Clinical Operations Manager

Position Purpose : The Clinical Operations Manager in a Disease Management environment is responsible for overseeing the daily operations and strategic execution of clinical programs designed to support patients with chronic and complex health conditions. This role ensures the effective delivery of coordinated, patient-centred care through evidence-based protocols, with the goal of improving health outcomes, enhancing patient engagement, and reducing healthcare costs.

Clinical Operations Manager leads the implementation and optimization of disease management programs across targeted patient populations. The role focuses on aligning clinical processes with organizational goals, ensuring regulatory compliance, optimizing resource utilization, and maintaining a high standard of quality and performance.

Experience : Minimum of 5 to 8 years relevant managed care, health risk and clinical customer service within Medical Scheme Administration Industry or similar.

Qualifications : Registered Nurse with 3- or 4-years Medical degree / qualification ( MANDATORY REQUIREMENT )

Accountabilities :

• Implement practical solutions that use 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 performance

Cost containment

Knowledge management

Network key relationships

Specialist support to projects

Position Specific Outputs :

Competency Requirements :

Attributes

Knowledge

Skills

Note : Company reserves the right to close the advert before specified closing date.

PHA has its head office in Westville, KwaZulu-Natal. It operates country-wide with a nationally linked network and uses a robust, flexible, as well as integrated system to ensure efficient and effective administration of membership and benefits.

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