Contract Manager

Discovery Limited

Contract Manager overseeing strategic risk management in healthcare at Discovery Health. Managing optometry and renal benefits while ensuring compliance and optimising healthcare outcomes.

Posted 5/25/2026contract🇿🇦 South AfricaMid-LevelSeniorWebsite

About the role

Key responsibilities & impact

To manage strategic risk priorities with contracted speciality groups focusing on optometry and renal providers.
To manage and oversee all aspects of optometry benefits, risk, and industry engagement across all schemes and plan options within Discovery Health at Discovery Health.
Serve as the SME on optometry, ensuring benefit design optimisation, regulatory compliance, and sustainable utilisation while maintaining strong industry relationships.
Manage, optimise, and oversee the full renal dialysis benefit, provider networks, risk exposure, and value-based care strategy across all schemes and plan types within Discovery Health.
Responsible for designing and implementing sustainable dialysis care models, contracting frameworks, and operational processes that ensure optimal clinical outcomes, cost efficiency, and compliance with scheme rules and national health policy.
Key Account and Relationship Management: Act as the primary relationship manager between Discovery Health and external stakeholders in the optometry industry, including professional bodies, optical administrators, and individual optometrists.
Maintain effective communication and partnership with industry representatives to ensure alignment with professional standards and practices.
Design, build, and steer optical benefits for new medical schemes joining Discovery Health and for new plan options for existing schemes.
Provide strategic advice on benefit optimisation to ensure competitiveness, member value, and cost-effectiveness.

Requirements

What you’ll need

Bachelor’s degree or equivalent in health sciences, optometry, business, or a related field.
Postgraduate studies or certifications in healthcare management, risk management, or optometry (advantageous).
Minimum 5-7 years in healthcare benefit design, network management, or managed care roles, with significant exposure to optometry.
Proven track record in relationship management with external healthcare providers and industry stakeholders within optometry.
Deep understanding of optical benefit structures, coding systems, and reimbursement models.
Knowledge of PMB processes and Ex Gratia protocols.
Strong analytical skills for benefit optimisation, utilisation management, and financial impact assessments.
Familiarity with claims processing, provider billing rules and system configuration requirements.
Strategic thinking and problem-solving ability.
Strong interpersonal and communication skills to build trust with industry partners and internal teams.
High attention to detail with commitment to accuracy and compliance.
Leadership capability to drive cross-functional projects and influence scheme-wide decisions beyond the scope of the direct portfolio.

Benefits

Comp & perks

Health insurance
401(k) matching
Flexible work hours
Paid time off
Remote work options

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

healthcare benefit designnetwork managementmanaged careoptometryanalytical skillsclaims processingprovider billing rulescoding systemsreimbursement modelsutilisation management

Soft Skills

relationship managementstrategic thinkingproblem-solvinginterpersonal skillscommunication skillsattention to detailleadership capabilitytrust buildingcollaborationinfluence

Certifications

Bachelor’s degree in health sciencesBachelor’s degree in optometryBachelor’s degree in businesshealthcare management certificationrisk management certificationoptometry certification