Government Employees Medical Scheme (Gems) Vacancies

In brief

**Overview** This role is for an Internal Audit Specialist Manager within the Government Employees Medical Scheme (GEMS), specifically part of the Internal Audit Division. The position is permanent, full-time, and based at the Head Office in Pretoria, South Africa. The Internal Audit Specialist Manager will report directly to the Senior Manager: Internal Audit Clinical and Analytics. The primary responsibility is to lead and execute specialised, risk-based audits across GEMS’s clinical, operational, and regulatory areas. The role provides independent assurance on governance, risk management, and control effectiveness, while also focusing on driving innovation through data analytics and audit automation. Key aspects include managing audit staff, overseeing project delivery, and contributing to continuous improvement initiatives within GEMS’s overall assurance framework. GEMS operates a hybrid work model. The annual total cost to company package for this position ranges between R1,165,101 and R1,456,304, determined by the Scheme’s Remuneration Policy and the candidate’s skills and experience. The position is open to both Employment Equity/Affirmative Action (EE/AA) and Non EE/AA candidates. **What you will do** The Internal Audit Specialist Manager will support the Senior Manager Internal Audit Clinical and Analytics through the implementation of the following key performance areas: * Lead, plan, and execute specialised risk-based audits across clinical, operational, and regulatory areas within the Scheme. * Develop, maintain, and update the audit universe and annual internal audit plan aligned to organisational risks. * Provide independent assurance on governance, risk management, and control effectiveness to support sound decision-making. * Drive innovation through the use of data analytics, automation, and computer-assisted audit techniques (CAATs). * Ensure compliance with internal audit standards, the Medical Schemes Act, and applicable organisational policies. * Prepare and present clear, insightful audit reports and recommendations to management, the Audit Committee, and other stakeholders. * Manage and develop internal audit staff by providing guidance, mentorship, and performance feedback. * Oversee audit project budgets, timelines, and resources, ensuring delivery within scope and quality standards. * Build strong collaborative relationships across GEMS departments, external service providers, and other assurance functions. * Contribute to the enhancement of internal audit methodologies, continuous improvement initiatives, and the combined assurance framework. **Requirements (from the original advert)** * **Qualifications:** * A Bachelor’s degree in Internal Auditing, B Com, B Compt, Degree in Medical/Clinical Sciences or other relevant degrees. * Minimum of 5 years of work experience in the medical scheme industry. * Minimum of 3 years of experience in Internal Auditing. * Minimum of 3 years’ experience in a managerial role. * **Skills:** * Strong knowledge of internal auditing standards, methodologies, and best practices (IIA Standards, COSO, ISO 31000). * Comprehensive understanding of medical scheme operations, managed care, and healthcare regulatory environments. * Proven experience in planning, executing, and managing complex internal audit engagements. * Proficiency in Computer-Assisted Audit Techniques (CAATS) and data analytics for assurance delivery. * Excellent report-writing, presentation, and communication skills, with the ability to simplify complex findings for diverse audiences. * Strong project management, budgeting, and organisational abilities. * **Behavioural Competencies:** * Integrity: Demonstrates ethical conduct, professionalism, and confidentiality in all dealings. * Analytical Thinking: Strong problem-solving and critical-thinking abilities with a focus on detail and accuracy. * Excellence Orientation: Strives for quality, accountability, and continuous improvement. * Innovation: Applies creative thinking and modern audit techniques to improve processes and results. * Member-Centric Approach: Acts in the best interests of Scheme members and organisational objectives. * Leadership: Inspires and develops others, fostering a culture of collaboration and high performance. * Communication: Articulates ideas clearly and effectively at all organisational levels, both verbally and in writing. * Collaboration: Builds positive relationships with internal and external stakeholders to achieve collective goals. * Resilience and Adaptability: Performs effectively under pressure, managing change in a dynamic environment. **Who should apply** This role is suitable for an experienced Internal Audit professional seeking a permanent, full-time managerial position within the medical scheme industry, based at GEMS's Head Office in Pretoria, operating under a hybrid work model. The ideal candidate will hold a relevant Bachelor's degree and possess a minimum of 5 years of experience in the medical scheme industry, coupled with at least 3 years in internal auditing and 3 years in a managerial capacity. They should demonstrate strong knowledge of internal auditing standards, medical scheme operations, managed care, and healthcare regulatory environments, along with proficiency in Computer-Assisted Audit Techniques (CAATs) and data analytics. Essential qualities include excellent report-writing, presentation, communication, project management, budgeting, and organisational skills. The successful candidate will also exhibit high levels of integrity, analytical thinking, excellence orientation, innovation, a member-centric approach, leadership, collaboration, resilience, and adaptability. Candidates with accredited IIA or ISACA certifications, or those registered as HealthCare Professionals (or actively working towards them), will have an advantage. A strong understanding of healthcare funding models, claims administration, and managed care processes is also desirable. GEMS adheres to employment equity principles, and preference may be given to underrepresented groups in accordance with its employment equity plan. Internal GEMS employees must have been in their current role for a minimum of 12 months to be considered. All applicants should note that submission to appropriate pre-employment assessment is obligatory for consideration, and provided information may be shared with a third party for vetting purposes. Successful candidates will be required to seek approval for any external work. **Deadline** Monday, 09 November 2026 **Reference** Original posting: https://www.govpage.co.za/vacancies/government-employees-medical-scheme-gems-vacancies-12 Source: govpage

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At a glance

• At least 3 years of experience.

• Project management

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