Business System Solutions - Cape Town, South Africa - Health Solutions

Health Solutions
Health Solutions
Verified Company
Cape Town, South Africa

1 week ago

Thabo Mthembu

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Thabo Mthembu

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Description

Introduction


Momentum Health Solutions ( MHS), an entity of Momentum Metropolitan Holdings Limited, delivers sustainable, integrated health solutions that meet the needs of clients in the different segments and maximise lifetime client value.

We build and maintain a culture of innovation and create value through unique insights of how to achieve specific outcomes by using a defined set of Health capabilities.


Role Purpose


Accountable for clinical risk management, technical training, configuration management, mentoring and skills development in line with departmental and individual objectives and ensuring that the business processes and system capabilities are aligned to service delivery.


Requirements:


  • Matric certificate
  • 12 years operational experience is essential
  • 35 years of experience in Managed Health Care is essential
  • Qualification as a Registered Nurse and registered with SANC is essential
  • Knowledge of the NHRPL
  • National Health Reference Price List (Previously known as BHF) SAMA tariffs, ICD10, CPT (CCSA) coding is advantageous
  • Claims Assessing experience is advantageous
  • Training or coaching qualifications is advantageous
  • Deep knowledge of the Medical Schemes Act and the relevant Regulations
  • Sound communication skills (both written and verbal)
  • Computer Literate

Duties & Responsibilities

  • Instruct/ train/ coach business team members/service managers on products, systems and processes
  • Regular engagement with service managers in monthly one on one sessions ;Identify training needs of team members and draw up training plans in collaboration and support to HRM team leaders.
  • Conduct development programme and provide feedback to team members and managers throughout the process.
  • Responsible for development, implementation and follow up of training plans
  • Annual updating of department process documents and process library.
  • Assessing of the staff
  • Liaise with trainers to ensure that their training material is accurate and continuously updated.
  • Facilitates and manages system enhancements and changes
  • Deliver on service level agreements made with clients and internal and external stakeholders in order to ensure that client expectations are managed
  • Develop and maintain productive and collaborative working relationships with peers and stakeholders
  • Positively influence and participate in change initiatives
  • Continuously develop own expertise in terms of professional, industry and legislation knowledge

Competencies

  • Diversity and Inclusiveness
  • Collaboration
  • Adaptability
  • Results Driven
  • Teamwork
  • Proactive
  • Able to work under pressure
  • Strong organization skills
  • Attention to detail and high level of accuracy
  • Ability to multitask
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