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Technical Lead for NHI Framework Development

2 months ago

Pretoria, Gauteng, South Africa Panagora Group Full time

About the Project

The National Health Insurance (NHI) framework in South Africa aims to achieve universal health coverage and improve access to quality healthcare services. As part of this initiative, Panagora Group is seeking a Technical Lead for NHI Framework Development to support the National Department of Health (NDOH) in designing and implementing a capitated payment mechanism for primary healthcare providers.

Key Responsibilities

  • Develop a tailored approach for South Africa based on existing international and local research on capitation design.
  • Create a detailed methodology for calculating the risk-adjusted capitated fee and facilitate decision-making processes.
  • Support the NDOH team in consultations with external stakeholders on the primary care capitation contract.
  • Lead discussions on outcomes-based payment design, including HIV/TB-related outcome measures.
  • Develop data collection specifications and update the capitation manual.

About the Role

As a Technical Lead for NHI Framework Development, you will work closely with the NDOH team to design and implement a capitated payment mechanism for primary healthcare providers. You will be responsible for developing a tailored approach for South Africa based on existing international and local research on capitation design.

Requirements

• Strong technical skills in health financing and capitation design.

• Ability to communicate complex technical information to non-technical stakeholders.

• Strong analytical and problem-solving skills.

• Ability to work in a fast-paced environment and meet tight deadlines.