REQUIREMENTS :
Grade 1: An appropriate qualification that allows registration with the Health Professions Council of South Africa (HPCSA) plus current registration with the HPCSA as Medical Specialist.
Grade 2: An appropriate qualification that allows registration with the Health Professions Council of South Africa (HPCSA) as a Medical Specialist plus a minimum of five (5) years' appropriate experience as a Medical Specialist after registration with the HPCSA as a Medical Specialist.
Grade 3: An appropriate qualification that allows registration with the Health Professions Council of South Africa (HPCSA) as a Medical Specialist plus a minimum of ten (10) years' appropriate experience as a Medical Specialist after registration with the HPCSA as a Medical Specialist. Working experience with health needs assessment.
DUTIES :
Develop and maintain methodology for strategic and operational planning for defining the composition of the Health Care Benefits, including health needs assessment, risk assessments, monitoring and control of progress against strategic objectives. Prepare technical reports, briefing notes, and recommendations on Health Care Benefits planning and performance. Contribute clinical inputs to the development and maintenance of policy and procedures for clinical interventions, pharmaceuticals, and technologies, including inputs on Health Technology Assessment (HTA), as a part of health care benefits design. Provide specialist clinical inputs into the development, review, and maintenance of policies, procedures, protocols, and guidelines relating to Health Care Benefits design. Develop and maintain policy and procedures on referral and portability of access to services and define referral guidelines for planned NHI pathways. Define, review, and update referral guidelines and clinical pathways across levels of care to ensure coordinated and integrated service delivery. Develop and maintain the annual plan of needs for procurement of the Health Care Benefits. Provide clinical and technical inputs into procurement planning for health care services, pharmaceuticals, medical devices, and technologies. Contribute to the preparation of information for publication for citizens on the list of Health Care Benefits for Users and Referral Guidelines. Ensure that published information is evidence-based, clinically accurate, and aligned with approved policies and procedures.