Specialist Clinical Reporting

6 months ago


Centurion, South Africa PPS Recruitment Full time

**Job Advert Summary**:
**Minimum Requirements**:

- Grade 12
- 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 cost-effective 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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