Healthcare Transformation Expert

2 days ago


Singapore AIA Singapore Private Limited Full time
Role Summary

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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