Senior Clinical Data Analyst

2 days ago

Johannesburg, South Africa MHR Full time

**Job Advert Summary**:

- A Bachelor’s Degree in Information Management, Data Modelling or Statistics
- At least 5 years' experience in data analytics
- At least 5 years' experience in a similar role in the medical insurance industry

**BENEFITS**:

- Medical Aid Contribution
- Pension Fund Contribution
- Annual bonus based on performance

**Minimum Requirements**:

- A Bachelor’s Degree in Information Management, Data Modelling or Statistics
- At least 5 years' experience in data analytics
- At least 5 years' experience in a similar role in the medical insurance industry

**Knowledge**
- Risk Management processes and principles
- Relevant legislation and regulatory frameworks
- Business Acumen
- Technical problem-solving
- XML
- Data modelling
- Clinical database design and management
- Statistics and Statistical packages
- Data Management principles
- Clinical Database Management Software
- Data mining techniques and procedures

**Skills**
- Excellent verbal and written communication skills
- Presentation and Project Management skills
- Data analysis, modelling, and interpretation skills
- Reporting of statistics (including graphs) skills

**Attributes**
- Detail-Orientated
- Planning and Organising
- Quality and Results Focused
- Teamwork
- Initiative
- Innovative Thinking
- Client-Centric
- Strategic and Critical Thinking
- Analysis and Problem Solving
- Judgement and Decision-Making
- Numerical Reasoning

**Duties and Responsibilities**:
Accountable for the provision of specialist knowledge, delivery plans and associated practices of clinical data requirements through the extraction, analysis, validation and modelling of data with the purpose of drawing conclusions to drive clinical and operational decision-making within the Scheme.
- Establish working relationships with the business areas to identify gaps and business needs, and analyse and improve where required through the use of key data gathering, analysis and inferences.
- Develop and implement a framework of databases, data collection systems, data analytics dashboards and other strategies that optimise statistical efficiency and quality to inform key business decisions.
- Collate information in a meaningful way from primary or secondary data sources (third-party providers) for the purpose of analysis.
- Act as gatekeeper for data, managing data integrity and ensuring data is accurate before analysis and reporting.
- Provide accurate organisational analytics in several formats, including dashboards, graphs, charts and reports.
- Develop analytical models that manage data intelligently in order to generate insightful information and identify trends and patterns in complex data sets.
- Analyse, integrate and manage data with current and planned data systems.
- Create and interpret reports to determine the return on investment of the respective managed healthcare provider.
- Lead clinical data management studies to announce protocols to effect relevant cost savings.
- Keep informed of best practices and technological developments in order to recognise improvement opportunities and articulate the potential benefits these could bring to the Scheme.
- Develop and implement specific procedures to give input into product design and specific cost containment exercises.
- Develop, review and maintain the hospital discount calculation model and ensure that payment of hospital discount is received from the hospital networks and collected quarterly.
- Monitor database statistics for completeness and accuracy.
- Coordinate and facilitate end-to-end project management principles for multiple projects and provide updates accordingly to the relevant stakeholders.
- Provide input into the division’s risk register in consultation with the Manager: ARC.
- Responsible for coordinating and maintaining quality risk management in line with the requirements from ISO9001:2015.
- Monitor regulatory environment changes and ensure appropriate operational controls are implemented to address new requirements.
- Support and provide evidence to all internal, external and ISO audit requirements.
- Oversee the maintenance and enforcement of all clinical risk-related Service Level Agreements to minimise business risk and ensure business continuity.
- Ensure adherence to all relevant laws, policies and Standard Operating Procedures throughout the organisation.
- Build and maintain effective internal and external stakeholder relationships for the purpose of expectations management, knowledge sharing and integration.
- Represent and participate in the organisation’s committees and task teams when required.
- Convene meetings and present findings and business cases to relevant stakeholders when required.
- Implement timeous communication on progress and challenges in achieving the tactical work plans to impacted stakeholders.
- Attend industry-related forums, conferences and workshops to gain industry insight for the purpose of business improvement.

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