Senior Specialist

4 weeks ago

Sandton, South Africa Discovery Ltd. Full time

**Business Unit**:Discovery Health**Function**:Management**Date**:13-Apr-2023**Discovery - Health | Functional Enablement**

**Senior Specialist - Disease Management**

**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. 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.**About Functional Enablement**
- It is the central coordination of functional development through research and best practice, whilst delivering the strategic initiatives and supporting the day -to -day management of operational activities. Functions that make up the unit are Health Professional Support, Client Experience, Finance and Billing Operations, Corporate and Development Services and Product Integration.**Key Purpose**
- The successful incumbent will be responsible for the development and implementation of the strategy for the Disease Management Portfolio, which includes Oncology, HIV, Advanced Illness Benefit, Care Coordination Services, Member Care Programme, CMO and other disease management programs which must support and underpin the strategy of Discovery.- The role will have three main areas of focus, but is not limited to only this:
- Innovation and business improvement to move functions forward
- Maintenance of functions across streams
- Project Management and Implementation

**Key outputs**

**The successful applicant will be responsible for but not limited to the following job functions**:
**Areas of responsibility may include but not limited to**

**Implementation and Maintenance**
- The person will lead dynamic, clinically diverse teams that will change based on project needs:

- To drive strategic delivery and execute innovation across all functions that the incumbent is responsible for
- To embed a culture of drive, engagement and enhancement across portfolio
- To work closely with strategic risk management and care operations to execute business imperatives.
- To ensure that SOPs are accurate, updated and in place for new and existing functions.
- To ensure that the functions are audited, and audit reports used in order to drive business improvement, efficiencies and controls.
- To analyze data and trends and implement processes to enhance the function.
- To ensure that reports and dashboards are available to support the business.
- To effectively assist with escalations from the relevant operations and servicing areas where necessary.
- To sign-off both marketing and training material for the areas managed.
- To ensure that accurate and relevant training content is available to FE
- To chair weekly/monthly forums with the relevant teams.
- To maintain effective relationships with all levels of the business.
- Develop frameworks and principles to guide streams.
- Representation of the function at various internal forums.
- To prioritize clear and effective communication across all relevant business areas

**Move the business forward**
- To innovate and initiate business improvement projects through research and best practice, understanding of the industries impacting the function.
- To innovate and continuously improve the function, making it the best of breed, comparable with international best practice by performing broad based research.
- Benchmarking Discovery’s performance to the best of breed.
- Monitoring the performance and trends within the functions and where applicable ensuring that trends corrective action/new initiatives are implemented

**Project implementation**
- To act as the Business Owner and/or lead a team that is responsible for:

- Drafting initiation papers and business cases for new initiatives and to present these in order to get key initiatives and system changes effected.
- Review and sign off of specs, analyze and sign off test cases.
- To contribute technically to all projects having a bearing on the functions managed in order to ensure that such projects enhance the functions.
- To plan and implement year-end projects which are assigned and to ensure successful implementation of these projects.
- To check work methodologies and outcomes and ensure that they are consistent operationally.
- To perform post implementation analysis and make recommendations.
- To support all impacted business and operations areas through skillful project implementation

**Competencies**
- Strategic Ability to make prompt, clear decisions, which may involve tough choices or considered risks. Takes responsibility for actions, projects, and people. Takes initiative and acts with confidence working under own direction. Initiates and generates activity.
- Provides others with a clear direc

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