Head of Healthcare Services
1 week ago
The Head of Healthcare Services will be responsible for overseeing the delivery of high-quality healthcare services across our network as well as to ensure growth of drugs within the network and management of network sales department.
**Key Responsibilities:
1. Strategic Leadership:
- Develop and implement strategic plans for the healthcare services department in alignment with overall company goals.
- Identify opportunities for growth and expansion of healthcare services.
2. Team Leadership:
- Lead and manage a multidisciplinary team, including Network Management Team, Pre-Auth/LoG Team, Medical Auditors, Network Sales Team.
- Provide direction, support, and professional development opportunities for team members.
3. Operational Management:
- Oversee the daily operations of healthcare services, ensuring efficiency and effectiveness in service delivery.
- Review and maintain policies and procedures to maintain high standards of network, Pre-auth/ Log management, medical audit and network sales.
4. Network Sales Governance:
- Ensure compliance with healthcare regulations and standards.
- Develop and maintain governance frameworks to monitor and improve the management and sales of drugs.
5. Quality Assurance:
- Monitor performance metrics and implement improvement initiatives.
- Conduct regular audits and reviews to ensure adherence to clinical guidelines and protocols including Fraud, Waste and Abuse amongst network and members.
6. Stakeholder Engagement:
- Build and maintain relationships with key stakeholders, including healthcare providers, insurers, and regulatory bodies.Represent the company at industry events and forums.
**Job Requirements**:
- Medical Degree, 2 years and above
- Registered with SMC preferred
- Pharmacological knowledge
- Strong leadership and management skills with minimum of 10 years of experience in healthcare management or TPA, with at least 5 years in a leadership role.
- Experience in strategic planning and execution.
- Excellent communication and interpersonal abilities.
- In-depth knowledge of healthcare regulations and standards.
- Proven ability to manage budgets and financial performance.
- Operations / Project Management Capabilities, preferred.
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