Risk Manager - Quality at Discovery Limited

Key purpose

The Quality-of-Care unit within Strategic Risk Management in Discovery Health, is responsible for managing, defining, and implementing the strategy around improving the Quality of care that Discovery members receive, to achieve the best possible clinical outcomes at the highest levels of cost efficiency. This role’s purpose is to share responsibility for all aspects of the Quality strategy which includes measuring, understanding and reporting on key indicators of care, value based contracting and member centeredness.

Key outputs

• Provide a strategic role into all Quality improvement initiatives within the business area.
• Work closely with analyst on data related to Quality projects and interpret outputs to translate into strategic plans
• Drive innovation and manage projects and initiatives pertaining to improving Quality in Healthcare for DH members, whilst working within a shared value approach where possible, to ensure successful development and implementation of approved projects
• Oversee the implementation of key initiatives and special projects related to Quality initiatives.
• Ongoing development and enhancement of health risk management strategy related to Quality of care
• Proactively identify creative solutions that could impact on the improvement of Discovery members quality of care received and work to implement these
• Cultivate relationships with internal and external stakeholders
• Represent the Discovery Health position on key Quality of care issues at all relevant forums.
• Communicate the DH position on Quality to external parties in written, verbal and presentation formats as appropriate.
• Communicate internally to risk management and governance forums on issues and opportunities applicable to the business.
• Build a deep understanding of healthcare issues affecting Quality of care in South Africa as well as managed healthcare in the funding industry

Edcation and Experience

• Clinical background (Medical degree) with preference to those with understanding of health systems in South Africa
• 3-5years experience within the healthcare industry
• Relevant training and business experience
• Understanding of the key business and clinical issues including public health issues in South Africa
• IT skills Excel, Word, Power point- analytical skills advantageous
• Strong administrative and project management experience
• Presentation skills
• Innovative / Ideas driven

Competencies

• Good interpersonal skills- collaborative team member
• Initiative/project management
• Structured thinking and problem solving
• Good communication
• Implementation experience
• Innovation, enthusiasm and drive
• Taking initiative and working under own direction; self-starter
• Upholding ethics and values; demonstrates integrity