Senior Manager Clinical Coding and Tariffs Registered Nurse - Roodepoort Verfied

R 650000 per annum Roodepoort, Gauteng Roodepoort, Gauteng more than 14 days ago 26-03-2015 12:19:26 PM
23-04-2015 12:19:26 PM
A Managed Healthcare Company based Johannesburg (West Rand) has a vacancy for a Senior Manager, Clinical Coding and Tariffs.

To be responsible for the successful implementation and ongoing maintenance of various coding structures to enable the administration and managed care businesses.
To ensure compliance to all regulatory and industry coding regulations (Risk and Governance).
To ensure that all the systems and processes meet this requirement.
Responsible for the maintenance of policies and processes on the system and shared sites that are easy for the staff to access.
Manage a team of staff and a budget.

Experience
Network Management, Coding and Tariffs experience is non-negotiable
5 years health care experience at management level with strong IT, clinical (especially clinical coding), and Project Management knowledge and skills

Qualifications
Clinical Degree (preferably a Registered Nurse qualification)
Business degree

Operating Model:
Manage the revamping of clinical protocols and systems
Ensure the implementation and achievement of the strategy with available resources
Ensure that service level agreements with schemes are met
Responsible for department specific managed care services for designated clients. In addition responsible for new services that may be rolled out from time to time. This includes new business take-ons and wind downs
Ensure all departments are appropriately staffed and managed
Identify and motivate changes to enhance services, including process efficiency implementation
Continuous improvement of client service delivery
Develop operational plans to meet the defined delivery objectives, supporting and being supported by peer teams and areas of responsibility
Optimise the core operational internal processes and internal supply chain and resolve operational conflicts