The Road Accident Fund (RAF) is one of South Africa’s most critical public institutions, ensuring that victims of road accidents receive both financial and medical support. To strengthen its service delivery, RAF is now recruiting 24 Medical Management Consultants across the country. This opportunity presents a vital chance for healthcare professionals to apply their expertise in assessing, managing, and ensuring quality medical services for accident victims.
POSITIONS: CONSULTANT: MEDICAL MANAGEMENT X24
JOB TYPE: 3 YEAR FIXED TERM CONTRACT
QUALIFICATIONS & EXPERIENCE:
Qualification
- Bachelor’s Degree/Advanced Diploma in Health Sciences/Medical related qualification.
- Registration with HPCSA/SANCA.
- Relevant 3 years’ experience in A Medical related environment.
KEY PERFORMANCE AREAS
Medical Management
- Conduct medical assessment and compile injury assessment reports.
- Conduct assessments and bill reviews on submitted claims, focusing on the appropriate level of care, the length of stay and quality of care.
- Incorporate tariffs, cost savings initiative recording and treatment protocol to ensure that all service providers adhere to the rules and the tariff as guided by the RAF and/or any that is considered reasonable.
- Pre-authorise submitted claims aligned to RAF clinical guidelines including the RAF formulary treatment protocols and related tariffs.
- Escalation of complex cases for multi-disciplinary review and adjudication.
- Participate in the consultations process on the implementation of medical claims processes.
Reporting
- Track and report against set objectives and targets.
- Report on emerging risks.
- Provide ad-hoc reports on process improvement initiatives.
- Produce documents, briefing papers, reports and presentations
Stakeholder management
- Deal with/and respond to correspondence.
- Maintain healthy relationships with all stakeholders.
- Follow up and making recommendations on which corrective actions are appropriate.
- Follow up and feedback to all stakeholders to keep them updated on the status of a query.
- Respond to queries within the predefined turnaround times.
Technical and behavioral competencies required
- Claims management process/processes and systems.
- Medical product management.
- Medical bill reviewing
- Medical case management
CLICK HERE TO APPLY FOR THE CONSULTANT: MEDICAL MANAGEMENT X24
Why This Opportunity Matters
South Africa faces high rates of road accidents, and the RAF’s mandate is essential in helping victims regain dignity and quality of life. By employing qualified Medical Management Consultants, the Fund is bridging the gap between medical science and claims administration, ensuring claimants not only receive financial settlements but also access the medical care they deserve.
For qualified healthcare professionals, this is more than just a job — it is an opportunity to make a meaningful impact on the lives of road accident survivors and contribute to safer, more responsive public health systems.
Our Conclusion
This is a golden opportunity for experienced medical professionals to join an impactful national institution. If you meet the requirements, apply today and help shape a more compassionate, efficient RAF system.
CLOSING DATE: 25 SEPTEMBER 2025
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