Healthcare Transformation Expert
2 days ago
We are seeking a skilled Healthcare Principal to join our team at AIA Singapore Private Limited. As a key member of our Healthcare team, you will play a crucial role in driving our Integrated Healthcare Strategy (IHS) forward.
Key Responsibilities
- Collaborate with our Head of Healthcare, Group Healthcare, and other key partners to provide clinical insights and medical inputs for specific initiatives and projects under our IHS.
- Contribute to the design and delivery of our wellness proposition, ensuring it meets the needs of our customers.
- Work with our Claims team to develop and implement clinical pathways and guidelines, and support the review of cases for medical appropriateness.
- Build and maintain strategic relationships with leading hospitals to define and deliver clinical quality measures and our service propositions.
- Provide insights on the management of chronic conditions, community-based services, and propositions for the ageing population.
- Support our Provider Engagement and Quality team with our relationships and management of the AIA Quality Healthcare Partner Network.
- Render case-specific clinical advice to facilitate claims adjudication, as needed.
- Develop and deliver health talks on medical trends to our agents.
- Undertake assessments and reviews of clinical outcomes and critical metrics of our healthcare partners.
- Identify opportunities for us to engage and partner with healthcare-ecosystem players.
- Work with our Enterprise Analytics team to provide clinical insights on claims experience and emerging trends in health claims.
Workstreams
- Product changes.
- Healthcare ecosystem development.
- Enabling a digital health journey for our customers.
- Pre-authorisation.
- Claims optimisation.
- Improvement of provider steerage and fee structure.
- Agency engagement on healthcare metrics and initiatives.
- Underwriting investigations of early claims and suspicious cases.
- Analytics and financials.
Requirements
- Strong communications skills are essential for this role, as you will need to communicate across our organisation at top levels and with external partners.
- Medical degree or equivalent qualifications from a reputable university.
- At least 10 years of experience in the healthcare industry, with a good understanding of the healthcare system in Singapore.
- Experience in health insurance functions and a proven track record of prioritising multiple tasks or projects.
- Excellent verbal and written communications skills, as well as strong interpersonal relationship skills.
- Analytical problem-solving and decision-making skills, with the ability to work in a team environment.
About Us
At AIA Singapore Private Limited, our purpose is to help millions of people live Healthier, Longer, Better Lives. We are a leading health insurance provider in Singapore, and we are committed to delivering quality healthcare at an affordable cost to our customers.
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