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Head of Department

Vacancy Details

Reference No.

Tasneem1

Synopsis

A leading Healthcare Administrator is seeking an experienced individual to head up their Disease Risk Management division. They are an independent medical scheme administrator utilising the latest technologically advanced systems to provide a professional service to clients.

Description

  • Implementation and Ongoing development of the Disease Management Programmes.
  • Compile detailed plan of disease management programmes including risk rating and monitoring.
  • Manage current project plan to ensure implementation within agreed timelines.
  • Communicating with prescribers, patients and the Fund with regards to the programme rules; disease education and related clinical information.
  • Production of educational material and dissemination to patients.
  • Develop and maintain clinical intervention protocols and strategies for specific diseases.
  • Compilation of monthly reports detailing programme progress and present to Executive and client.
  • Manage the schemes Specialist Profiling programme.
  • Manage and monitor other outsourced care coordination programmes/ third party arrangements e.g. PPO Serve, Gernessa, Biofourmis etc. to ensure outcome agreed upon are achieved.
  • Management of staff
  • Ensure that the department meets agreed Scheme SLA’s and company targets.

Requirements

  • A minimum of a Grade 12
  • Formal Clinical qualification i.e. Pharmacy degree or other Healthcare related degree/diploma.
  • Five years’ work experience in the Managed Healthcare environment essential.
  • 3 years Management experience essential.
  • Member of appropriate professional medical body
  • Clinical protocol development an advantage
  • Disease management programme implementation and management essential with proven track record
  • Exposure to Managed HealthCare policies and procedures, ISO principles and other CMS and DoH related legislature including PMBs essential.
  • Planning and organising skills.
  • Excellent communication skills (both verbal and written communication)
  • Computer literacy (MS Office and Medical Administration system and Data warehouse).
  • The ability to use data collection techniques and methods for analysing, identifying trends and reporting on data.  Strong reporting focus
  • Knowledge of QlikView will be an advantage

Position Type

Permanent

Work Level

Senior Management

Salary

Market Related

Industry

Human Resources

Salary Type

Annually

Package

Cost To Company

Affirmative Action

No

Geographic Location

Gauteng - Centurion