Risk Manager

2 weeks ago

Sandton, South Africa Discovery Ltd. Full time

Business Unit:

Discovery Health
Function:Clinical
Date:04-May-2023- Risk Manager - Quality- About DiscoveryDiscovery's core purpose is to make people healthier and to enhance and protect their lives.

We seek out and invest in exceptional individuals who understand and support our core purpose, and whose own values align with those of Discovery.

Our fast-paced and dynamic environment enables smart, self-driven people to be their best.

As global thought leaders, Discovery is passionate about innovating in order to not only achieve financial success, but to ignite positive and meaningful change within our society.


  • Key purpose
  • The QualityofCare unit within Strategic Risk Management in Discovery Health, is responsible for managing, defining, and implementing the strategy around improving the Quality of care that Discovery members receive, to achieve the best possible clinical outcomes at the highest levels of cost efficiency. This role's purpose is to share responsibility for all aspects of the Quality strategy which includes measuring, understanding and reporting on key indicators of care, value based contracting and member centeredness.
Key outputs

  • Provide a strategic role into all Quality improvement initiatives within the business area.
  • Work closely with analyst on data related to Quality projects and interpret outputs to translate into strategic plans
  • Drive innovation and manage projects and initiatives pertaining to improving Quality in Healthcare for DH members, whilst working within a shared value approach where possible, to ensure successful development and implementation of approved projects
  • Oversee the implementation of key initiatives and special projects related to Quality initiatives.
  • Ongoing development and enhancement of health risk management strategy related to Quality of care
  • Proactively identify creative solutions that could impact on the improvement of Discovery members quality of care received and work to implement these
  • Cultivate relationships with internal and external stakeholders
  • Represent the Discovery Health position on key Quality of care issues at all relevant forums.
  • Communicate the DH position on Quality to external parties in written, verbal and presentation formats as appropriate.
  • Communicate internally to risk management and governance forums on issues and opportunities applicable to the business.
  • Build a deep understanding of healthcare issues affecting Quality of care in South Africa as well as managed healthcare in the funding industry.
Education and Experience

  • Clinical background (Medical degree) with preference to those with understanding of health systems in South Africa
  • 35years experience within the healthcare industry
  • Relevant training and business experience
  • Understanding of the key business and clinical issues including public health issues in South Africa
  • IT skills Excel, Word, Power point
- analytical skills advantageous

  • Strong administrative and project management experience
  • Presentation skills
  • Innovative / Ideas driven
Competencies

  • Good interpersonal skills
- collaborative team member

  • Initiative/project management
  • Structured thinking and problem solving
  • Good communication
  • Implementation experience
  • Innovation, enthusiasm and drive
  • Taking initiative and working under own direction; selfstarter
  • Upholding ethics and values; demonstrates integrity
Employment Equity

  • The Company's approved Employment Equity Plan and Targets will be considered as part of the recruitment process. As an Equal Opportunities employer, we actively encourage and welcome people with various disabilities to apply.

EMPLOYMENT EQUITY
The Company's approved Employment Equity Plan and Targets will be considered as part of the recruitment process. As an Equal Opportunities employer, we actively encourage and welcome people with various disabilities to apply.

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