Senior Manager: Clinical Consulting Services - Pretoria, South Africa - Nambiti Technologies

Nambiti Technologies

Verified Company

Pretoria, South Africa

1 week ago

Posted by:

Thabo Mthembu

beBee Recruiter

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 subdivision 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 adhoc 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: