Government Employees Medical Scheme Vacancies

Position:Clinical Specialist Medical and Surgical Devices

Location: Pretoria

Closing date: 1 June 2024

requirements:

Minimum of a 3-year Degree, Diploma or NQF Level 6 Diploma/Degree in Medical/Clinical Sciences Qualification (e.g. Nursing, Occupational therapist, Physiotherapist or Pharmaceutical qualification.)
Financial qualification, supply chain management or procurement etc. will be an added advantage.
At least 4-6 years’ work experience in the healthcare funding/medical schemes industry, with extensive experience in medical and surgical appliances and devices space.
Clinical and functional experience in physical rehabilitation in, in and out of hospital and or theatre experience in the management of medical devices and surgical appliances and prostheses.
Sound knowledge of medical scheme environment, private healthcare funding within the South African healthcare context.
Extensive experience in medical devices and surgical appliances classification and categorisation. Vast analytical experience of NAPPI coding, descriptors, billing and clinical coding and the ability to collect and collate purposeful data from various sources
Must have excellent written and verbal communication and interpersonal skills.
Critical thinking skills and the ability to work independently under pressure and as part of a team.
Team player with good organisational skills.
Adaptable and resilient
Project Management skills with extensive experience in worksheets etc. will be an added advantage and proficient with MS Office Suite
Organised and have excellent time management skills. Must be adaptable and resilient.
Must be in possession of a valid driver’s license and be willing to travel at short notice.
Registration with the relevant regulatory body (HPCSA/ SANCA) is a pre-requisite for professional practice.

Key Performance Areas (KPAs):

Implement strategies to support the sourcing of cost effective and cost efficient medical and surgical devices that contribute to positive clinical outcomes and improved service delivery.
Interpretation and application of the clinical and billing coding of surgical appliances and medical devices (NAPPI codes, ICD-10 coding, RPL etc.)
Support Value-Based Contracting through contract negotiations, Preferred Supplier Networks & Agreements of high- cost drivers of medical devices etc.
Effective management of suppliers, products and spend through a Strategic Sourcing risk management tool and institute mitigations to curb costs etc.
Ensure compliance with strategic sourcing policies and procedures, ethical practices and adherence to relevant laws and regulations.

Position: Specialist Product Development

Location: Pretoria

Closing date: 11 June 2024

requirements:

A minimum of a health science degree or Master’s degree in Public Health, health sciences or similar.
MBCHB would be advantageous.
MMED in Public health or any health specialty will be advantageous.
1-3 years experience within the Medical InsuranceScheme Industry
Prior experience in Product Development would be advantageous.
Scientific writing skills
Good verbal and written communication
Work within a fast-paced environment and adhere to deadlines.
Knowledge and application of the significant health policies and the regulatory framework in South Africa
Understanding of research methods
A logical and investigative mind

Key Performance Areas (KPAs):

Thorough knowledge and application of research methodologies.
Review and validate clinical appropriateness and cost-effectiveness of interventions.
Analyse and interpretation of research and evidence for decision-making
Support projects and programs delivered by the product Development Committee.
Provide support to Expert Panels
Be part of the multidisciplinary team to assist in research and publish on strategic topics.
Following a strict code of ethics and protecting any confidential information at all times.
Attend committees and forums where allocated