Basic understanding of evidence-based medicine.
Knowledge of health data standards.
Knowledge of "managed healthcare" or financial risk assessment principles (environment).
Knowledge of standards within the health industry.
Knowledge of the legislation governing company, policies and procedures.
Knowledge of the National Health Act, company Act, and other health related legislation such as the Medical Scheme's Act, etc.
Qualifications and Experience
Bachelor's Degree/ Advanced Diploma in Health Sciences Nursing, Pharmacy related qualification.
Valid registration with the relevant Statutory body (SANC, SAPC, HPCSA etc).
Certification in evidence-based medicine and/or treatment protocol development will be an added advantage.
Relevant 5 - 7 years' experience in a Managed Healthcare environment or similar in data sourcing, collection and navigation.
Experience working with treatment protocols and guidelines.
With experience working with medical databases, navigating large data quantities and data outputs.
With experience working with ICD 10 codes, CPT codes, NAPPI codes Experience in Functional Capacity Evaluation and associated reports and tariffs applicable.
With experience working with coding systems (ICD 10, CPT and NAPPI codes).
Key Performance Areas:
Organize and Manage Health Information Data and Ensure its Quality, Accuracy, Accessibility and Security.
Maintenance, Collection and Analysis of Data.
Policy Review and Implementation.
Reporting.
Stakeholder Management.
Administrative and Report writing.
Technical, Managerial, and behavioral competencies required
Communication.
Network and Alliances.
Planning, Organising and Coordinating.
Ethics and Values.
Client Service Orientation.
Change management.
Conflict management.
Policy conceptualization and formulation.
Risk Management
Programme/ project management.
Stakeholder development and relations.
Computer literacy.
Knowledge of medical terminology and legal aspects of health information.
Good understanding of data search engines and intelligent data extraction.
Understanding of data research principles.
Ensure quality, accuracy, accessibility and security of data.
For more information please contact:
Tebogo Rankhumise
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