulatory frameworks Financial acumen with data-driven decision-making capability Expertise in operational excellence methodologies Experience in digital transformation and process automation Excellent leadership, communication, and stakeholder management skills Ability to balance strategic thinking with operational execution Leadership Attributes Customer-first mindset Results-driven with strong execution capability High integrity and sound judgment Resilient and adaptable in a dynamic environment Collaborative, people-centered leadership style Additional Information Why Join Us? This is an opportunity to shape and transform a core business function within a forward-thinking organisation. You will have the mandate to influence strategy, drive innovation, and lead a high-performing team in delivering exceptional service to members and stakeholders.
Responsibilities
The Health Executive will lead and optimize all operational functions within the health insurance business, ensuring efficient and compliant service delivery. They are responsible for driving operational excellence, managing core functions like claims and underwriting, and fostering a customer-centric culture.
Health Executive – Operations at Kaelo
Randburg, Gauteng, South Africa - Full Time
Skills Needed
Operational Strategy, Health Insurance, Claims Management, Underwriting, Policy Administration, Customer Service, Provider Network Management, Financial Management, Regulatory Compliance, Risk Management, Process Optimization, Digital Transformation, Lean, Six Sigma, Leadership, Stakeholder Management
Specialization
Candidates must possess 10–15 years of experience in health insurance or healthcare funding, with at least 5–8 years in a senior operational leadership role. A bachelor's degree is required, and a postgraduate qualification such as an MBA is preferred.
Experience Required
Minimum 10 year(s)
CIO Advisory - Executive Partner at Gartner
, , South Africa - Full Time
Skills Needed
Digital Transformation, Strategic Planning, It Operations Management, Business Development, Executive Relationship Management, Artificial Intelligence, Business Intelligence, Machine Learning, Blockchain, Big Data, Cloud Computing, Consulting, Leadership, Stakeholder Management, Project Management
Specialization
Requires 15+ years of progressive technology exposure in consulting or CxO roles with experience in large-scale transformative initiatives. Candidates must possess extensive knowledge of CIO focus areas and demonstrable business development experience with executive-level stakeholders.
Experience Required
Minimum 10 year(s)
Senior Compliance Advisor at Telesure Investment Holdings (TIH)
Johannesburg, Gauteng, South Africa - Full Time
Skills Needed
Compliance Management, Regulatory Reporting, Risk Management, Governance, Policy Development, Stakeholder Engagement, Compliance Monitoring, Financial Services, Regulatory Affairs, Leadership, Data Analysis, Reporting Strategies, Contract Compliance, Compliance Automation, Business Process Improvement
Specialization
Candidates must hold a BProc or LLB degree and be registered as a Compliance Officer with the FSCA. A minimum of 5 years of experience in the financial industry and 1-3 years of supervisory experience are essential.
Experience Required
Minimum 5 year(s)
Clinical Nurse (R/N) - Experienced-Paediatric Ward at Netcare
Polokwane, Limpopo, South Africa - Full Time
Skills Needed
Paediatric Nursing, Patient Assessment, Nursing Care Planning, Emergency Treatment, Resuscitation, Clinical Documentation, Patient Advocacy, Multi Disciplinary Team Collaboration, Staff Supervision, Quality Management, Risk Management, Clinical Facilitation, Mentoring, Electronic Patient Records, Medical Technology Implementation
Specialization
Candidates must be registered as a Professional Nurse with the South African Nursing Council. They are required to have thorough knowledge of general and specialized nursing theory, practice, and modern nursing care principles.
Experience Required
Minimum 2 year(s)
MACHINE OPERATORS at Mount Family Group, LTD
Durban, KwaZulu-Natal, South Africa - Full Time
Skills Needed
Machine Operation, Equipment Monitoring, Quality Control, Safety Compliance, Preventive Maintenance, Haccp, Iso Standards, Documentation, 5s Practices, Housekeeping
Specialization
Candidates are expected to adhere to strict hygiene and safety regulations such as HACCP and ISO standards. The role requires the ability to report equipment faults and maintain accurate production documentation.
DRIVERS CODE 10 NEEDED at Mount Family Group, LTD
Durban, KwaZulu-Natal, South Africa - Full Time
Skills Needed
Delivery Driving, Vehicle Operation, Forklift Operation, Tractor Operation, Time Management, Organizational Skills, Customer Service, Payment Collection, Log Maintenance, Reporting, Route Planning
Specialization
Candidates must possess a valid professional driver's license and a clean driving record with no traffic violations. Proven experience in delivery driving and the ability to operate forklifts and tractors are required.
Experience Required
Minimum 2 year(s)
FORKLIFT OPERATOR at Mount Family Group, LTD
, Western Cape, South Africa - Full Time
Skills Needed
Forklift Operation, Material Handling, Warehouse Operations, Safety Compliance, Attention To Detail, Loading And Offloading, Inventory Stacking
Specialization
The ideal candidate should have experience in a fast-paced warehouse environment and demonstrate strong attention to detail. Reliability, a commitment to safety procedures, and the ability to work under pressure are essential requirements.
MACHINE OPERATORS at Mount Family Group, LTD
, Western Cape, South Africa - Full Time
Skills Needed
Machine Operation, Equipment Monitoring, Quality Control, Safety Compliance, Preventive Maintenance, Haccp, Iso Standards, Documentation, Continuous Improvement, 5s Practices, Housekeeping
Specialization
Candidates are expected to adhere to strict hygiene and safety regulations such as HACCP and ISO standards. The role requires the ability to perform equipment maintenance and maintain accurate production records.
PETROL ATTENDANTS at Mount Family Group, LTD
, Western Cape, South Africa - Full Time
Skills Needed
Customer Service, Cashiering, Cash Handling, Fuel Dispensing, Janitorial Duties, Communication, Safety Compliance
Specialization
Candidates should be enthusiastic and friendly with a focus on providing prompt and knowledgeable service to customers. The role requires the physical ability to lift and move boxes and perform general maintenance tasks.
DRIVERS CODE 10 AND ASSISTANTS NEEDED at Mount Family Group, LTD
, Western Cape, South Africa - Full Time
Skills Needed
Delivery Driving, Vehicle Operation, Forklift Operation, Tractor Operation, Time Management, Organizational Skills, Customer Service, Payment Collection, Log Maintenance, Reporting, Route Planning
Specialization
Candidates must possess a valid professional driver's license and have proven experience as a delivery driver. Additionally, they must be capable of operating forklifts and tractors under various conditions.
TEACHERS ASSISTANT at Mount Family Group, LTD
, Western Cape, South Africa - Full Time
Skills Needed
Interpersonal Skills, Classroom Management, Child Development, Teamwork, Assessment, Reporting, Learning Through Play, Communication
Specialization
Candidates must possess excellent interpersonal skills and the ability to work effectively within a team. The role requires a commitment to upholding the school's ethos and implementing an informal, play-based teaching style.
ADMIN CLERKS at Mount Family Group, LTD
, Western Cape, South Africa - Full Time
Skills Needed
Secretarial Support, Receptionist Duties, Meeting Coordination, Minute Taking, Document Management, Diary Management, Administrative Support, Communication, Scheduling, Record Keeping
Specialization
The position requires strong organizational and administrative skills to manage office operations effectively. Candidates must be capable of drafting agendas, taking minutes, and maintaining accurate records.
WAREHOUSE ASSISTANTS at Mount Family Group, LTD
, Western Cape, South Africa - Full Time
Skills Needed
Inventory Control, Order Fulfillment, Picking, Packing, Warehouse Maintenance, Logistics Support, Loading, Offloading
Specialization
The position requires the ability to perform manual warehouse tasks such as loading and offloading vehicles. Candidates must be capable of maintaining an organized and safe storage environment.
WAREHOUSE ASSISTANTS at Mount Family Group, LTD
Durban, KwaZulu-Natal, South Africa - Full Time
Skills Needed
Inventory Control, Order Fulfillment, Picking, Packing, Warehouse Maintenance, Logistics Support, Loading, Offloading
Specialization
The role requires the ability to maintain a clean and safe warehouse environment while accurately managing incoming and outgoing stock. Candidates must be capable of performing physical tasks related to logistics and inventory handling.
PETROL ATTENDANTS at Mount Family Group, LTD
Durban, KwaZulu-Natal, South Africa - Full Time
Skills Needed
Customer Service, Cashiering, Cash Handling, Fuel Dispensing, Janitorial Duties, Safety Compliance, Communication, Attention To Detail
Specialization
Candidates should be enthusiastic and friendly with the ability to handle cash transactions and credit card payments. The role requires physical capability to lift and move boxes as well as perform general cleaning tasks.
GENERAL WORKERS- HOSPITAL at Mount Family Group, LTD
, Western Cape, South Africa - Full Time
Skills Needed
Physical Labor, Multitasking, Organizational Skills, Time Management, Team Collaboration, Communication Skills, Attention To Detail, Problem Solving, Reliability, Punctuality
Specialization
Candidates must have the ability to perform physical tasks and possess strong organizational and communication skills. Reliability, punctuality, and a proactive attitude are essential for this role.
CLEANERS AND SCULLERY STAFF at Mount Family Group, LTD
Durban, KwaZulu-Natal, South Africa - Full Time
Skills Needed
Cleaning, Sanitizing, Waste Management, Floor Maintenance, Sweeping, Mopping, Dusting, Safety Compliance
Specialization
The role requires the ability to perform physical cleaning tasks such as sweeping, mopping, and sanitizing surfaces. Candidates must be able to follow safety protocols and maintain an organized warehouse environment.
ADMIN CLERKS at Mount Family Group, LTD
Durban, KwaZulu-Natal, South Africa - Full Time
Skills Needed
Secretarial Support, Receptionist Duties, Meeting Coordination, Minute Taking, Document Management, Diary Management, Administrative Support, Communication, Scheduling, Record Keeping
Specialization
The position requires strong organizational and administrative skills to manage office operations effectively. Candidates must be capable of handling meeting documentation, scheduling, and professional communication.
CLEANERS AND SCULLERY STAFF at Mount Family Group, LTD
, Western Cape, South Africa - Full Time
Skills Needed
Cleaning, Sanitizing, Waste Management, Floor Maintenance, Sweeping, Mopping, Dusting, Safety Compliance, Organization
Specialization
The position requires the ability to perform physical cleaning tasks and maintain organizational standards within a warehouse setting. No specific educational or experience requirements were explicitly stated.
FORKLIFT DRIVERS at Mount Family Group, LTD
Durban, KwaZulu-Natal, South Africa - Full Time
Skills Needed
Forklift Operation, Material Handling, Warehouse Operations, Safety Procedures, Attention To Detail, Loading And Offloading, Stacking, Reliability
Specialization
The ideal candidate should have experience in a fast-paced warehouse environment and demonstrate strong attention to detail. They must be reliable, safety-conscious, and capable of working effectively under pressure.
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