Senior Manager: Clinical Consulting Services

2 weeks 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, development, and implementations of operational

plans.
- Facilitate clinical support to other sub-division such as Benefits Management, Research & Monitoring, Legal Services etc.
- Coordinating and participating in the development of Prescribed Minimum Benefit definition and review:
economic skills.
- Support the analysis of Scheme Risk Measurement with epidemiological input (analyses and interpretation of disease

trends and costs.
- 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.
- 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.
- 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.

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 Behavioural 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.
- For more information please contact:
**Tebogo Rankhumise



  • 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,...

  • Senior Manager

    4 weeks ago


    Pretoria, South Africa Tych Business Solutions Full time

    The position of Senior Manager: Clinical Risk Management is vacant. The Senior Manager: Clinical Risk Management will report directly to the Chief Healthcare Officer and forms part of the Healthcare Division. The position is based in Head Office in Pretoria. The total remuneration package for this position is negotiable based on qualifications and...


  • 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...


  • 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/...

  • Travel Consultants

    7 days ago


    Pretoria, South Africa CHC Consulting Full time

    Do you have excellent customer service and Corporate Travel experience, then an exciting opportunity awaits you! I am looking for Junior, Intermediate and Senior Travel Consultants in the Pretoria area. Minimum Requirements: - Must reside in the Pretoria area - Must have experience in dealing with corporate travel - dealing with Government clients (need...

  • Senior Manager

    4 weeks ago


    Pretoria, South Africa Tych Business Solutions Full time

    **Job ID**: 53663**Date Posted**: Posted 1 week ago**Location**: Pretoria**Job Title**: SENIOR MANAGER - CLINICAL RISK MANAGEMENT - PERSONS WITH DISABILITIES - PRETORIA **Duties**: - Manage, set up and drive the Clinical Risk and Medicine Benefits management programme internally and externally (SPNs). - Manage service providers to ensure Disease Risk...


  • Pretoria, South Africa StaffCentral Consulting Full time

    **Job Duties/Responsibilities will include**: Ensures legislative compliance and implementation of recognized accounting standards and principles Assists with planning and coordinating external audit Internal control custodian Performs statutory returns, including tax related submissions Prepare monthly shareholder loan schedules, calculating interest...


  • Pretoria, South Africa H2R Africa Full time

    Minimum 2-3 years experience within a similar role within a managed healthcare or medical scheme environment - Sound knowledge of the South African Healthcare industry and prevailing legislation, current coding structures e., ICD10s, CPT4, NRPL, PMB conditions and clinical protocols - Thorough, well-grounded clinical knowledge of the pre-authorisation and...


  • Pretoria, South Africa University of Pretoria Full time

    RESPONSIBILITIES: - Clinical and flock health services around surrounding communities including providing expert services for various poultry operations. - Postgraduate training including recruitment of PG students and supervision thereof; - Research and publication in scientific journals; - Networking with relevant industry stakeholders; - Community...


  • Pretoria, South Africa Professional Sourcing Full time

    **Job Overview**: **SAP IBP Senior Technical Consultant** **Location**:Midrand, Gauteng** **Position Overview**: **One of the world’s leading professional service providers **is seeking the expertise of a **qualified** **SAP IBP Senior Technical Consultant**. The **SAP IBP Senior Technical Consultant **is responsible for **supporting the Technical...


  • Pretoria, South Africa University of Pretoria Full time

    **UP Professional and Support**: FACULTY OF VETERINARY SCIENCE DEPARTMENT OF COMPANION ANIMAL CLINICAL STUDIES CLINICAL ASSISTANT: VETERINARY ANAESTHESIOLOGY (THREE-YEAR CONTRACT APPOINTMENT) PEROMNES POST LEVEL 10- The University of Pretoria's commitment to quality makes us one of the top research Universities in the country and gives us a competitive...


  • Pretoria, South Africa Medpharm Recruitment Full time

    A reputable Medical Aid is seeking a clinically qualified Practice Consultant to join their team in Pretoria. **Duties**: - Provide optimal support to the healthcare providers on the network. - Expand the network and promote the Scheme. **Requirements**: - Grade 12 - Medical Degree - Minimum 3 years in a health related or Medical Aid Scheme environemnt -...


  • Pretoria, South Africa Adzuna ZA B C2 Full time

    Job Specification: Clinical Research and Development SpecialistLocation: GautengAbout Our Client: Our client is a leading medical scheme based in Pretoria, dedicated to providing comprehensive healthcare benefits to its members. They are committed to innovation, quality service, and the well-being of their clients.The position: Our client is seeking a...


  • Pretoria, South Africa Qetello Holdings Full time

    Together with our client in Pretoria, we are recruiting for a Medical Pre-Authorisation Consultant. The ideal candidate must have a completed qualification as an Enrolled Nurse and must be registered with SANC, with at least 2 years experience in Managed Healthcare.Duties and responsibilities: Receive applications for all services, which require...


  • Pretoria, South Africa Professional Sourcing Full time

    **Job Overview**: **SAP PPDS Senior Technical Consultant** **Location**:Midrand, Gauteng** **Position Overview**: **A **leading multinational professional services firm** has a fantastic new opportunity available for an experienced **SAP PPDS Senior Technical Consultant**. The main objective of the **SAP PPDS Senior Technical Consultant** is to **support...


  • Pretoria, South Africa Careforce Recruitment Full time

    **Consultant Pathologist: Histology** **(Pretoria based, 40 hours work week)** **Purpose of Position**: To consult with the clients i.e. doctors and patients and the laboratory personnel. To manage the laboratory and establish and maintain a high-quality pathology service in line with the laboratories standard. Degree Requirements: - FC Path(SA) - HPCSA...


  • Pretoria, South Africa Goldman Tech Resourcing Full time

    **Job Information** - Location- Pretoria- Salary- R550 000 - 780 000 p.a.- Job Type- Permanent- Education- Degree/Diploma- Experience- 5+ years- Reference- SCC23- - it.careers(at)goldmantech.co.za- Fax- 0866688041We have an amazing opportunity for a Senior Client Consultant in Pretoria! - A tertiary degree in Business Management, Marketing, Business...


  • Pretoria, South Africa LetsLink Recruitment Full time

    LetsLink recruitment is currently seeking a Technical Manager to join the team of a private hospital in Pretoria. The Technical Manager will take charge of all technical and related services at the hospital, including risks related to infrastructure and assets, all plant and equipment (both clinical and non-clinical). **Responsibilities**: - Management of...


  • Pretoria, South Africa LetsLink Pty Ltd Full time

    LetsLink recruitment is currently seeking a Technical Manager to join the team of a private hospital in Pretoria. The Technical Manager will take charge of all technical and related services at the hospital, including risks related to infrastructure and assets, all plant and equipment (both clinical and non-clinical). **Responsibilities**: - Management of...


  • Pretoria, South Africa The Recruiters Full time

    **Title**: **Homeware Sales Consultant (Senior) - Market Related - Pretoria**: **Salary**: - Market Related **Description**: - If you are vibrant and passionate about homeware/décor, with excellent retail sales experience, we would love to hear from you! - The main purpose of the position is to promote and sell retail products to customers, providing...