Healthcare Partnerships – Consultant

• →Develop provider and healthcare claims dashboard, in conjunction with partners, to support analysis needed to develop new provider management / steerage strategies
• →Conduct provider and healthcare claims analytics to support development of new provider management / steerage strategies and to assess outcomes of implemented strategies
• →Drive the development of new provider management and steerage strategies across key levers such as product design, provider and TPA partnerships, and new healthcare value propositions. This includes using provider and claims insights to identify opportunities, develop business cases, and align stakeholders on the proposed direction, while collaborating with Healthcare on joint initiatives to achieve the KPIs for VONB, OPAT, and ANP
• →Support Head, Healthcare Partnerships in developing new mechanisms that could be implemented with our TPAs to help them better manage their panel of doctors
• →Execute approved provider management and steerage strategies end to end, including due diligence, system and process changes, partner onboarding, communications to the sales team, TPA partners and intermediaries, governance, and outcome tracking, in collaboration with cross-functional teams
• →Support Head, Healthcare Partnerships to execute the due diligence that needs to be done for new providers and / or new initiatives with Third Party Administrators (TPAs) to ensure adherence to regulatory and AIA guidelines
• →Support Head, Healthcare Partnership at Healthcare Steerco and other Healthcare related forums to drive and provide insights on Integrated Healthcare Strategy relating to Corporate Solutions and Joint Healthcare initiatives including submissions to Group Office on healthcare specific targets and KPIs
• →Support Head, Healthcare Partnership to develop business case(s) and obtain stakeholder approval for various opportunities / initiatives identified
• →Support negotiations and regular engagements with key providers, TPAs, intermediaries, and clients on pricing, service scope, performance standards, data requirements, contractual terms, healthcare partnerships, benefit design changes, and steerage opportunities, with final decisions and approvals
• →Support Head, Healthcare Partnership on vertical integration with healthcare providers to build a seamless, end-to-end ecosystem by forging strategic partnerships and embedding provider capabilities into our operational framework, enhancing service delivery and optimizing cost efficiency

• Degree holder
• At least 5 years working experience in corporate solutions, health insurance, medical providers and/or third-party administrators (TPAs) supporting corporates
• Proficient in healthcare data analysis and the creation of analytical dashboards with knowledge in SQL. Knowledge in other languages such as Python and R and the use of visualisation tools would be advantageous
• Transformation experience in implementing new initiatives, working with cross functional teams and influencing without direct authority
• Demonstrated ability to manage multiple tasks or projects effectively
• Excellent verbal and written communications skills
• Strong and effective interpersonal relationship skills and a team player
• Able to work in dynamic environment, manage complexity and outcome focused

Build a career with us as we help our customers and the community live Healthier, Longer, Better Lives.

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