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DIRECTOR: PROVIDER PAYMENT MECHANISM AND RATES - Kone Solutions
8010
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DIRECTOR: PROVIDER PAYMENT MECHANISM AND RATES

Overview

 (FIVE YEAR CONTRACT) 

 REF NO: NDOH 52/2026 

Centre: Chief Directorate: Health Care Benefits and Provider Payment Design, Pretoria.

No. of Vacancies
1
Specific Skills
 Requirements: • Grade 12 certificate and an undergraduate qualification (NQF level 7) as recognized by SAQA in Finance/Accounting, Cost Accounting, Economics, Health Economics, or Actuarial Sciences A postgraduate qualification (NQF level 8) in relevant discipline such as Finance and Accounting, Cost Accounting, Health Economics, Actuarial Sciences or a related quantitative social sciences field would be an advantage At least five (5) years’ experience at a middle/senior managerial level in Health Economics/Accounting within the health sector Experience in conducting sophisticated quantitative analyses and proven economic research output relating to health economic modeling techniques as well as experience in developing health-focused econometric models using decision analysis software Expert knowledge of Excel and VBA (Visual Basic for Applications) experience Intimate knowledge of health benefit design and payment, and National Health Insurance Knowledge of CPT coding, ICD-10 and other international coding systems and understanding of medical terminology Knowledge of other programs such as Python, R, and SQL will be an added advantage Knowledge and understanding of Public Service Regulation, Public Service Act, Public Finance Management Act and National Health Insurance (including provisions of the NHI Act) Good communication (verbal and written), problem solving, organizational, decision making, interpersonal, assertiveness, planning, customer service, team management and computer skills (MS Office packages) Self-motivated and ability to work independently A valid driver’s license SMS pre-entry Certificate is required for appointment finalization.
Responsible For
 Duties: • Review the existing data collection and reporting process in health care facilities; the flow of funds; identify changes needed to move from input-based payment to prospective payment (e.g. Capitation and Diagnosis Related Groupers) Develop an approach to on-going revisions of provider payment systems, and develop, proof-of-concept, and progressively implement new provider payment mechanisms Determine the nature of provider payment mechanisms and adopt additional mechanisms, including capitation for PHC and DRG for hospitals Define cost modeling methodology and required data sets and develop costing manual and determine the prices of health care services/drugs/consumables to be paid by the NHI Fund based on developed costing manual Prepare information and communicate to the public (users, providers and other stakeholders) on the prices of services/drugs/consumables included in the Health Care Benefits to be covered by the NHI Fund.
Additional Requirements
 Closing date: 06 July 2026 APPLICATIONS: The Director-General, National Department of Health, Private Bag X399, Pretoria, 0001.Hand delivered application may be submitted at Reception (Brown Application Box), Dr AB Xuma Building,1112 Voortrekker Rd, Pretoria Townlands 351-JR or should be forwarded to vacancies@Health.gov.za quoting the reference number on the subject e-mail. FOR ATTENTION: Ms M Shitiba  Note: All shortlisted candidates, including the SMS, shall undertake two pre-entry assessments. One will be a practical exercise to determine a candidate’s suitability based on the post’s technical and generic requirements and the other must be an integrity (ethical conduct) assessment, the logistics of which will be communicated by the Department. Following the interview and technical exercise for SMS posts, the selection panel will recommend candidates to attend a generic managerial competency assessment (in compliance with the DPSA Directive on the implementation of competency-based assessments). The competency assessment will be testing generic managerial competencies using the mandated DPSA SMS competency assessment batteries. Applications should be submitted on the new Z83 form obtainable from any Public Service department and should be accompanied by a CV only (previous experience must be comprehensively detailed). The Z83 must be fully completed (in line with DPSA Practice note), failure to comply will automatically disqualify the applicant. Applicants are not required to submit copies of qualification and other relevant documents on application. Certified copies of qualifications and other relevant documents will be requested prior to the final selection phase. Applications should be on one PDF format (If emailed). Applications received after the closing date and those that do not comply with the requirements will not be considered. It is the applicant’s responsibility to have foreign qualifications and national certificates (where applicable) evaluated by the South African Qualification Authority (SAQA). Please note by responding to the advertisement, you consent to the collection, processing, and storing of your Personal Information in accordance with the Protection of Personal Information Act (POPIA). Your information will be used solely for the purpose of this promotion and will not be shared with third parties without prior consent unless required by law. The Department reserves the right not to fill the post. The successful candidate will be subjected to personnel suitability checks and other vetting procedures. Applicants are respectfully informed that correspondence will be limited to short-listed candidates only. If notification of an interview is not received within three (3) months after the closing date, candidates may regard their application as unsuccessful. The Department will not be liable where applicants use incorrect/no reference number(s) on their applications. 
Job Nature
Full Time
Experience Requirements
5 years
Job Location
National
Salary
 Salary: An all-inclusive remuneration package of R1 317 384 per annum [basic salary consist of 70% of total package, the State’s contribution to the Government Employees Pension Fund (13% of basic salary) and a flexible portion]. The flexible portion of the package can be structured according to the Senior Management Service guidelines.
Job Level
Executive
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