Consultant: Medical Management X20 – Road Accident Fund (RAF) | Durban, KwaZulu-Natal
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Apply for the Consultant: Medical Management X20 positions at the Road Accident Fund (RAF) in Durban. A 3-year fixed-term contract offering R501,775 per annum. Open until 15 October 2025. Ideal for health science professionals with HPCSA/SANCA registration.
Introduction
The Road Accident Fund (RAF) plays a crucial role in South Africa’s healthcare and social protection ecosystem. As part of its mission to provide appropriate cover, rehabilitation, and compensation for road users injured in accidents, RAF is seeking skilled professionals to fill 20 Consultant: Medical Management positions.
This opportunity is designed for qualified healthcare professionals eager to contribute to medical assessment, exception handling, and claims management processes that uphold the Fund’s mission to deliver timely, caring, and quality medical support.
Quick Overview / Programme Info
| Position Title | Consultant: Medical Management (X20) |
|---|---|
| Division | Operations |
| Reference No. | 5996 |
| Location | Durban, KwaZulu-Natal, South Africa |
| Employment Type | Fixed Term Contract (3 Years) |
| EE Targeted Role (Disability) | Yes |
| T.A.S.K Grade | 11 |
| Annual Salary | R501,775.00 |
| Closing Date | 15 October 2025 |
| Date Published: | 8 October 2025 |
Purpose of the Programme
The Consultant: Medical Management is responsible for implementing medical management processes, handling medical exceptions, and supporting the administration of claims processing within RAF’s operational framework.
This role ensures compliance with RAF’s clinical guidelines, tariffs, and treatment protocols, maintaining high standards of care and efficiency in medical claims adjudication.
Key Responsibilities & Outputs
| Key Area | Responsibilities |
|---|---|
| Medical Management | Conduct medical assessments, compile injury assessment reports, and review medical bills to ensure quality and cost efficiency. |
| Preauthorization & Tariffs | Preauthorize claims aligned to RAF’s clinical guidelines and formularies while monitoring adherence to tariffs and treatment protocols. |
| Exception Handling | Implement and maintain exception handling and unusual occurrence procedures to ensure accuracy and compliance. |
| Reporting | Produce reports, track progress against objectives, and highlight emerging risks and improvement opportunities. |
| Stakeholder Management | Engage effectively with healthcare providers, claimants, and internal teams to resolve queries and maintain healthy relationships. |
Previous Stipend Insight:
Prior RAF consultant roles (2023–2024 cycles) offered packages between R480,000 – R510,000 per annum, indicating stable salary progression.
Minimum Requirements / Eligibility
| Qualification | Bachelor’s Degree or Advanced Diploma in Health Sciences / Medical-related field |
|---|---|
| Professional Registration | Registered with HPCSA or SANCA |
| Experience | Minimum of 3 years in a medical or clinical environment |
| Knowledge Areas | Claims management systems, medical product management, clinical billing, case management |
| Key Skills | Analytical ability, report writing, decision-making, communication, and client service orientation |
Who Should Apply?
| Target Group | Ideal Candidates |
|---|---|
| Healthcare Professionals | Registered health practitioners (e.g., nurses, physiotherapists, clinical technologists) seeking administrative and analytical medical roles. |
| Claims Assessors | Candidates experienced in medical billing, claims review, or case management. |
| Disability-Inclusive Applicants | RAF strongly encourages individuals with disabilities to apply under this EE-targeted opportunity. |
Benefits of Working at RAF
| Benefit | Description |
|---|---|
| Competitive Remuneration | Annual package of R501,775.00. |
| Career Development | Exposure to complex medical case management and claims processes. |
| Inclusive Workplace | Strong commitment to employment equity and diversity. |
| Job Stability | 3-year fixed-term contract with potential for renewal or transition into permanent roles. |
| Professional Growth | Continuous engagement with multidisciplinary medical and legal teams. |
Core Competencies & Skills Required
- Excellent planning, organization, and coordination abilities.
- Ethical decision-making and integrity-driven judgment.
- Strong clinical and analytical reasoning.
- Knowledge of Motor Vehicle Accident (MVA) legislation.
- Customer value orientation with excellent communication skills.
- Problem-solving and multi-disciplinary collaboration experience.
Equity, Diversity & Transformation Commitment
The Road Accident Fund is an equal opportunity employer that values diversity, inclusion, and transformation. This position is specifically targeted at individuals with disabilities as part of RAF’s Employment Equity initiatives. All suitably qualified applicants are encouraged to apply.
How to Apply (Step-by-Step)
| Step | Action |
|---|---|
| 1. Visit RAF Careers Portal | Go to www.raf.co.za and navigate to the Careers section. |
| 2. Search for Reference No. 5996 | Look for “Consultant: Medical Management X20 – Durban” under current vacancies. |
| 3. Register / Log in | Create an online profile or log in to your existing account. |
| 4. Complete Online Application | Fill out the digital form and upload all supporting documents (CV, certified qualifications, ID, HPCSA/SANCA proof). |
| 5. Review & Submit | Confirm details and submit your application before 15 October 2025. |
| 6. Await Feedback | Shortlisted candidates will be contacted for assessments and interviews. |
Possible Career Paths After Completion
- Medical Claims Specialist
- Senior Medical Case Manager
- Health Policy Analyst
- Clinical Compliance Officer
- Operational Risk Manager (Healthcare Division)
These roles offer pathways into healthcare administration, insurance, and clinical governance sectors.
Call to Action
If you’re a qualified healthcare professional looking to advance your career in medical management and claims processing, this RAF opportunity offers both purpose and professional growth.
Apply now for the Consultant: Medical Management X20 (Durban) position and become part of an organization committed to caring, rehabilitation, and road safety in South Africa.
Apply before: 15 October 2025
Salary: R501,775.00 per annum
Contract Duration: 3 Years Fixed Term
Useful Links
- Road Accident Fund Official Website
- RAF Careers Portal
- HPCSA – Health Professions Council of South Africa
- SANCA – South African Nursing Council
Apply Consultant: Medical Management X20 – Road Accident Fund (RAF) | Durban, KwaZulu-Natal
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