Head of Hospitals and Medical Benefits
Unique opportunity for a senior professional with expertise in the health sector, leading commercial negotiations, and managing high-level stakeholder
Summary about this job
Management
Company: HCF Australia
Location: Sydney
Work type: Full Time
Salary: n\a
Phone: +61-7-9897-6523
Fax: +61-2-5893-5415
E-mail: n\a
Site: n\a
Detail information about job Head of Hospitals and Medical Benefits. Terms and conditions vacancy
- Australia's Leading Not for Profit Health Insurer
- Senior Role covers all facets of the hospital and medical business
- Negotiation and contracting skills
- Join Australia’s leading not for profit Health Insurance provider
- Permanent full-time opportunity with flexibility
- Based in the heart of Sydney’s central business district
About HCF
HCF is Australia's largest not for profit private health insurer. With over 80 years of heritage in Australia, we remain faithful to our not for profit charter and continue to deliver more benefits to our members. With the adoption of our 2020 Strategy, our vision is to make health care understandable, affordable, high quality and customer centric
About the role
Reporting to the Chief Officer Member Health, the Head of Hospital & Medical Benefits leads a team to drive comprehensive benefit and health risk management associated with HCF's $1.7b claims spend. The role covers all facets of the hospital and medical business with particular emphasis on operations and risk management within the external environment. In addition the role will also be responsible for ensuring compliance to relevant regulatory and legislative requirements as well as controlling benefit expense across HCF hospital products.
Key Responsibilities include: developing strategic and tactical strategies and negotiating commercial contracts with hospital groups, individual hospitals, diagnostic service providers, medical specialists and providers of services intended to substitute for hospital treatment. These strategies and commercial contracts are planned to secure access for HCF members to high quality affordable service providers with the ultimate aim of moving towards value-based care that measures and rewards, quality outcomes. There will be an emphasis on developing innovative approaches and collaborative provider relationships that build greater value for HCF customers when they access the health system.
The role has to balance the management of benefit risks associated with hospital services for HCF members with timely access to most appropriate care, at the appropriate locations.
Prior experience, skills, behaviours and knowledge required:
Prior experience with:
- developing benefits risk strategies relating to hospital and medical services
- contract management and compliance
- leading and managing teams
Skills and behaviours:
- high level of integrity
- ability to develop positive, productive relationships with external stakeholders
- strong leadership
- ability to develop a high performing team
- a focus on succession planning
- negotiation and contracting skills
- excellent internal stakeholder management and a collaborative approach to ensuring business success
- ability to communicate effectively at all levels.
Knowledge:
- understanding of the regulatory and legal requirements applicable to commercial negotiations
- solid working knowledge of the Australian Health system
Desirable
- knowledge of Health Insurance Industry
- knowledge of Private Hospital Industry
- relevant tertiary qualifications
- well-developed analytical and financial skills
- clinical experience in a hospital setting
To submit your application, apply via the link today!