Senior Specialist Clinical Risk Management Support

MVG Recruitment Specialists; Cape Town; On-site; ZAR 480 000 - 600 000; Full time

Job summary

A leading healthcare management organisation is looking for a Senior Specialist: Clinical Risk Management Support in Cape Town. This role involves supporting clinical risk and fund management initiatives, offering technical advice on healthcare projects, and driving cost-containment strategies. The ideal candidate will have 6-8 years' experience in clinical coding and data analysis, and possess a clinical qualification. Skills in MS Office, problem-solving, and strategic communication are essential. Email your CV to apply by 15 October 2025.

Qualifications

• 6-8 years experience in managed care clinical coding, claims, and data analysis.
• Strong understanding of healthcare legislation, PMBs, and NHI frameworks.

Responsibilities

• Conduct research and provide analytical support for clinical risk management.
• Assist in identifying and managing cost drivers across the business.
• Provide technical input on clinical and medicines-related projects.
• Develop strategic reports and presentations related to managed care.
• Support expert panels and stakeholder meetings.
• Handle clinical and medicines-related queries.
• Improve knowledge management processes within the clinical team.
• Engage with stakeholders to manage clinical risk.

Skills

Clinical coding

Data analysis

Problem-solving

Communication

Business writing

Education

Qualified Pharmacist or Clinical Qualification

Tools

MS Office

Job description

Introduction

Position: Senior Specialist: Clinical Risk Management Support

Reference: MVG/SCRM

Closing Date: 15 October 2025

Email Applications to:

An exciting opportunity exists for an experienced Senior Specialist: Clinical Risk Management Support to join a leading healthcare management organisation. The successful incumbent will play a key role in supporting clinical risk and fund management initiatives developing cost-containment strategies and contributing to the enhancement of managed care processes through data-driven insights and specialist input.

Key Responsibilities:

• Conduct research and provide analytical support for clinical risk management and fund management initiatives.
• Assist in identifying and managing cost drivers and efficiencies across the business.
• Provide technical input and specialist advice on clinical and medicines-related projects.
• Develop and present strategic reports proposals and presentations related to medicines devices and managed care.
• Support the coordination of expert panels stakeholder meetings and internal committees.
• Handle clinical and medicines-related queries including vaccination MEL/MPL analyses and stock-out impacts.
• Drive knowledge management process improvement and professional development within the clinical team.
• Engage with internal and external stakeholders to ensure effective management of clinical risk.

Experience Required:

• 6 8 years experience in managed care clinical coding claims and data analysis.
• Strong understanding of healthcare legislation PMBs and NHI frameworks.

Qualifications:

• Qualified Pharmacist or Clinical Qualification (essential).

Competencies:

• Strong problem-solving and analytical ability.
• Excellent communication and business writing skills.
• Proficient in MS Office; data modelling and evaluation experience advantageous.
• High attention to accuracy and detail with a focus on service excellence.

To Apply:

Email your detailed CV to [e-mail] quoting Ref: MVG/SCRM in the subject line.

Closing Date: 15 October 2025.