Hospital Risk Manager - Medical Schemes

Key Purpose: To oversee the hospital contracting strategy and implementation, encompassing commercial contracting for hospitals, acute hospitals, day hospitals, sub-acute hospitals, psychiatric facilities including in-facility procured items reimbursed by the Schemes.

• Manage contracting strategy across hospitals, day hospitals and other facilities
• Designing and contracting on the hospital networks to lower the cost of care.
• Drive sustainable annual tariff increases with contracting parties
• Maintain provider engagements aligned with business strategy.
• Design and negotiate contract terms with corporate service providers at the executive level.
• Oversee analytical contracting models.
• Ensure that all stakeholders adhere to contractual obligations and all administrative matters pertaining to contracts are completed.
• Enforce adherence to SLAs by internal stakeholders and contracted parties.
• Consult on legal matters pertaining to contract management.
• Keep abreast with relevant legislation and ensure that all stakeholders understand implications.

• Matric/Grade 12 qualification
• Honors Degree (Clinical/Commercial)
• 5 -10 years' relevant industry experience within contracting and or strategic sourcing ideally in the healthcare industry.
• Senior Stakeholder Management experience
• Significant experience in the healthcare industry and understanding of the key business and clinical issues.