Specialist Clinical Reporting - Centurion, South Africa - PPS Recruitment

PPS Recruitment

Verified Company

Centurion, South Africa

1 week ago

Posted by:

Thabo Mthembu

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Job Advert Summary:

Minimum Requirements:

Grade 1
Clinical qualification for example nursing
Data analytics qualification will be an advantage.
Industry/legislation and regulations essential
ISO Principles
Essential: Medical Scheme administration/managed Healthcare experience 3+ years
Essential: Reporting experience
Reporting programmes: QlikView, Yellow fin, SQL will be an advantage.
Essential: Advance Excel skills including calculations, pivot tables/V/X lookups etc.
Essential: Advanced Microsoft Word

Duties and Responsibilities:

Extract data and compiling/reviewing of Clinical/Board reports as per the SLA.
Extract data and create standard operational data reports as per SLA.
Extract data and create ad hoc operational data reports as per client specifications.
Analyse data and report possible risks to the clients as well as provide recommendations.
Proactively identify and manage potential problems/escalations within clinical data with

appropriate resolution plans.

Provide data/reports/analysis as required by PPSHA and/or Client.
Consult to business areas around fundamental components required to manage operational risk and deliver initiatives in accordance with business requirements to ensure delivery of quality care.
Implement best practice protocols to ensure quality patient care that is cost effective and accessible.
Keep abreast of new developments within the Healthcare industry.
Identify and implement new projects related to clinical improvements.
Reviewing and creating of Work instructions applicable to Reporting and processes.
When required, attend healthcare/data analytics workshops to keep the company abreast of changes in the industry with regards to reporting and trends.
Provide proposals to the client and participate in negotiations when required with service providers in order to assist the Schemes with the costeffective management.
Provide input and support to the Clinical Committees, MHC meeting and other committees as and when required.
Compile documentation and assist with the Council for Medical Schemes enquiries where clinical data is required.
Data validation, testing and quality assurance.