Senior Cost Controller (Mega Infrastructure Projects) - Centurion

Mecs Africa; Gauteng; On-site; ZAR 200 000 - 300 000; Full time

Job summary

An established industry player is seeking a Clinical Research Specialist to enhance healthcare data management. This role involves organizing health information, ensuring data quality and security, and analyzing data for informed decision-making. The ideal candidate will have a strong background in evidence-based medicine, health data standards, and relevant legislation. With a focus on stakeholder management and effective communication, you will play a vital role in shaping healthcare practices. Join a dynamic team dedicated to improving health outcomes through data-driven insights and innovative solutions.

Qualifications

• 5-7 years experience in a Managed Healthcare environment.
• Valid registration with relevant statutory body required.

Responsibilities

• Organize and manage health information data for quality and security.
• Maintenance and analysis of health data.

Skills

Evidence-based medicine

Health data standards

Managed healthcare principles

Legislation knowledge

Data analysis

Communication skills

Stakeholder management

Education

Bachelor's Degree in Health Sciences

Advanced Diploma in Nursing or Pharmacy

Tools

Medical databases

ICD 10 codes

CPT codes

NAPPI codes

Job description

We are looking for a Clinical Research Specialist with the following key knowledge areas:

1. Basic understanding of evidence-based medicine.
2. Knowledge of health data standards.
3. Knowledge of managed healthcare or financial risk assessment principles.
4. Knowledge of standards within the health industry.
5. Knowledge of the legislation governing company policies and procedures.
6. Knowledge of the National Health Act, Company Act, and other health-related legislation such as the Medical Scheme's Act.

Qualifications and Experience:

1. Bachelor's Degree / Advanced Diploma in Health Sciences, Nursing, or Pharmacy-related qualification.
2. Valid registration with the relevant statutory body (SANC, SAPC, HPCSA, etc.).
3. Certification in evidence-based medicine and/or treatment protocol development will be an added advantage.
4. Relevant 5 - 7 years' experience in a Managed Healthcare environment or similar in data sourcing, collection, and navigation.
5. Experience working with treatment protocols and guidelines.
6. Experience working with medical databases, navigating large data quantities and data outputs.
7. Experience working with ICD 10 codes, CPT codes, NAPPI codes.
8. Experience in Functional Capacity Evaluation and associated reports and tariffs applicable.

Key Performance Areas:

1. Organize and manage health information data and ensure its quality, accuracy, accessibility, and security.
2. Maintenance, collection, and analysis of data.
3. Policy review and implementation.
4. Reporting.
5. Stakeholder management.
6. Administrative and report writing.

Technical, Managerial, and Behavioral Competencies Required:

1. Communication.
2. Network and alliances.
3. Planning, organizing, and coordinating.
4. Ethics and values.
5. Client service orientation.
6. Change management.
7. Conflict management.
8. Policy conceptualization and formulation.
9. Stakeholder development and relations.
10. Knowledge of medical terminology and legal aspects of health information.
11. Good understanding of data search engines and intelligent data extraction.
12. Understanding of data research principles.
13. Ensure quality, accuracy, accessibility, and security of data.