Medical Advisor Manager
1 month ago
Growthlink Consulting is seeking a highly skilled Medical Advisor Manager to join our team.
Key Responsibilities:- Manage the administrative function in the Medical Advisory Services business unit
- Contribute to and conduct targeted research into local and international clinical guidelines and funding policies
- Critical review and analysis of current cost drivers and trends and compare with those of local and international sources for best practice
- Assist in the management and monitoring of clinical cost targets
- Assist in developing and maintaining adequate knowledge of data handling and interpretation of information translating interventions
- Chair and coordinate monthly SPN meetings
- Perform Service Level Agreement quarterly site visits
- Support in the management and monitoring of SPNs to implement and give results within set targets
- Support in the management of divisional budget in line with budget allocation
- Assist in improving member value
- Monitor project/programme in conjunction with the internal Project Management Unit of the Scheme
- Ensure that all relevant projects are carried out and finalised
- Liaise with SPNs on operational matters
- Represent the Healthcare Management Division at SPN and External Stakeholder Engagements, including but not limited to Schemes Provider Summits, industry conferences, member Makgotlas, SAPS, BHF, DPSA, various other external stakeholders
- Represent the Healthcare Management in external stakeholder events
- Assist in the process for development and maintenance of Medical Advisory Services standard operating procedures and policies
- Assist the Medical Advisory Services in providing clinical support to Healthcare Management and the Schemes other divisions in their external stakeholder-related matters
- Support Provider Relations and Network engagements (quarterly hospital efficiency, provider society and groups and other forums as required)
- Clinical review of hospital and provider efficiency and network reports
- Advise the Scheme on existing and new alternative reimbursement models received from external stakeholders
- Minimum MBChB/ MBBCh. Must be registered with the HPCSA
- Qualifications in Health Technology Assessment or Evidence-Based Medicine would be advantageous
- At least five (5) years work experience in the healthcare funding / medical scheme industry with at least two (2) years at manager/supervisor level
- Experience in the evaluation of health technology assessments would be advantageous
- Must have experience in the development and presentation of management reports
- A good understanding of coding (Nappi, Tariffs, ICD10, CPT4, UPFS and more)
- A good understanding of the South African Healthcare Industry
- A good understanding of the Medical Schemes Act
- The ability to conduct research using a variety of academic and market-related resources
- Sound understanding of the medical schemes industry
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