Manager- Clinical Services Doctor- Medical Schemes
2 weeks ago
This role develops and implements compliant benefits to provide optimal healthcare services to members in a financially sustainable manner. It develops and implements effective, data analytics-driven, evidence-based healthcare delivery strategy to deliver optimal healthcare provision coverage and health outcomes. The role identifies opportunities for optimisation of healthcare costs, whilst ensuring delivery of quality healthcare services to members; and monitors implementation of healthcare provision including risk assessment, managed care and clinical support programmes, and provider networks. The role executes effective clinical governance and clinical audit practices.
**Minimum Requirement**:
MBCHB
Registration with the HPCSA
8 years’ experience in Clinical Services in medical schemes
6 years management experience
Demonstrate deep knowledge of medical scheme clinical systems.
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