Risk Manager - Sandton
DISCOVERY LTD
Risk Manager Business Unit: Discovery Health Function: Clinical Date: 23 Sep 2023 Risk Manager About Discovery Discovery's core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional individuals who understand and support our core purpose, and whose own values align with those of Discovery. Our fast-paced and dynamic environment enables smart, self-driven people to be their best. As global thought leaders, Discovery is passionate about innovating in order to not only achieve financial success, but to ignite positive and meaningful change within our society. Key purpose Member of the Health Professional Unit (HPU), Value Based Care (VBC) team are responsible for health Professional risk management. The unit plays a key role in defining and implementing benefit changes and innovations by developing, implementing, and monitoring initiatives that achieve the best possible clinical outcomes with the highest levels of cost efficiency to meet Strategic Risk Management (SRM) and, Discovery health objectives. Key outputs Build a deep understanding of risk management factors that inform client scheme sustainability Develop both the clinical and practice management insight into issues that impact care delivery Monitor, with the support of the SRM team, key metrics reflecting stakeholder cost and care utilization experience. Proactively identify and develop creative, shared value proposals for presentation to risk management and governance forums to address identified client scheme costs, administrative and stakeholder sentiment challenges Work within a shared value approach, to ensure successful development and implementation of approved projects Develop mechanisms to track the ongoing operations of initiatives and ensure they continue to deliver on intended objectives Work closely with Discovery Health service, operational and system teams to ensure the highest levels of responsiveness and service excellence to stakeholders Develop and maintain strong relationships between DH and identified stakeholders to for initiative consultation and implementation Essential experience and knowledge required: Medical degree or a degree in Analytics 3 to 5 years' experience in the health care industry 2 - 4 years clinical training experience Skilled working with Microsoft Office: Excel, Word, PowerPoint Understanding of underlying care delivery process Consulting acumen Knowledge of Discovery Health products and coding Strong analytical acumen to be able to develop, guide implementation and track value-based care initiatives and the ability to work collaboratively with analytical teams - advantageous Advantageous/Preferred Experience and Knowledge: At least 5 years of Health Funding or Corporate Health Care experience At least 5 years of Product Modeling and Design experience At least 5 years' experience leading successful implementation of business initiatives or strategy Skills required: Structured thinking and problem solving Organized time management Collaborative team member Confidence in doctor and society engagement with the support of the HP engagement team Flexibility in handling multiple projects simultaneously Taking initiative and working under own direction; self-starter Upholding ethics and values; demonstrates integrity Analytical and financial modeling Personal Attributes Values Driven Optimistic Learns on the Fly Resilient Instils Trust People Savvy Drives Results Innovation, enthusiasm, and drive Inspirational leader who lives the values and believes in the core purpose Humble leader Treat others with care, dignity, and respect Ensures that the business case prevails Have a bias for action Understand that people are Discovery's greatest asset Build an environment for optimal performance EMPLOYMENT EQUITY The Company's approved Employment Equity Plan and Targets will be considered as part of the recruitment process. As an Equal Opportunities employer, we actively encourage and welcome people with various disabilities to apply.
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