Senior Manager: Clinical Consulting Services

5 days ago

Pretoria, South Africa Nambiti Technologies Full time

We are recruiting for a Senior Manager Clinical Consulting Services.
- Driving the implementation of Clinical Consulting Services planned activities and projects:

- Oversee the functioning of the Clinical Consulting Services sub-division by managing the sub-division projects and day to-day function of the Clinical unit including performance management, development, and implementations of operational

plans.
- Facilitate clinical support to other sub-division such as Benefits Management, Research & Monitoring, Legal Services etc.
- Coordinating and participating in the development of Prescribed Minimum Benefit definition and review:
economic skills.
- Support the analysis of Scheme Risk Measurement with epidemiological input (analyses and interpretation of disease

trends and costs.
- Adjudication of clinical opinions:

- To oversee the provision of evidence based, quality and meticulous clinical opinions.
- To provide feedback on clinical enquiries and opinions to external stakeholders.
- Coordinate Clinical Review Committee:

- To coordinate clinical review committee meetings, monitor, report and manage Clinical Review Committee (CRC)

activities.
- To participate in the appeals committee and provide clarity to the appeal committee on clinical opinions that informs rulings.
- Provide support to National Department of Health:

- To attend meetings and provide inputs to National Department of Health committees related to CMS work.
- To implement ad-hoc national health policy projects and provide policy directive.
- Undertake assignments/tasks allocated by line manager in accordance with CMS’ operational requirements.

Training and Knowledge areas:

- Knowledge of related legislation impacting on and influencing the functioning of the organisation (MSA, PFMA, CPA,

Constitution etc);
- Knowledge of public health and health care industry;
- Good knowledge of medical system and health management and clear understanding of the health policy implementation

landscape;
- Stakeholder management;
- Understanding of information management;
- Understanding community challenges and opportunities relating to the mission of the organization; and
- Computer Literacy.

Technical Skills and Behavioural Attributes:

- Technical/professional knowledge and proficiency.
- Policy development, maintenance, and implementation.
- Strategic Management (decision making, planning, analysis, and implementation);
- Financial management;
- Risk, project, and programme management;
- Communication, interpersonal and presentation;
- Leadership and people management skills (mentoring and coaching).
- Problem definition, analysis and decision making.
- For more information please contact:
**Tebogo Rankhumise

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