Manager: Disease Management

Manager: Disease Management
Location: Johannesburg
Salary:  Market Related
Experience in similar position with Medical Aid Scheme or Medical Aid Scheme Administrator - Non-Negotiable
REF: MDM - JHB - MK
 
Please note: Suitable experience in similar role is required.
 
Our client, in Managed Care (Medical Scheme Sector), seeks a Manager: Disease Management who will be responsible to ensure management of the Disease Management Programme (proactive and reactive disease management service).
This role will proactively manage the financial and clinical risk of health plans by implementing a structured Disease Management Programme whilst ensuring compliance. This position will be responsible for formulating strategy, improving performance, procuring resources and securing compliance. Be a mentor to your team members, increasing quality of customer service and implementing best practices across all levels.
 
Requirements:
    • Degree or diploma in nursing or other health discipline.
    • Registered with SANC or Health professions Council
    • 2 years or more experience in a similar role as Supervisor or Manager
    • Experience with ambulatory patients, especially patients with chronic illnesses
    • Expertise of patient counselling in the Managed Care/ Medical Aid
    • Expertise of the Medical Schemes Act and its Regulations, particularly pertaining to PMBs and the CMS guidelines
    • Experience as patient counsellor or nurse educator advantageous
    • Experience in Disease Management reporting
    • Financial expertise in budgeting and forecasting
    • Provide input into and develop the functional strategic plan
    • Ensure strategy is implemented in a manner that supports operational and market imperatives
    • Ensure sustainability of the division
    • Optimise the function's core internal processes
    • Drive delivery of customer expectations within organisational quality and quantity standard
    • Ensure operations are carried out in an appropriate and cost-effective way
    • Manage and lead the disease management counsellors
    • Enhance operational management systems, processes and best practices
    • Prepare strategic and operational objectives for the department
    • Manage quality controls and monitor KPIs
    • Create ways to increase quality of customer services
    • Expertise of organizational effectiveness and operations management
    • Manage and monitor the outputs of the Disease Management counsellors, ensure daily targets are achieved
Please apply to response@mvgrecruitment.co.za  
Call: 0860 100 MVG (684) to enquire
 
Submit CV application with supporting documents:
    • Copy of ID
    • Copy of qualification(s)
Copy of current registration