Position Purpose

• To assist in the development of managed health care policies, specifically in the field of technology, that balance risk management interventions with operational efficiencies and membercentricity; to interact with internal and external stakeholders on funding issues and to provide clinical support; to support clinical governance and management functions; to assist with data analysis and other duties as assigned.

Duties & Responsibilities

• Accountabilities:
• Continuous improvement  Assist with escalated queries that refer to Medical Health policies  Complete required Medical Health policy administration as defined to standard and within deadlines  Conduct research on Medical Health policy area of specialisation including medical devices and drugs and develop policies for review and signoff  Communicate and liaise with identified industries  Assist with policy implementations  Provide medical advisory services to relevant parties  Support new product development  Assist with medical and legal defense of clinical policies  Implement practical solutions that use the specialist and departmental systems and processes  Provide specialist input and recommendations to improve the efficiency, compliance and quality objectives related to the area of specialisation  Identify problems and develop and propose solutions to present to appropriate leader or stakeholders  Ensure day to day operational support required from area of specialisation is provided to enhance performanc
• Cost containment  Support the identification, development and implementation of costeffective processes to increase efficiency and reduce cost drivers related to area of specialisation  Continuously review cost / benefit and Return on Investment within area of specialisation
• Drive customercentricity  Maintain a high level of impact on other departments to support improved delivery  Continually increase understanding of client and stakeholder needs, satisfaction and service delivery
• Knowledge management  Ensure that adequate knowledge regarding specialisation is shared as required and maintained within the research library  Provide advice and / or training as required  Maintain, develop and implement specialist knowledge within the day to day operations of the organisation Maintain expertise level  Be a member of related professional bodies  Ensure CPD (continual professional development) or similar accreditation requirements are met annually to ensure maintained specialist accreditation Network key relationships  Engage with and provide support to the established network of internal and external expert resources and partners Specialist support to projects  Provide Specialist expertise and ensure best practice related to specialisation is implemented in projects, when required  Conform to project management disciplines when participating in projects  Represent department or project on appropriate committees related to area of specialisation

Desired Experience & Qualification

• 3 – 4 years relevant experience of which 2 years are required to be Intensive care unit (ICU) and/or theatre experience.
• Bachelor of Nursing Science (B Cur) or equivalent qualification. (e.g. registered nurse, pharmacist, physiotherapist)

Skills and Competencies

• Knowledge and understanding of statistical and financial tools
• Knowledge and understanding of scheme rules and products
• Knowledge and application of relevant legislation
• Skill Task Management
• Adobe Creative Suite
• Data modelling and evaluation
• Computer Technology Skills
• Communication Skills
• Business Writing Skills
• Business Forecasting and Modeling
• Ability to Guide, Direct Policy development and implementation
• Attention to Accuracy and Detail
• Problem solving and decision making skills
• Customer Focus
• Numerical Ability
• Clinical research