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Manager : Hospital Management
2 weeks ago
Position Purpose
To lead the managed care operational team, manage resources, processes and budget in order to deliver a customer-centric business environment.
To lead the managed care operational team, manage resources, processes and budget in order to deliver a customer-centric business environment.
On compliance with and meeting of service level agreements in line with the Scheme contracts to ensure scheme retention.
Experience
8 years relevant industry related and leader experience.
Qualifications
Relevant clinical qualification and /or business qualification.
Accountabilities
Compliance and Risk Management:
Defined legal, statutory and regulatory compliance is appropriately implemented and maintained at the required standards for the team
Implemented operational risk and governance structures, measures and frameworks are monitored within the team and necessary action is taken to address issues, when necessary
Financial Management:
Manage expenses, costs and identify cost saving opportunities to support the department in achieving its financial goals and targets
Operating Model:
Track and drive team to achieve and maintain defined service level agreements and turn around times at the defined and approved quality standards
Evaluate, enhance and implement processes and systems to improve profitability, effectiveness and organisational risk
Provide clinical management, support and analysis where appropriate
Analyse, assess and manage clinical outcomes and risks
Develop and implement team operational plans that will ensure the defined delivery objectives are met through supporting, and being supported by, other teams within and linked to the department / project
Identify opportunities to improve the teams' core operational internal processes and internal supply chain
Resolve operational conflicts
Set achievable yet challenging delivery targets/objectives and motivate the team to operate in a mutually supportive manner to ensure successful delivery
Operational Implementation of Strategy:
Plan and implement operational changes within the area of responsibility to respond to important external influences
Provide input into the business plan for the department and interpret this into an operational plan for the team
Ensure business plan is implemented in a manner that supports operational and quality standards and meets defined departmental priorities
Communicate business plan and team operational plan in alignment with the broader Medscheme strategic direction
Ensure implementation of plans in a way that maintains operational best practice and leads to continual delivery improvement
Operational Leadership:
Select, retain and grow high performing teams
Create highly motivated and engaged operating environments
Manage the operational performance of the team as per Human Capital frameworks and policies to ensure delivery to agreed standards and objectives
Provide appropriate staff development, coaching and mentoring and retain skilled and engaged employees within the team and Medscheme
Support transformation through valuing diversity within the team and department
Behave in alignment with the Medscheme values
Stakeholder Management:
Ensure stakeholder queries, clinical needs and amendments are implemented to maintain a successful relationship and ensure maximum effectiveness of treatments paid for
Ensure appropriate, active and informative relationships with customers and relevant stakeholders are successfully maintained.
Competency Requirements
Knowledge:
Understand and demonstrate agile development life cycles
Knowledge and application of relevant legislation
Skill:
Ability to manage Clinical and Financial risks effectively
Communication Skills
Computer Technology Skills
Executive Business Writing Skills
Financial Acumen
Neural network architecture
Change Management
Innovates and Takes Risks
Ability to evaluate clinical challenges and needs
Quality driven
Task Management.
Turnaround Time
The shortlisting process will only start once the application due date has been reached. The time taken to complete this process will depend on how far you progress and the availability of line managers.
Our Commitment to Transformation
AfroCentric is committed to transformation and embracing diversity. Our Employment Equity plan and targets will be considered as part of the recruitment process. This commitment is what drives us to achieve a diverse workplace with employment equity as a key goal to create an inclusive workforce, representative of the demographics of our society as well as people with disabilities.
Should you not hear from us within a month of applying, consider your application unsuccessful.