Insurers and Third-Party Administrators Lead

2 weeks ago

Central Region, Singapore Healthway Medical Group Full time $80,000 - $120,000 per year

Key Responsibilities:

  • Relationship Management:

  • Broaden, maintain and deepen relationships with insurance companies and TPAs.

  • Act as the primary point of contact for panel-related queries, escalations, and contract negotiations.

  • Panel Management & Optimisation:

  • Ensure our clinics and doctors remain in good standing with insurer/TPA panels.

  • Drive efforts to be listed on new panels, monitor performance, and improve terms where applicable.
  • Lead the education of doctors and clinic staff on matters relating to insurance/TPA pre-authorisation, pricing and claims.

  • Stakeholder Engagement:

  • Work closely with internal stakeholders (clinic operations/staff, doctors, corporate sales) to align service delivery with insurer/TPA expectations.

  • Organise and lead regular reviews with both doctors and insurance/TPA partners.

  • Market Intelligence & Strategy:

  • Keep abreast of changes in the MediShield Life, IP and corporate insurance landscape.

  • Provide recommendations to leadership based on policy trends and regulatory shifts.
  • Benchmark competitor panel affiliations and identify growth opportunities.

  • Data & Performance Analysis:

  • Track panel utilisation, patient volumes, and revenue derived from insurance-linked cases/visits.

  • Perform ad hoc analysis and periodic performance reports to inform strategic decisions.

  • Contract & Compliance Oversight:

  • Oversee new and renewal contract negotiations, SLAs and compliance with regulatory bodies.

  • Ensure adherence to data privacy laws (PDPA) and medical ethics in insurer/TPA dealings.

Requirements:

  • Bachelor's degree or diploma in Business, Healthcare Administration, or related field.
  • At least 3–5 years of experience in healthcare, insurance, or TPA partnership management.
  • Preferably experience working in or with a private medical group, hospital business office, insurer, or TPA in Singapore.
  • Strong understanding of Singapore's healthcare financing schemes (e.g., MediShield Life, Integrated Shield Plans) and corporate health benefits.
  • Experience in managing panel relationships for medical clinics or providers.
  • Excellent communication, negotiation, and stakeholder management skills.
  • Numerate and analytical mindset with ability to interpret healthcare utilisation and cost data.
  • Highly organised, proactive, and capable of working independently.

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