The position of Medical Advisor: Clinical Healthcare Policy is vacant. The Medical Advisor: Clinical Healthcare Policy will report directly to the Senior Manager Medical Advisory Services and forms part of the Healthcare Management Division. The position is based at Head Office in Pretoria.
The total remuneration package for this position is negotiable based on qualifications and experience.
The Medical Advisor: Clinical Healthcare Policy will be required to assist and support the Senior Manager Medical Advisory through the implementation of the following Key Performance Areas (KPAs):
- Manage the administrative function in the Medical Advisory Services business unit
- Manage and coordinate the conducting of systemic reviews of good clinical practice guidelines and health technology assessments; to ensure that Scheme funding decisions are based on best practice. This activity aims to ensure these elements are sound and compliant with the Medical Schemes Act and Regulations and the Scheme Rules.
- Contribute to and conduct targeted research into local and international clinical guidelines and funding policies.
- Critical review and analysis of current cost drivers and trends and compare with those of local and international sources for best practice.
- Assist in critically analysing medical literature and use of evidence-based principles to review and generate enhancements in funding protocols.
- Assist in the management and monitoring of clinical cost targets
- Assist in developing and maintaining adequate knowledge of data handling and interpretation of information translating interventions.
- Support the Medical Advisory Services Unit in the Scheme’s Ex gratia ratification cases in researching evidence-based medicine
- Support the Medical Advisory Services Unit in the Scheme’s product development and benefit design activities
- Manage the review of the Scheme’s funding policies, protocols and formularies
- Manage the Scheme’s Maternity Benefit Programme
- Chair and coordinate monthly SPN meetings
- Perform Service Level Agreement quarterly site visits
- Support in the management and monitoring SPN's to implement and give results within set targets
- Support in the management of the divisional budget in line with budget allocation
- Assist in improving member value
- Monitor project/programme in conjunction with the internal Project Management unit of the Scheme
- Ensure that all relevant projects are carried out and finalised
- Liaise with GEMS SPNs on operational matters
- Represent the Healthcare Management Division at SPN and Stakeholder Engagements
- Represent the Healthcare Management division in internal forum
- Support the Scheme’s Clinical Advisory Expert Panels
- Assist in the process for development and maintenance of Medical Advisory Services standard operating procedures and policies.
- Assist the Medical Advisory Services in providing clinical support to Healthcare Management and the Scheme’s other divisions
- Assist in providing clinical support the Scheme’s Disease Risk Management Programmes
- Assess and mitigate risk with the Medical Advisory Services Unit
- Manage relationship building with key stakeholders
- Monitor and evaluate clinical cost targets
- Manage and assist staff in developing Personal Development Plans, Training Plan and succession plan in accordance to HR policyDiary management
Qualification Requirements:
- Minimum MBChB
- Qualifications in Health Technology Assessment or Evidence-Based Medicine would be advantageous
- At least 5 years work experience in the healthcare funding / medical scheme industry with at least 2 years at manager/supervisor level
- Previous experience in a Health Policy Unit will be advantageous
- Experience in the evaluation of health technology assessments would be advantageous
- Must have experience in the development and presentation of management reports
- A good understanding of coding (Nappi, Tariffs, ICD10, CPT4, UPFS and more)
- A good understanding of the South African Healthcare Industry
- A good understanding of the Medical Schemes Act
- The ability to conduct research using a variety of academic and market-related resources
Should you be interested, please apply here
The closing date for applications is 13 October 2023. Should you not hear from us by 31 December 2023, please consider your application unsuccessful.
*** GEMS employs people with the highest level of integrity – submission to the appropriate pre-employment assessment is obligatory to be considered for the position.
*** Kindly note that the information provided on application of the position may be shared with a third party for vetting purposes and will be stored by GEMS for a period of 5 years.
*** Kindly note that information is required for Employment Equity Purposes and information gathered is strictly used according to the intended purpose of collection, unless there is a legal need or permission is granted from the applicant themselves to make use of it for other purpose
*** Should you wish to have your information removed from the GEMS database, kindly send a request in writing to jobs@gems.gov.za.
*** GEMS adopts a hybrid work model
***GEMS is guided by the principles of employment equity. Preference will be given to groups who are underrepresented in accordance with GEMS employment equity plan.
The position of ICT Integration Specialist is vacant. The ICT Integration Specialist will report directly to the Senior Manager: Application Development and forms part of the ICT division. The position is based at GEMS Head Office, Pretoria.
The total remuneration package will be will be based on qualifications and experience.
The ICT Integration Specialist will be required to participate in the planning, coordination, and solution development and implementation activities related to the integration of applications and technologies within the organizations application integration environment. Proven communication skills, problem-solving skills, proficiency in programming languages and data structures, and knowledge of integration best practices are critical to successful performance in this role and providing support to the SM: Applications Development through the following KPA’s:
Key Performance Areas (KPAs):
- Develop and maintain services used in application integrations.
- Design integration solutions and document the design in accordance with best practices.
- Work with development teams to architect, design, build, and implement application integrations.
- Develop and maintain data integration components such as SQL queries, stored procedures, data extraction and cleansing, and integration with system front end components.
- Write PL-SQL code to retrieve appropriate data as derived from requirements.
- Build reports and/or data extracts to support business analysis.
- Support development on resolving system defects, acting as liaison in developing solutions.
- Coordinate directly with business analyst to best understand and analyze application integration business specifications.
- Provide technical assistance to troubleshoot and resolve integration errors.
- Assist application software developers and engineers in development of Application Program Interface (APIs) to interact with the application integration environment
- Design, develop, and deploy solutions within the organization’s architectural principles, policies, and guidelines
- Continually develop skills in the integration technologies in place in the AI environment, as well as staying informed on new developments in integration technology.
- Implement audit, logging, and monitoring solutions to provide proactive operational support in the AI environment.
Qualification requirements are:
- National diploma or university degree in the field of computer science, information technology, information systems or relevant degree
- Application Integration Certification is must.
- Experience in Application Integration role is a must.
- Full systems development life cycle experience.
- Minimum of 8 years relevant work experience in Application Architect.
- Certification in Application Integration is a must.
- Systems Development Lifecycle Management is essential. Project Management is an advantage.
- Knowledge of HealthCare Solution is an advantage.
- Competency with XML constructs and schemas.
- Technically fluent in programming languages, including .Net environment/ platform
- Experience with business and technical requirements analysis, business process modeling/mapping and methodology development, and data mapping
- Confidence and experience with API protocols and schemas such as SOAP and REST
All external candidates, please apply via Career Junction using the following link :
https://www.careerjunction.co.za/companies/35144/government-employees-medical-scheme
The closing date for applications is 2 September 2022. Should you not hear from us by 30 November 2022 please consider your application unsuccessful.
*** GEMS employs people with the highest level of integrity – submission to the appropriate pre-employment assessment is obligatory to be considered for the position.
*** Information is required for Employment Equity purposes.
*** Kindly note that the information provided on application of the position may be shared with a third party for vetting purposes and will be stored by GEMS for a period of 5 years.
*** Should you wish to have your information removed from the GEMS database, kindly send a request in writing to jobs@gems.gov.za.
***Gems is guided by the principles of employment equity. Preference will be given to groups who are underrepresented in accordance with Gems employment equity plan.
The position of ICT Integration Specialist is vacant. The ICT Integration Specialist will report directly to the Senior Manager: Application Development and forms part of the ICT division. The position is based at GEMS Head Office, Pretoria.
The total remuneration package will be will be based on qualifications and experience.
The ICT Integration Specialist will be required to participate in the planning, coordination, and solution development and implementation activities related to the integration of applications and technologies within the organizations application integration environment. Proven communication skills, problem-solving skills, proficiency in programming languages and data structures, and knowledge of integration best practices are critical to successful performance in this role and providing support to the SM: Applications Development through the following KPA’s:
Key Performance Areas (KPAs):
- Develop and maintain services used in application integrations.
- Design integration solutions and document the design in accordance with best practices.
- Work with development teams to architect, design, build, and implement application integrations.
- Develop and maintain data integration components such as SQL queries, stored procedures, data extraction and cleansing, and integration with system front end components.
- Write PL-SQL code to retrieve appropriate data as derived from requirements.
- Build reports and/or data extracts to support business analysis.
- Support development on resolving system defects, acting as liaison in developing solutions.
- Coordinate directly with business analyst to best understand and analyze application integration business specifications.
- Provide technical assistance to troubleshoot and resolve integration errors.
- Assist application software developers and engineers in development of Application Program Interface (APIs) to interact with the application integration environment
- Design, develop, and deploy solutions within the organization’s architectural principles, policies, and guidelines
- Continually develop skills in the integration technologies in place in the AI environment, as well as staying informed on new developments in integration technology.
- Implement audit, logging, and monitoring solutions to provide proactive operational support in the AI environment.
Qualification requirements are:
- National diploma or university degree in the field of computer science, information technology, information systems or relevant degree
- Application Integration Certification is must.
- Experience in Application Integration role is a must.
- Full systems development life cycle experience.
- Minimum of 8 years relevant work experience in Application Architect.
- Certification in Application Integration is a must.
- Systems Development Lifecycle Management is essential. Project Management is an advantage.
- Knowledge of HealthCare Solution is an advantage.
- Competency with XML constructs and schemas.
- Technically fluent in programming languages, including .Net environment/ platform
- Experience with business and technical requirements analysis, business process modeling/mapping and methodology development, and data mapping
- Confidence and experience with API protocols and schemas such as SOAP and REST
All external candidates, please apply via Career Junction using the following link :
https://www.careerjunction.co.za/companies/35144/government-employees-medical-scheme
The closing date for applications is 2 September 2022. Should you not hear from us by 30 November 2022 please consider your application unsuccessful.
*** GEMS employs people with the highest level of integrity – submission to the appropriate pre-employment assessment is obligatory to be considered for the position.
*** Information is required for Employment Equity purposes.
*** Kindly note that the information provided on application of the position may be shared with a third party for vetting purposes and will be stored by GEMS for a period of 5 years.
*** Should you wish to have your information removed from the GEMS database, kindly send a request in writing to jobs@gems.gov.za.
***Gems is guided by the principles of employment equity. Preference will be given to groups who are underrepresented in accordance with Gems employment equity plan.
