182 Process owner Jobs and Work in Gauteng

Claims Process Owner
PPO Serve —Alberton, Gauteng
Quick Apply
Credit Product Owner
Nedbank —Johannesburg, Gauteng
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HSE Officer
SoluGrowth (Pty) Ltd. —West Rand, Gauteng
- Full-time
Accountant
The Hadron Group —Pretoria, Gauteng
- R20 000 a month
Quick Apply
Product Owner
CyberPro Consulting —Fourways, Gauteng 2055
- R600 - R700 an hour
Virtual Bookkeeper
Talent Sam —Gauteng
- Full-time
- Remote
Quick Apply
Personal Assistant
SoluGrowth (Pty) Ltd. —West Rand, Gauteng
- Full-time
Solution Owner
Blue Label Telecoms —Sandton, Gauteng
- Full-time
Mining Electrical Engineer
GIBB —Gauteng
- Full-time
Senior Specialist: Payroll
Land Bank Careers —Woodmead, Gauteng
5h
PR Senior Account Manager
Ogilvy —Johannesburg, Gauteng
Senior Project Manager – Strategic Credit Transformation Programme
databridgetalent.co.za —Sandton, Gauteng
- R900 an hour
- Temporary
- Remote
Quick Apply
10h
Software Developer II (Contract)
The Focus Group —Sandton, Gauteng
11h
IT Operations Engineer
Vodafone —Johannesburg, Gauteng
- Full-time
12h
(1726) Risk and Compliance Coordinator - Johannesburg
South African Reserve Bank —Johannesburg, Gauteng
- Full-time
12h
Quantitative Business Analyst-2
FirstRand —Johannesburg, Gauteng
- Full-time
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Snr Specialist: SAP Support
Transnet —Parktown, Gauteng
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Finance Manager: Management Reporting
Transnet —Johannesburg, Gauteng
14h
Senior Delivery/Program Manager (Credit)
iqbusiness South Africa —Johannesburg, Gauteng
14h
Corporate Tax Manager (UK Tax experience required)
Sumer Offshore Services —Johannesburg, Gauteng
- Remote
Quick Apply
14h

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Claims Process Owner

PPO Serve
Alberton, Gauteng

Quick Apply

Job Details

Temp to perm

Full Job Description

The Claims Process Owner is responsible for the end-to-end ownership, governance and optimisation of PPO Serve’s monthly claims process. While core processes are largely automated (or being automated), this role ensures data integrity, process efficiency, stakeholder alignment and timely, accurate claims delivery. The Claims Process Owner acts as the central point of coordination between PPO analytics, finance, operations and external stakeholders (actuaries and other service providers).

End- to End Claims Process Ownership

Own the full monthly claims cycle from data receipt to payments to doctors
Oversee and audit automated pipelines for claims generation and validation
Ensure adherence to documented methodologies for claims inclusion and payment models
Manage timelines, dependencies and critical deadlines

Data Governance & Quality Control

Oversee provider file management in collaboration with PPO Sales
Validate outputs from internal and external membership files
Perform quality control checks on membership files throughout the claims cycle
Investigate and resolve data discrepancies at line level where required
Prepare month-end reconciliation report

Automation & Continuous Improvement

Support migration and optimisation of claims processes within PPO Serve’s data platform
Identify process risks, inefficiencies and control gaps
Maintain clear process documentation and audit trails

Stakeholder Engagement & Issue Resolution

Primary point of contact for all claim-related queries – internal (doctors, coaches, finance) and external (actuaries, medical schemes)
Proactive communication regarding risks, delays or discrepancies

Skills & Compentencies

Strong process management and governance capability
High attention to detail and data integrity
Analytical problem-solving ability
Stakeholder management and communication skills
Ability to operate within automated data environments

Technical Requirements

Advanced Excel
Working knowledge of Power BI
Experience managing data pipelines and structured data exchanges is advantageous

Qualifications & Experience

Business-related degree or equivalent
Minimum 5 years’ experience in Bookkeeping, Business Analyst, Claims, or Scheme-related role
Experience within a medical scheme or healthcare funding environment preferred

WHAT WE OFFER

Opportunity to make a significant impact on real-world healthcare challenges.
Be part of a collaborative, innovative, and data-driven culture.
Competitive market-related salary.
Opportunities for professional growth and continuous learning with cutting-edge technologies.
A commitment to work-life balance and a supportive team environment.

* IF WE HAVE NOT CONTACTED YOU 14 DAYS PLEASE CONSIDER YOUR APPLICATION UNSUCCESSFUL*

Work Location: Hybrid remote in Alberton, Gauteng

Quick Apply

Refine Your Search

process owner jobs in gauteng

Claims Process Owner

Credit Product Owner

HSE Officer

Accountant

Product Owner

Virtual Bookkeeper

Personal Assistant

Solution Owner

Mining Electrical Engineer

Senior Specialist: Payroll

PR Senior Account Manager

Senior Project Manager – Strategic Credit Transformation Programme

Software Developer II (Contract)

IT Operations Engineer

(1726) Risk and Compliance Coordinator - Johannesburg

Quantitative Business Analyst-2

Snr Specialist: SAP Support

Finance Manager: Management Reporting

Senior Delivery/Program Manager (Credit)

Corporate Tax Manager (UK Tax experience required)

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