Healthcare Operations Strategist

6 days ago


Pretoria, Gauteng, South Africa Rand Mutual Full time
Job Title : Healthcare Operations Strategist

Company Overview :

Rand Mutual, a leading insurance company, is seeking an experienced Healthcare Operations Strategist to lead the sub-acute rehabilitation centre. As a key member of our team, you will play a crucial role in shaping the strategic direction of our healthcare operations.

Estimated Salary : R 750,000 - R 900,000 per annumJob Description :

The Healthcare Operations Strategist will be responsible for providing strategic direction and evaluation of the sub-acute rehabilitation centre. This includes fostering sustainable interdisciplinary collaboration towards achieving successful and cost-effective rehabilitation for customers. You will also be responsible for executing our HealthCare Strategy, ensuring that all revenue budget and occupational rate for the sub-acute rehab centre is managed appropriately and achieved.

Key Responsibilities :
  • Implementation of the HealthCare Strategy
  • Provide strategic and creative direction of the HealthCare strategy
  • Execution of the HealthCare Strategy and monitor deliverables
  • Build a Sub-Acute Rehab centre that is fit for market competition and ensuring compliance with legislation and that it is consistent with the overall RMA strategy
  • Adjudicate requests for additional care and confer with senior RMA medical personnel prior to decision making
  • Explore the model of the centre and mobile clinics for better quality care
  • Managing the Sub Acute Rehab Centre
  • Oversee all activities of the rehabilitation centre
  • Develop an operating model for the sub-acute rehab centre
  • Support or assist the Rehabilitation team to execute the rehabilitation and early return to work framework
  • Assist in the enhancement of the mapped process for the medical management and rehabilitation team
  • Provide strategic and operational input to the day-to-day activities of the Rehabilitation centre
  • Provide clinical leadership to ensure personalised, safe, effective, and timely quality patient care for patients of the specialty at the RMA subacute rehabilitation facility
  • Ensure legislative and RMA policy compliance in all rehabilitation practices
  • Oversee the internal policies, processes and procedure on the coordinated case management at the sub-acute rehab centre
  • Work with the rehabilitation team to identify and establish potential provider networks that will support the centre
  • Ensure cost effective patient assessment and treatment plans
  • Adhere to the service level agreements or turnaround times to enhance the overall claim management processing cycle
Requirements :
  • Degree or Diploma in any of the therapy professions (Physiotherapy, Occupational Therapy, Social Work or Speech Therapy) or Relevant healthcare qualification
  • NQF Level 9: Master's Degree in an Accredited Healthcare or Insurance or Management Qualification
  • Occupational Health qualification diploma /degree (DOH) will be advantageous
  • Minimum 8 – 10 years clinical experience, which includes a rehabilitation environment or experience
  • Experience in Rehabilitation of the injured preferred
  • Experience managing a team of medical specialists
  • Case Management experience advantageous
  • Up-to-date knowledge of relevant OHS Act and Regulations, COIDA
  • Exceptional communication skills: Listening, verbal and written
  • Proficiency in Microsoft Office (Word, Excel, Outlook, and PowerPoint)
  • Diagnostic, analytic, and problem-solving skills
  • Well-developed organisation and time management skills
  • Ability to build and lead cohesive, successful team(s)
  • Up-to-date registration with the Nursing Council or HPCSA (independent practitioner) / SACSSP
  • Valid driver's license
  • Knowledge of business policies, processes and procedures, legal compliance
Why Join Us :

We offer a dynamic and supportive work environment, opportunities for professional growth and development, and a competitive salary package. If you are a motivated and results-driven individual who is passionate about delivering exceptional healthcare services, we encourage you to apply for this exciting opportunity.



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