Posted:
9/3/2024, 10:09:41 PM
Location(s):
Singapore, Singapore
Experience Level(s):
Expert or higher ⋅ Senior
Field(s):
Product
FIND YOUR 'BETTER' AT AIA
We don’t simply believe in being ‘The Best’. We believe in better - because there’s no limit to how far ‘better’ can take us.
We believe in empowering every one of our people to find their 'better' - in the work they do, the career they build, the life they live and the difference they make. So that together we can support even more people - including our own - to live Healthier, Longer, Better Lives.
If you believe in better, we’d love to hear from you.
About the Role
Work with Head of Healthcare, Group Healthcare, and other key partners across AIA Singapore to provide a clinical perspective and medical inputs for specific initiatives and projects under AIA’s Integrated Healthcare Strategy (‘IHS’).The Healthcare Principal will work in close collaboration with the various functional heads of department (e.g. Claims, Actuarial, Pricing, Provider Management, Agency Management, Health Analytics, Technology). This is a critical role for the Healthcare team and will require the candidate to have a good understanding of health insurance, deep expertise in the functional areas relevant to the workstream, and the ability to collaborate and work optimally with senior partners to get results.
Primary roles and responsibilities:
Contribute to the product design process by providing medical insights and evaluation of Health Services that will improve quality and customer experience.
Contribute, from a clinical standpoint to the design and delivery of AIA’s wellness proposition.
Work with Claims team to craft and implement clinical pathways / guidelines, establish a clinical Governance policy and support review of cases for medical appropriateness.
Support the building of strategic relationships with leading hospitals to define and deliver clinical quality measures and AIA service propositions at the hospitals, incl. alternative reimbursement models to drive more value, e.g. Value-based care initiatives.
Provide inputs/insights on management of chronic conditions, community-based services, and propositions/services for the ageing population.
Support the Provider Engagement and Quality team with our relationships and management of the AIA Quality Healthcare Partner Network, where required.
Render case specific clinical advice to facilitate claims adjudication, as needed.
Provide health talks on medical trends to agents.
Undertake assessment / review of clinical outcomes and critical metrics of healthcare partners.
Support identification of opportunities for AIA to engage/partner with healthcare-ecosystem players.
Work with the Enterprise Analytics team to provide clinical insights on claims experience and emerging trends in health claims.
Drive successful delivery of the assigned initiative to achieve healthcare savings, loss ratio improvements, and other objectives as defined in the workstream plan.
Develop strong working relationships across AIA Singapore, AIA Group and healthcare ecosystem partners.
The workstreams that will require focus include:
Product changes.
Healthcare ecosystem development.
Enabling a digital health-journey for our customers.
Pre-authorisation.
Claims optimisation.
Improve third party recovery.
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.
WHAT WE ARE LOOKING FOR:
Strong communications skills are a pre-requisite of the role. Candidate will communicate across AIA Singapore at top (EXCO/CEO) and senior management levels within local business and Group.
Candidate will coordinate with and work within multi- functional teams including local and group resources and external consultants. About 20-30% of the time may be spent dealing with external parties / vendors.
Medical degree or equivalent qualifications from a university
At least 10 years working experience and have a good understanding of local healthcare system.
Good understanding of the healthcare system in Singapore.
Exposure to health insurance functions.
Proven track record to prioritise multiple tasks or projects.
Excellent verbal and written communications skills.
Strong and effective interpersonal relationship skills while working in a team
Analytical problem solving /decision making and judgment skills.
Build a career with us as we help our customers and the community live Healthier, Longer, Better Lives.
You must provide all requested information, including Personal Data, to be considered for this career opportunity. Failure to provide such information may influence the processing and outcome of your application. You are responsible for ensuring that the information you submit is accurate and up-to-date.
Website: https://aia.com.au/
Headquarter Location: Australia, Isabela, Philippines
Employee Count: 11-50
Year Founded: 1993
IPO Status: Private