Senior Manager Clinical Consulting Services

6 months ago

Pretoria, South Africa Vivo Group Full time

**SENIOR MANAGER: CLINICAL CONSULTING SERVICES**

The purpose of the job is to oversee the provision of Clinical services, administer the Prescribed Minimum Benefits (PMB) portfolio to ensure medical scheme members are protected and their entitlements are guaranteed, and to develop and implement the Prescribed Minimum Benefits regulation strategy. As a Senior Manager: Clinical Consulting Services you will be responsible for

**1. Driving the implementation of Clinical Consulting Services planned activities and projects**:

- Oversee the functioning of the Clinical Consulting Services sub-division by managing the sub-division projects and day-to-day function of the Clinical unit including performance management, development, and implementations of operational plans.
- Facilitate clinical support to other sub-division such as Benefits Management, Research & Monitoring, Legal Services etc.

**2. Coordinating and participating in the development of Prescribed Minimum Benefit definition and review**:

- Support the analysis of Scheme Risk Measurement with epidemiological input (analyses and interpretation of disease trends and costs.

**3. Adjudication of clinical opinions**:

- To oversee the provision of evidence based, quality and meticulous clinical opinions.
- To provide feedback on clinical enquiries and opinions to external stakeholders.

**4. Coordinate Clinical Review Committee**:

- To coordinate clinical review committee meetings, monitor, report and manage Clinical Review Committee (CRC) activities.
- To participate in the appeals committee and provide clarity to the appeal committee on clinical opinions that informs rulings.

**5. Provide support to National Department of Health**:

- To attend meetings and provide inputs to National Department of Health committees related to CMS work.
- To implement ad-hoc national health policy projects and provide policy directive.
- Undertake assignments/tasks allocated by line manager in accordance with CMS’ operational requirements.

**SKILLS AND KNOWLEDGE BASE**
- Bachelor of Medicine and Bachelor of Surgery (MBChB) or a degree in Medicine with post graduate training in Epidemiology and Public Health at NQF level 8;
- Masters’ degree qualification in Public Health will be an added advantage;
- Completed Internship and Community service;
- A valid Health Professional Council of South Africa (HPCSA) Certificate; and
- A minimum of 12 years’ experience in the Medical Schemes and/or Healthcare environment, of which 5 years must be in Evidence-Based Medicine & Clinical Management, and 7 years at Management/Supervisory level.

**Training and Knowledge areas**:

- Knowledge of related legislation impacting on and influencing the functioning of the organisation (MSA, PFMA, CPA, Constitution etc);
- Knowledge of public health and health care industry;
- Good knowledge of medical system and health management and clear understanding of the health policy implementation landscape;
- Stakeholder management;
- Understanding of information management;
- Understanding community challenges and opportunities relating to the mission of the organization; and
- Computer Literacy.

**Technical Skills and Behavioral Attributes**:

- Technical/professional knowledge and proficiency.
- Policy development, maintenance, and implementation.
- Strategic Management (decision making, planning, analysis, and implementation);
- Financial management;
- Risk, project, and programme management;
- Communication, interpersonal and presentation;
- Leadership and people management skills (mentoring and coaching).
- Problem definition, analysis and decision making.

**Salary**: Up to R1 450 000,00 per year

Application Question(s):

- Have you completed Internship and Community service?

**Education**:

- Bachelors (required)

**Experience**:

- Medical Schemes and/or Healthcare environment: 10 years (required)
- be in Evidence-Based Medicine & Clinical Management: 7 years (required)
- Management/Supervisory level.: 7 years (required)

License/Certification:

- HPCSA Certificate (required)
- Bachelor of Medicine and Bachelor of Surgery (MBChB) (required)

  • Senior Manager: Clinical Consulting Services

    6 months ago

    Pretoria, South Africa Future Africa Consulting (Pty)Ltd Full time

    The purpose of the job is to oversee the provision of Clinical services, administer the Prescribed Minimum Benefits (PMB) portfolio to ensure medical scheme members are protected and their entitlements are guaranteed, and to develop and implement the Prescribed Minimum Benefits regulation strategy. As a Senior Manager: Clinical Consulting Services you will...

  • Senior Manager Clinical Consulting Services

    6 months ago

    Pretoria, South Africa Thusa Batho Labour Solutions Full time

    The purpose of the job is to oversee the provision of Clinical services, administer the Prescribed Minimum Benefits (PMB) portfolio to ensure medical scheme members are protected and their entitlements are guaranteed, and to develop and implement the Prescribed Minimum Benefits regulation strategy. As a Senior Manager: Clinical Consulting Services you will...

  • Senior Manager: Clinical Consulting Services

    8 months ago

    Pretoria, South Africa Nambiti Technologies Full time

    We are recruiting for a Senior Manager Clinical Consulting Services. - Driving the implementation of Clinical Consulting Services planned activities and projects: - Oversee the functioning of the Clinical Consulting Services sub-division by managing the sub-division projects and day to-day function of the Clinical unit including performance management,...

  • Clinical Services Director

    3 days ago

    Pretoria, Gauteng, South Africa Growthlink Consulting Full time

    Job Title:Clinical Services DirectorA highly skilled Clinical Services Director is sought by Growthlink Consulting to lead our Medical Advisory Services in Pretoria. This senior role involves overseeing the execution of clinical and medical advisory services within our Healthcare Management division, ensuring compliance with the Medical Schemes Act and...

  • Clinical Services Director

    3 days ago

    Pretoria, Gauteng, South Africa Growthlink Consulting Full time

    Job Title: Clinical Services Director">Estimated Salary: R1 500 000 - R2 200 000 per annum">Growthlink Consulting is seeking a senior Clinical Services Director to lead the Medical Advisory Services business unit. The successful candidate will be responsible for overseeing the evaluation of health technology assessments and developing management...

  • Senior Manager: Clinical Consulting Services

    7 months ago

    Pretoria, South Africa Krypton Mining Full time

    **Key Responsibilities**: - Oversee the functioning of the Clinical Consulting Services sub-division, managing projects and day-to-day operations, including performance management, development, and implementation of operational plans. - Facilitate clinical support to other sub-divisions such as Benefits Management, Research & Monitoring, Legal Services,...

  • Clinical Operations Manager

    1 month ago

    Pretoria, Gauteng, South Africa Growthlink Consulting Full time

    Growthlink Consulting is seeking a highly skilled Clinical Operations Manager to lead our Medical Advisory Services team.**Job Summary:**The successful candidate will be responsible for managing the administrative function of the Medical Advisory Services business unit, contributing to and conducting targeted research into local and international clinical...

  • Clinical Operations Manager

    3 weeks ago

    Pretoria, Gauteng, South Africa Growthlink Consulting Full time

    Growthlink Consulting is seeking an experienced Clinical Operations Manager to join our team in Pretoria.As a Clinical Operations Manager, you will play a crucial role in leading the Medical Advisory Services business unit and driving operational excellence.The salary for this position is estimated to be around R1,200,000 per annum, depending on experience...

  • Clinical Advisor Lead

    3 weeks ago

    Pretoria, Gauteng, South Africa Growthlink Consulting Full time

    About UsGrowthlink Consulting is a dynamic and forward-thinking organization dedicated to providing expert consulting services in the healthcare industry.Job OverviewWe are seeking an experienced and highly skilled Senior Clinical Manager to join our team. As a key member of our Medical Advisory Services business unit, you will be responsible for managing...

  • Senior Manager: Medical Advisory Services Specialist

    1 month ago

    Pretoria, Gauteng, South Africa Growthlink Consulting Full time

    About the RoleAs a Senior Manager of Medical Advisory Services, you will play a pivotal role in executing clinical and medical advisory services within our Healthcare Management division.Maintaining clinical oversight on all aspects of our business, ensuring sound execution of clinical and medical advisory services is in compliance with the Medical Schemes...

  • Clinical Advisor Director

    1 month ago

    Pretoria, Gauteng, South Africa Growthlink Consulting Full time

    Job OverviewGrowthlink Consulting is seeking a highly skilled Clinical Advisor Director to join our team. In this role, you will be responsible for providing clinical expertise and guidance to support the development of our medical advisory services.The successful candidate will have a strong background in healthcare and a proven track record of managing...

  • Senior Manager: Medical Advisory Services – Medical Scheme – Pretoria

    6 months ago

    Pretoria, South Africa Growthlink Consulting Full time

    KPAsü Assist the Chief Healthcare Officer in executing all clinical and medical advisory services within the HealthcareManagement division and maintain clinical oversight on all aspects of the Schemes business.ü Ensure that the execution of clinical and medical advisory services within the Organisation are sound and incompliance with the Medical Schemes...

  • Clinical Pre-Authorisation Consultant

    3 weeks ago

    Pretoria, South Africa Jobted ZA C2 Full time

    Our client is seeking a Clinical Pre-Authorisation Consultant to join their dynamic team. If you're a healthcare professional registered with the South African Nursing Council (SANC) as a Registered Nurse or Enrolled Nurse, with at least two years of experience in Managed Healthcare or Private Hospital settings, we encourage you to apply! Key...

  • Member Clinical Associate

    7 months ago

    Pretoria, South Africa iMedrecruit Full time

    **Member Clinical Consultant (Pre-authorisations), Pretoria** Our client, focusing on a risk and clinical assessment offering, is requiring a Member Clinical Consultant. **Roles and Responsibilities (but not limited to)**: - Attend to incoming calls from healthcare service providers and members/ beneficiaries. - Verification of the eligibility of cover...

  • Clinical Pre-Authorisation Consultant

    3 weeks ago

    Pretoria, South Africa Qetello Holdings Full time

    Our client is seeking a Clinical Pre-Authorisation Consultant to join their dynamic team. If you're a healthcare professional registered with the South African Nursing Council (SANC) as a Registered Nurse or Enrolled Nurse, with at least two years of experience in Managed Healthcare or Private Hospital settings, we encourage you to apply!Key...

  • Clinical Pre-Authorisation Consultant

    3 weeks ago

    Pretoria, South Africa Qetello Holdings Full time

    Our client is seeking a Clinical Pre-Authorisation Consultant to join their dynamic team. If you're a healthcare professional registered with the South African Nursing Council (SANC) as a Registered Nurse or Enrolled Nurse, with at least two years of experience in Managed Healthcare or Private Hospital settings, we encourage you to apply! Key...

  • Member Clinical Associate, Pretoria

    7 months ago

    Pretoria, South Africa iMedrecruit Full time

    About the job Member Clinical Associate, Pretoria **Member Clinical Consultant (Pre-authorisations), Pretoria** Our client, focusing on a risk and clinical assessment offering, is requiring a Member Clinical Consultant. **Roles and Responsibilities (but not limited to)**: - Attend to incoming calls from healthcare service providers and members/...

  • Clinical Advisor

    6 months ago

    Pretoria, South Africa The Aurum Institute Full time

    Work Description The Clinical Advisor is responsible for providing clinical advice and strategic direction to the to the support district/s and the appropriate internal and external clinical staff. They will building capacity among HCW to strengthen the TB HIV response and ensure clinical governance standards at all times. The position will assist the...

  • Clinical Advisor

    7 months ago

    Pretoria, South Africa The Aurum Institute Full time

    Work Description_ The Clinical Advisor is responsible for providing clinical advice and strategic direction to the to the support district/s and the appropriate internal and external clinical staff. They will building capacity among HCW to strengthen the TB HIV response and ensure clinical governance standards at all times. The position will assist the...

  • Senior Clinical Research Manager

    2 months ago

    Pretoria, Gauteng, South Africa Qetello Holdings Full time

    Job DescriptionWe are seeking a highly skilled and experienced Head of Research Department to lead our clinical research portfolio. The successful candidate will be responsible for managing all aspects of the research department, including providing strategic leadership, building the client's capacity in clinical research, generating financial resources for...