Clinical Operations Manager at Momentum Metropolitan Holdings Limited

INTRODUCTION

Momentum Health Solutions (MHS), an entity of the Momentum Metropolitan Group (MMG), delivers sustainable, integrated health solutions that meet the needs of clients in the different segments and maximise lifetime client value. We build and maintain a culture of innovation, and create value through unique insights of how to achieve specific outcomes by using a defined set of Health capabilities.

WHAT YOU'RE GOING TO DO

• Implementing the Health Risk Management strategy as part of a client centric service offering.
• To ensure a strong innovation focus within our Health Risk Management offering.
• Meet and exceed all SLA's.
• Forecasting, budget control and resource planning.
• Provide meaningful and relevant appropriate reporting on Health Risk Management functions and trends as required.
• Ensure that all strategic, operational and contractual obligations are met and also accurately reported on.
• Being the custodian of the Health Risk Management escalation matrix.
• Maintain and develop relationships with key internal and external stakeholders.
• Maintaining great staff morale.
• Developing highly motivated and dedicated teams.
• Ensuring adequate training and development of all staff.
• Instilling a performance driven culture.
• Inspiring collaboration within the Health Risk Management team and wider business unit.
• Assisting and supporting the Head of Operations and Head of HRM strategy to meet business needs of clients.
• Operational management of the wellness coach, case management and disease risk management team collectively known as the Health Risk Management team.
• Facilitate and supervise the proficient implementation of the health risk management and products strategy.
• Responsible for managing the Managed care – Admin interface to ensure successful application of programme specification through the value chain.
• Maintain professional communication between MHS and members, providers, schemes and other healthcare professionals within the context of MHS's risk management process.
• Develop, maintain and update business processes for HRM service delivery in line with product design and customer-specific segment requirements.
• Take accountability for all audit and risk management requirements as required.
• Provide clinical input and assistance where required in the business.
• Insight into and an understanding of the importance of industry issues and its implication on the operational areas and incorporating required changes.
• Provide support to segments and channels on operational queries and escalations.
• Ensure that clinical quality indicators are implemented and appropriately measured.

WHAT YOU'LL NEED:

• Matric or equivalent
• Bachelor's Degree would be an advantage
• Attended a MMI accredited Leadership course would be an advantage
• A good understanding of the healthcare industry i.e. trends, competitors and legislation.
• 3 years management experience in a clinical and service environment is essential.
• Previous experience or knowledge of the financial services, insurance and health care industry would be advantageous.

WHAT COMPETENCIES YOU'LL REQUIRE

• Ability to work independently/ self-starter.
• Attention to detail
• Accountability: Consistently delivers required business results and sets achievable, yet aggressive, goals.
• Communicating with impact: Communicates effectively in both written and verbal format.
• Decision making and problem solving: Is able to recognise and analyse a problem and/or a difficult situation and develop an appropriate and results-oriented course of action.
• Displays high levels of energy and commitment.
• Customer orientation: Makes customers and their needs a primary focus, developing and sustaining productive customer relationships.
• Enables team success: Utilises appropriate interpersonal styles and employs teambuilding strategies, to help the team towards desired goals and objectives.
• People skills: has the ability to influence a wide range of diverse individuals and groups positively.
• Professional: has experience working with clients, vendors or partners, and is able to represent MHS effectively with outside parties.
• Relationship Management: Is open to sharing results and resources with others.
• Collaboration with internal and external stakeholders.

ADDITIONAL INFORMATION

Shortlisted candidates will be subject to the following statutory checks:

• References
• Credit
• Criminal
• Qualification