Specialist Clinical Reporting

2 weeks ago


Centurion, Gauteng, South Africa PPS Recruitment Full time

Job Advert Summary:

Minimum Requirements:

  • Grade 1
  • Clinical qualification for example nursing
  • Data analytics qualification will be an advantage.
  • Industry/legislation and regulations essential
  • ISO Principles
  • Essential: Medical Scheme administration/managed Healthcare experience 3+ years
  • Essential: Reporting experience
  • Reporting programmes: QlikView, Yellow fin, SQL will be an advantage.
  • Essential: Advance Excel skills including calculations, pivot tables/V/X lookups etc.
  • Essential: Advanced Microsoft Word

Duties and Responsibilities:

  • Extract data and compiling/reviewing of Clinical/Board reports as per the SLA.
  • Extract data and create standard operational data reports as per SLA.
  • Extract data and create ad hoc operational data reports as per client specifications.
  • Analyse data and report possible risks to the clients as well as provide recommendations.
  • Proactively identify and manage potential problems/escalations within clinical data with
appropriate resolution plans.

  • Provide data/reports/analysis as required by PPSHA and/or Client.
  • Consult to business areas around fundamental components required to manage operational risk and deliver initiatives in accordance with business requirements to ensure delivery of quality care.
  • Implement best practice protocols to ensure quality patient care that is cost effective and accessible.
  • Keep abreast of new developments within the Healthcare industry.
  • Identify and implement new projects related to clinical improvements.
  • Reviewing and creating of Work instructions applicable to Reporting and processes.
  • When required, attend healthcare/data analytics workshops to keep the company abreast of changes in the industry with regards to reporting and trends.
  • Provide proposals to the client and participate in negotiations when required with service providers in order to assist the Schemes with the costeffective management.
  • Provide input and support to the Clinical Committees, MHC meeting and other committees as and when required.
  • Compile documentation and assist with the Council for Medical Schemes enquiries where clinical data is required.
  • Data validation, testing and quality assurance.


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