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Senior Manager: Clinical Consulting Services
2 weeks ago
As a Senior Manager:
Clinical Consulting Services you will be responsible for:
- Driving the implementation of Clinical Consulting Services planned activities and projects:
- Oversee the functioning of the Clinical Consulting Services subdivision by managing the subdivision projects and dayto
- Facilitate clinical support to other subdivision such as Benefits Management, Research & Monitoring, and Legal Services etc.
- Coordinating and participating in the development of Prescribed Minimum Benefit definition and review:
- Support the analysis of Scheme Risk Measurement with epidemiological input (analyses and interpretation of disease trends and costs.
- Adjudication of clinical opinions:
- To oversee the provision of evidence based, quality and meticulous clinical opinions.
- To provide feedback on clinical enquiries and opinions to external stakeholders.
- Coordinate Clinical Review Committee:
- To coordinate clinical review committee meetings, monitor, report and manage Clinical Review Committee (CRC) activities.
- To participate in the appeals committee and provide clarity to the appeal committee on clinical opinions that informs rulings.
- Provide support to National Department of Health:
- To attend meetings and provide inputs to National Department of Health committees related to CMS work.
- To implement adhoc national health policy projects and provide policy directive.
- Undertake assignments/tasks allocated by line manager in accordance with CMS' operational requirements.
SKILLS AND KNOWLEDGE BASE
- Bachelor of Medicine and Bachelor of Surgery (MBChB) or a degree in Medicine with post graduate training in Epidemiology and Public Health at NQF level 8;
- Masters' degree qualification in Public Health will be an added advantage;
- Completed Internship and Community service;
- A valid Health Professional Council of South Africa (HPCSA) Certificate; and
- A minimum of 12 years' experience in the Medical Schemes and/or Healthcare environment, of which 5 years must be in Evidence-Based Medicine & Clinical Management, and 7 years at Management/Supervisory level.
Job Type:
Permanent
Salary:
R ,00 per year
Application Question(s):
- Do you have post graduate training in Epidemiology and Public Health at NQF level 8?
Education:
- Masters (required)
Experience:
- Evidence-Based Medicine &
- Management/Supervisory level: 7 years (required)
License/Certification:
- Health Professional Council of South Africa Certificate (required)
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