Clinical Specialist

2 weeks ago


Sandton, South Africa Discovery Limited Full time

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Clinical Specialist (Doctor)

Business Unit: Discovery Health

Function: Medical Doctor

Date: 27 Jan 2025

Discovery Health - Strategic Risk Management

Clinical Specialist (Doctor)

About Discovery

Discovery'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.

About Strategic Risk Management

Strategic Risk Management (SRM) is a business-critical department in Discovery Health, holding the responsibility for ensuring sustainable and equitable management of scheme funds to deliver patient care. It houses multiple teams of experts in clinical, actuarial, and managerial roles all striving to gain the highest value for members who need care.

Key Purpose

Developing a vision, design (model, benefits, partners, build including operational delivery and systems), delivery roadmap, monitoring and scaling of selected healthcare delivery, Value-Based Care (VBC) and digital transformation initiatives aligned to the SRM and wider organisational strategy.

Areas of responsibility may include but not limited to

  • Monitor key metrics reflecting healthcare spend and utilization experience and recommend risk mitigation strategies.
  • Proactively identify and develop creative, large, and complex care delivery shared value initiatives.
  • Develop frameworks and mechanisms to track the ongoing effectiveness of initiatives.
  • Co-ordinate and conduct activities with internal stakeholders to create relevant documentation for external engagement.
  • Provide a professional approach to evaluating and improving the effectiveness of clinical pathways.
  • Engage with providers and senior industry bodies to obtain opinion on clinical trends and pathways.
  • Contribute to the efficient functioning of the Healthcare Delivery Transformation unit and SRM.
  • Work closely with teams to ensure high levels of responsiveness.
  • Realise organisational goals and set strategies.
  • Set clearly defined objectives and manage resources effectively.
  • Make prompt, clear decisions and take responsibility for actions.
  • Focus on customer needs and satisfaction.
  • Establish good relationships with customers and staff.
  • Make a strong personal impression and manage conflict.
  • Analyse numerical and verbal data to produce workable solutions.
  • Rapidly learn new tasks and manage knowledge effectively.

Education and Experience

  • A qualified Medical Doctor (registered with the HPCSA), with strong analytical or business focus.
  • 3 – 5 years of managed care funding or commercial organisation experience preferred.
  • Ability to work with analytical teams in development of Healthcare Delivery Transformation initiatives.
  • Significant experience in the healthcare industry.
  • Public forum experience is critical.
  • Excellent interpersonal and presentation skills.
  • Strong administrative skills (MS Excel, MS Word & Power Point essential).

Advantageous/Preferred Experience and Knowledge:

  • Master's degree in Business Administration, Healthcare Management, Health Economics or Administration.
  • At least 5 years' experience leading successful implementation of business initiatives.

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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