Job Description

Job Advert Summary

An exciting opportunity for an analytical and attention-to-detail Clinical Reporting Specialist exists in the Reporting and Specialised Projects group. The successful candidate will compile/analyse and review Clinical and Board Reports, Operational and all other Clinical analysis for PPSHA and all clients

Minimum Requirements

• Grade 12
• Clinical qualification for example nursing
• Data analytics qualification will be an advantage.
• Industry/legislation and regulations essential
• ISO Principles
• Essential: Medical Scheme administration/managed Healthcare experience 3+ years
• Essential: Reporting experience
• Reporting programmes: QlikView, Yellow fin, SQL will be an advantage.
• Essential: Advance Excel skills including calculations, pivot tables/V/X lookups etc.
• Essential: Advanced Microsoft Word

Duties and Responsibilities

• Extract data and compiling/reviewing of Clinical/Board reports as per the SLA.
• Extract data and create standard operational data reports as per SLA.
• Extract data and create ad hoc operational data reports as per client specifications.
• Analyse data and report possible risks to the clients as well as provide recommendations.
• Proactively identify and manage potential problems/escalations within clinical data with

appropriate resolution plans.

• Provide data/reports/analysis as required by PPSHA and/or Client.
• Consult to business areas around fundamental components required to manage operational risk and deliver initiatives in accordance with business requirements to ensure delivery of quality care.
• Implement best practice protocols to ensure quality patient care that is cost effective and accessible.
• Keep abreast of new developments within the Healthcare industry.
• Identify and implement new projects related to clinical improvements.
• Reviewing and creating of Work instructions applicable to Reporting and processes.
• When required, attend healthcare/data analytics workshops to keep the company abreast of changes in the industry with regards to reporting and trends.
• Provide proposals to the client and participate in negotiations when required with service providers in order to assist the Schemes with the cost-effective management.
• Provide input and support to the Clinical Committees, MHC meeting and other committees as and when required.
• Compile documentation and assist with the Council for Medical Schemes enquiries where clinical data is required.
• Data validation, testing and quality assurance.