The position of Chief Healthcare Officer is vacant. The Chief Healthcare Officer report directly to the Chief Operations Officer 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 Chief Healthcare Officer will be required to drive the strategic direction and operational excellence of the Healthcare Management Division by providing support to the Chief Operations Officer through the following key performance areas (KPA’s):

Key Performance Areas (KPAs)

• Develop, implement and maintain the Scheme’s overarching clinical strategies that align with organisational goals.
• Oversee the Scheme’s clinical function and integrate evidence-based clinical funding guidelines to ensure best practice.
• Oversee the Scheme’s Networks and Provider Relations Strategies, as well as the Scheme’s Provider Relations Officer (PLO) Programme strengthen stakeholder relationships and encourage collaboration and innovation.
• Develop and execute strategies to build and maintain robust healthcare networks, including hospitals, primary care, and specialist providers.
• Develop and implement comprehensive strategies for managing tariffs and billing rules aligned with organisational goals.
• Progressively implement the Scheme’s strategy on the implementation of Alternative Reimbursement Arrangements (ARM) with all hospital groups.
• Develop and implement policies for effective management of the Scheme’s medicine formularies and exclusion lists.
• Oversee the implementation and management of value-based active disease risk management initiatives, with the aim of improving patient outcomes.
• Oversee the development of the Scheme’s annual comprehensive sourcing strategies aligned with organisational goals.
• Maintain oversight of the Scheme’s managed care function and ensure that all contracted service provider network (SPN) functions and ensure compliance to Service Level Agreements (SLA).
• Foster strong relationships with healthcare providers to support strategic goals and initiatives, while utilising feedback from providers to inform decision-making and improve service deliver

• Postgraduate (NQF Level 8) MBCHB or equivalent in a related field/ Honours/ Professional Qualifications
• Strong understanding of the South African Healthcare and Medical Scheme Industry
• Twelve years (12) of functional experience with at least five to eight years (5-8) in a highly strategic Medical Scheme / Managed Healthcare Senior Management role including staff supervisory, budgetary, and management responsibility.

• Master/ Postgraduate degree in Health Economics or Business Management

Behavioural Competencies:

• Deep knowledge of the South African healthcare context.
• Strong strategic thinking, leadership and communication abilities.
• Stakeholder engagement and collaboration skills.
• Expertise in clinical governance, quality improvement and risk management.
• Understanding of health economics, contracting and procurement.
• Passion for universal healthcare access and member wellbeing.

Should you be interested, please apply for the position by emailing your CV to khudu@leboconsulting.co.za

The closing date for applications is`15 November 2024. Should you not hear from us by 28 February 2025, 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

 ***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.

*** 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.

*** Successful candidates will be required to seek approval to conduct other work outside of GEMS.

GEMS Employees are required to conduct themselves in a manner that reflects the organisation's paramount values: Excellence, Member Value, Integrity, Innovation, and Collaboration