Clinical Operations Manager

4 weeks ago

Durban, South Africa Health Solutions Full time

**Introduction**
- Momentum Health Solutions, an entity of Momentum Metropolitan Holdings delivers sustainable, integrated health solutions that meet the needs of clients in the different segments and maximise lifetime client value. We build and maintain a culture of innovation,and create value through unique insights of how to achieve specific outcomes by using a defined set of Health capabilities.

**Disclaimer**
- As an applicant, please verify the legitimacy of this job advert on our company career page.

**Role Purpose**
- Implementing the HRM strategy as part of a client centric service offering.

**Requirements**:

- Matric or equivalent
- Bachelor’s Degree would be an advantage
- Attended a MMI accredited Leadership course would be an advantage
- A good understanding of the healthcare industry i.e. trends, competitors and legislation.
- 3 - 5 years management experience in a clinical and service environment is essential.
- Previous experience or knowledge of the financial services, insurance and health care industry would be advantageous.

**Duties & Responsibilities**
- Implementing the Health Risk Management strategy as part of a client centric service offering.
- To ensure a strong innovation focus within our Health Risk Management offering.
- Meet and exceed all SLA’s.
- Forecasting, budget control and resource planning.
- Provide meaningful and relevant appropriate reporting on Health Risk Management functions and trends as required
- Ensure that all strategic, operational and contractual obligations are met and also accurately reported on.
- Being the custodian of the Health Risk Management escalation matrix
- Maintain and develop relationships with key internal and external stakeholders.
- Maintaining great staff morale
- Developing highly motivated and dedicated teams.
- Ensuring adequate training and development of all staff
- Instilling a performance driven culture
- Inspiring collaboration within the Health Risk Management team and wider business unit.
- Assisting and supporting the Head of Operations and Head of HRM strategy to meet business needs of clients.
- Operational management of the wellness coach, case management and disease risk management team collectively known as the Health Risk Management team.
- Facilitate and supervise the proficient implementation of the health risk management and products strategy
- Maintain professional communication between MMSA and members, providers, schemes and other healthcare professionals within the context of MMSA’s risk management process
- Develop, maintain and update business processes for HRM service delivery in line with product design and customer-specific segment requirements
- Take accountability for all audit and risk management requirements as required
- Provide clinical input and assistance where required in the business.
- Insight into and an understanding of the importance of industry issues and its implication on the operational areas and incorporating required changes.
- Provide support to segments and channels on operational queries and escalations
- Continuously monitor turnaround times and quality standards and resolve issues speedily to enhance client service delivery
- Drive client service delivery goal achievement in line with predefined standards in order to ensure that clients receive appropriate advice and after sales service.
- Manage client query processes and ensure that queries are tracked, accurately resolved and used as a mechanism to improve client service and business processes
- Provide regular reports on delivery of services against agreed service level agreements and in terms of overall client targets.
- Provide authoritative, expertise and advice to clients and stakeholders
- Build and maintain relationships with clients and internal and external stakeholders
- Contribute to the process of negotiating objective and realistic service level agreements, monitor appropriateness and recommend adjustments
- Deliver on service level agreements made with clients and internal and external stakeholders in order to ensure that client expectations are managed
- Make recommendations to improve client service and fair treatment of clients within area of responsibility.
- Participate and contribute to a culture which builds rewarding relationships, facilitates feedback and provides exceptional client service.
- Create a positive work climate and culture to energise employees, give meaning to work, minimise work disruption and maximise employee productivity.
- Demonstrate exemplary leadership behaviour, through personal involvement, commitment and dedication in support of organisational values.
- Select and recruit suitably qualified talent in line with Employment Equity principles and MMI values
- Drive a culture that guides and directs best practice, fostering an environment of continuous learning, improvement and cohesiveness.
- Enable a learning and growth culture whereby information regarding successes, issues, trends a

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