Director: Provider Payment Mechanism And Rates – Pretoria – Department Of Health

About the Role

The Department of Health is looking for a dedicated Director: Provider Payment Mechanism and Rates to enhance the financial framework of healthcare services in Pretoria. This pivotal role not only involves meticulous review and revision of existing data collection and reporting processes within healthcare facilities but also focuses on transitioning the payment system from an input-based approach to a more sustainable prospective payment mechanism. By implementing these changes, this position plays a crucial part in ensuring that the National Health Insurance Fund operates effectively, ultimately benefiting the health sector and the communities they serve.

In the vibrant city of Pretoria, the Director will lead initiatives aimed at developing proof-of-concept projects for new provider payment mechanisms like capitation and Diagnosis Related Groups. These efforts are integral to the improvement of healthcare delivery, ensuring that funds flow efficiently and that healthcare providers are compensated fairly. The role’s impact resonates deeply within the community, as it directly contributes to the enhancement of health services for all South Africans.

About the Department

The Department of Health is committed to providing accessible and high-quality healthcare to all citizens of South Africa. With a mission to create an efficient and sustainable health system, the department plays a vital role in managing healthcare policies, services, and resources. Working in this department means being part of a team that strives to improve the health outcomes for the nation, ensuring that every individual has access to the essential care they need.

What You’ll Do

• Review and enhance the data collection and reporting processes in health care facilities.
• Analyze the flow of funds and propose necessary changes to support prospective payment systems.
• Develop ongoing revisions of provider payment systems, including proof-of-concept projects.
• Determine and adopt additional provider payment mechanisms, focusing on capitation for Primary Health Care and Diagnosis Related Groups for hospitals.
• Define cost modeling methodologies and develop a costing manual for healthcare services.
• Communicate pricing information about services, drugs, and consumables to the public and stakeholders involved with the National Health Insurance Fund.

What You’ll Need

• A Grade 12 certificate and an undergraduate qualification (NQF level 7) in Finance, Accounting, Health Economics, or a related field.
• A postgraduate qualification (NQF level 8) in relevant disciplines would be advantageous.
• At least five years of experience in a middle/senior managerial role within Health Economics or Accounting in the health sector.
• Proven experience in conducting quantitative analyses and economic research related to health economic modeling.
• Expert knowledge of Excel and VBA; familiarity with other programming languages like Python, R, and SQL is a plus.
• Strong communication skills, problem-solving abilities, and a solid understanding of public health policies and legislation.
• A valid driver’s license and willingness to work independently.

How to Apply

Please submit your application before the closing date as late applications will not be considered.