Chief medical officer- medical schemes

Overview

This executive role is pivotal in driving the Clinical Risk strategy , ensuring financial sustainability, operational excellence, and compliance with healthcare and governance frameworks. Key Purpose

Lead the design, implementation, and monitoring of Client’s Clinical Risk and Managed Care strategies to promote clinical excellence, strengthen governance, and ensure long-term scheme sustainability. The CMO will provide expert oversight of healthcare delivery models, contract management, and stakeholder partnerships that advance Client’s mission of member well-being.

Key Responsibilities Strategic Leadership: Develop, execute, and monitor the Clinical Risk strategy aligned to Client’s overall strategic objectives. Contract & Partnership Management: Oversee negotiation, contracting, and performance monitoring of healthcare providers, managed care organisations, and service partners to ensure value for money and quality outcomes. Risk & Compliance Oversight: Ensu...