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Senior specialist clinical policy

Company

Private Health Administrators

Location

centurion, South-Africa

Type

Full-time

Position: Senior Specialist Clinical Policy

Location: Centurion, Gauteng

Position Purpose: The Senior Specialist: Clinical Policy leads the development and governance of clinical policies and benefit criteria. The role ensures decisions are based on strong evidence, regulatory requirements, and managed care principles while supporting HTA integration, advising stakeholders, and mentoring junior policy staff. Postgraduate qualification in Public Health, Health Economics, Epidemiology, Clinical Research, or Health Policy (preferred). 3–5+ years’ experience in clinical policy, managed care, research, HTA, or clinical governance. Experience drafting/implementing clinical policies. Strong understanding of PMBs, HTA methods, benefit design, and coding systems.

Key Responsibilities Lead development, review, and lifecycle management of clinical policies and funding rules. Translate HTA findings into actionable policy recommendations. Ensure policy compliance with PMB legislation...

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