Warehouse Associate

The Manager External Stakeholder Support will report directly to the Senior Manager Medical Advisory Services and form part of the Healthcare Management division.

This is a permanent Hybrid position based at a Medical Aid in Pretoria.

1. Manage the administrative function in the Medical Advisory Services business unit.
2. Contribute towards and conduct targeted research into local and international clinical guidelines and funding policies.
3. Critical review and analysis of current cost drivers and trends and compare with those of local and international sources for best practice.
4. Assist in the Management and monitoring of clinical cost targets.
5. Assist in developing and maintaining adequate knowledge of data handling and interpretation of information translating interventions.
6. Chair and coordinate monthly SPN meetings.
7. Perform Service Level Agreement quarterly site visits.
8. Support in the Management and monitoring of SPNs to implement and give results within set targets.
9. Support in the Management of divisional budget in line with budget allocation.
10. Assist in improving member value.
11. Monitor project/programme in conjunction with the internal Project Management Unit of the Scheme.
12. Ensure that all relevant projects are carried out and finalized.
13. Liaise with SPNs on Operational matters.
14. Represent the Healthcare Management Division at SPN and External Stakeholder Engagements, including but not limited to Provider Summits, industry conferences, and various other external stakeholders.
15. Assist in the process for development and maintenance of Medical Advisory Services standard operating procedures and policies.
16. Support Provider Relations and Network engagements (quarterly hospital efficiency, provider society and groups, and other forums as required).
17. Clinical review of hospital and provider efficiency and network reports.
18. Advise the Scheme on existing and new alternative reimbursement models received from external stakeholders.

1. Minimum MBChB / MBBCh.
2. Must be registered with the HPCSA.
3. Qualifications or experience in Health Technology Assessment or Evidence-Based Medicine would be advantageous.
4. At least five years work experience in the healthcare funding or Medical Scheme industry with at least two years at Manager/Supervisor level.
5. Must have experience in the development and presentation of Management reports.
6. A good understanding of coding (Nappi, Tariffs, ICD10, CPT4, UPFS, and more).