The Road Accident Fund (RAF) is inviting passionate healthcare professionals to apply for Medical Management Consultant vacancies (X22 posts). These opportunities provide medical practitioners the chance to play a critical role in ensuring that RAF claimants receive fair, quality medical assessments, while also supporting the Fund’s mission of rehabilitating victims of road accidents.
Why These Roles Matter
The RAF is a vital safety net in South Africa, compensating road accident victims for injuries, loss of income, and medical expenses. Medical Management Consultants are at the heart of this process, ensuring that medical claims are properly assessed, managed, and aligned with industry standards. By joining the RAF, you’ll not only advance your career but also contribute to a system that restores dignity and hope to thousands of South Africans every year.
POSITIONS: CONSULTANT: MEDICAL MANAGEMENT X22
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 X22
Why Apply?
This is more than just a job — it’s a calling. As an RAF Medical Management Consultant, you’ll:
- Use your medical expertise to make a difference in accident victims’ lives.
- Join a respected national institution with a strong public mandate.
- Gain opportunities for career growth, training, and specialization in medical management.
Our Conclusion
With 22 posts available, this is a golden opportunity for medical professionals to combine their clinical expertise with social impact. If you are passionate about healthcare, fairness, and rehabilitation, step forward and be part of South Africa’s transformation through the RAF.
CLOSING DATE: 23 SEPTEMBER 2025
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