Auditing jobs, Managerial jobs,Accounting jobs, Pharmacy jobs,
SENIOR AUDIT MANAGER
Job Description
The role supports the Group Head of Audit, East Africa in assisting the Board and Executive Management to protect the assets, reputation, and sustainability of the Old Mutual Group.
The role will be responsible for execution of audit assignments at Old Mutual General Insurance Kenya (OMGIK) and other entities within Old Mutual East Africa.
Key Deliverables:
- Deliver multiple audit assignments on time, and in accordance with the Group Internal Audit (GIA) methodology.
- Participate in development and implementation of risk-based audit plans.
- Understand the risk profile of the business, gain and apply extensive industry knowledge in the various business lines.
- Engage with business units/ process owners to agree on audit deliverables (risk assessments, control workshops and adequacy assessments) and timeframes and document findings.
- Challenge and influence the relevant executives to improve the governance, risk and control culture, and offer advisory services.
- Specific focus will be placed on providing assurance and advisory to the insurance business and ensuring effective management of key risks including operational, reporting, and compliance risks.
- Champion data analytics and Continuous Audit Monitoring (CAM).
- Conduct/assist in conducting Information systems audits as assigned by the supervisor from time to time.
- Develop and maintain relationships with key stakeholders including the Board Audit Committee, Senior Management, Risk Officers, among others.
- Meet key customers to gain a better understanding of business expectations.
- Provide clients with an understanding of audit expectations.
- Contribute to developmental interventions and on the job coaching.
- Help the business to deliver the strategic initiatives successfully by focusing on the most significant risks, both existing and emerging, and the most significant strategic initiatives being undertaken.
- Understand the risk profile of the business.
- Gain and apply extensive industry knowledge in auditing.
- Contribute to developmental interventions and on the job coaching.
Qualifications and Experience:
- A bachelor’s degree.
- Professional qualifications such as CPA, ACCA, CISA, CIA, etc. are an added advantage.
- Minimum of eight years relevant experience in the internal audit function and / or external audit function.
- Experience in the Insurance, Banking or Financial services industry is an added advantage.
- Experience or knowledge in IT audits, advanced data analytics and reporting on systemic/strategic risks will be an added advantage.
- Previous experience of managing projects and teams is an added advantage.
Pharmacy Advisor
Job Description
- The job holder will be responsible for promoting the rational use of medicines and guiding implementation of strategic purchasing for pharmaceuticals to ensure consistent delivery of high-quality cost-effective care, optimum health outcomes and excellent patient experience.
KEY ROLES AND RESPONSIBILITIES
- Promote rational use of medicines – advocate for rational prescribing and dispensing by adhering to standard treatment guidelines
- Strategic purchasing for pharmaceuticals – develop and implement strategic purchasing initiatives for pharmaceuticals
- Preventive care – facilitate integration of preventive and promotive services and provide input during product development and benefit design process
- Member education – continuous education for members on appropriate use of medications, common side effects and drug prices
- Polypharmacy – monitor for unnecessary polypharmacy for appropriate interventions including provider engagement and referral for Medication Therapy Management
- Adherence counselling – monitor patient adherence to medications and counsel those who are non-adherent
- Generic substitution – engage providers and members on the role of generic medications in improving health in a cost-effective way
- Drug Formulary Management – provide input to provider’s formularies to ensure cost-effective use of medicines
- Pharmacy pricelist management – monitoring of pharmacy prices to ensure adherence to Recommended Retail Prices
- Pharmacy benefits management – oversee pharmacy preauthorization through timely and accurate adjudication of pharmacy preauthorization requests
- Drug delivery – support disease management programs by linking members with chronic conditions with preferred pharmacies for drug delivery
- Pharmacy analytics – analysis of prescription patterns for providers and prescription drug use by members and analyze morbidity data to recommend appropriate interventions
- Monitoring errors in pharmacy claims adjudication and preauthorization to inform accuracy in claims management
- Drug utilization review – advise clients and providers on potential adverse drug reactions or drug interactions and counterchecking prescriptions for correctness
- Pharmacy technical support – provide technical support to the clinical team on queries revolving around prescription drugs.
- Keep up to date with current clinical guidelines for common ailments (including NCDs) provided by Ministry of Health and other internationally recognized clinical bodies.
- Pharmaceutical market intelligence – keeping abreast with new developments in the pharmaceutical sector, anticipating potential impacts on the business, and adapting strategy accordingly
- Actively collaborate with specialists, general practitioners, pharmacists, hospitals, patients, and other relevant stakeholders in promoting rational use of medicines
SKILLS AND COMPETENCIES
- Excellent communication, negotiation and interpersonal skills
- Excellent analytical and monitoring skills
- High level of integrity and honesty
- Team player, commitment and ownership
- Empathy and Customer Focus
QUALIFICATIONS, KNOWLEDGE & EXPERIENCE
- Diploma in Pharmacy
- At least 3 years’ experience in a busy private hospital or clinic setting
- Prior experience in a health insurance company is highly desirable
- Solid understanding of insurance principals
- Strong data analytics capability
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