The purpose of the job is to foster compliance with the Medical Schemes Act (MSA) and other related legislation and to take enforcement actions in cases of non-compliance.

As a Compliance Officer, you will be responsible for:

• Demarcation exemptions – analyse and prepare demarcation exemption applications in terms of section 8(h) of the MSA for Council to exempt non-compliance with certain sections of the MSA.
• Demarcation complaints – provide technical advice on demarcation complaints to ensure speedy resolution of complaints.
• Conduct Inspections – conduct inspections/investigations/enquiries and compile a report for the Registrar’s intervention to obtain evidence of compliance/non-compliance with the MSA and related legislation.
• Enforcement – prepare and submit a memorandum to the Registrar and/or Council recommending the implementation of enforcement intervention to ensure compliance with the MSA and related legislation.
•  Liquidations (Section 64) – facilitate the appointment of a Liquidator using the prescribed criteria, ensuring follow-up mechanisms are in place, and that the Financial Supervision unit has the Liquidation and Distribution account for analysis. Manage inspections, objections, and responses.
• Exemptions – prepare and make recommendations on exemption applications received from schemes.
• Review Marketing materials – review and interpret all forms of communication made by schemes to its members. Ensure that those deliverables are met for analysis of marketing materials/application forms in line with published communication guidelines and the Consumer Protection Act. Ensure all forms of communication are in line with scheme rules and the MSA.
• Administration – scan and upload registered rules to the Mfiles database on an ongoing basis.
• Undertake assignments/tasks allocated by the line manager in accordance with CMS’ operational requirements.

SKILLS AND KNOWLEDGE BASE

The successful candidate will have the following key competencies and skills:

• A minimum of an Advanced Diploma/ B.Tech/Degree in Law/Audit/Risk Management/Compliance/Investigation or equivalent qualification at NQF Level 7.
• A minimum of three (3) years’ working experience in a regulatory environment, one of which must be in the medical schemes industry and/or financial services environment.
• Postgraduate qualification in Law/Audit /Risk Management/Compliance/Investigation or equivalent will be an added advantage.

Training and Knowledge areas: 

• Knowledge of the medical schemes or healthcare or insurance industry.
• Knowledge of enforcement and conducting investigations.
• Knowledge of management principles as they relate to the organisation.
• Knowledge of all related legislation impacting on and influencing the functioning of the organisation and the entities being regulated by the CMS.
• Knowledge of contract evaluation and analysis.
• Knowledge of handling evidence.
• Understanding of interpretation of audited financial statements and management accounts; criminal procedure and evidence; and commercial crime investigations will be an added advantage.
• Computer Literacy

Technical Skills and Behavioural Attributes: 

• Analytical and attention to detail.
• Report writing and presentation skills.
• Advanced interviewing skills and project management.
• Resourcing, researching and interpretation of legislation.
• Conflict management.
• Preservation of evidence.

Note: Correspondence will be limited to shortlisted candidates only. If you do not hear from us within two (2) months of this advertisement, please accept that your application was unsuccessful. CMS reserves the right to appoint or not to appoint for the above position.