Senior Care Operations Manager

2 days ago


Pretoria, Gauteng, South Africa ProDevelopment Group Full time

Job Overview

The ProDevelopment Group seeks an experienced Senior Care Operations Manager to oversee the management of integrated teams across various managed care functions. This role is responsible for ensuring strategic execution of hospital utilization and care coordination, driving operational improvements, fostering collaboration, and maintaining a member-centered approach while overseeing clinical and operational oversight.

Key Responsibilities

  1. Hospital Utilization and Care Coordination: Manage integrated teams to ensure effective execution of hospital utilization and care coordination strategies.
  2. Operational Improvements: Drive operational improvements through data analysis, process optimization, and quality control measures.
  3. Leadership and Team Management: Foster a collaborative team environment, provide guidance and support to team leaders and their teams, and maintain open communication channels.
  4. Clinical and Operational Oversight: Oversee clinical and operational aspects of care coordination, including case management, account auditing, inquiries, and PMB sectors.

Requirements

  1. A relevant three-year clinical degree or diploma.
  2. At least seven years' experience in managed care, of which two years must be in a leadership role.


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