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Medical Health Director

Keywords / Skills : Medical Health Director, health insurance, Healthcare, Healthcare Risk Management, Healthcare Products Marketing, Healthcare Operations., Healthcare Quality Management

10 - 13 years
Posted: 2019-05-20

Banking/Accounting/Financial Services
Other Roles
Medical Director
Software Engineer/Programmer
Posted On
20th May 2019
Job Ref code
Job Description
  • Individual and Group Health jointly constitute Aviva Ltd.s greatest risk.
  • The role reports into the Healthcare Management Committee, which currently controls all healthcare activity.
  • The need for effective and extensive clinical management has been identified as an essential to reverse a trend of IFRS losses and return both Healthcare portfolios to sustainable profitability without putting excessive upward pressure on price to client and to maintain Aviva Ltd.s market positioning.
  • The role of the Medical Director is a full-time role, with 100% focus on this objective.
  • The individual is expected to develop clinical risk management strategy and operationalise a clinical capability to achieve the above objective. The individual will be required to influence and co-ordinate the efforts of other relevant parts/functions of the organisation to ensure this result.

To oversee the establishment of and then lead a new clinical division for Aviva Health Singapore, including:
  • Lead the development, implementation, and evaluation of clinical/medical programs.
  • Define and then undertake responsibility for activities related to the delivery of medical care and clinical services including but not limited to cost management, case management, utilisation review, quality assurance, network, contracting, pharmacy, clinical elements of service operations (claims) and medical protocol development.
  • Develop and manage a budget, including presenting monthly financial reports to practice staff with the support of administration.
  • Establish strategic vision and ensure stakeholder buy in before implementation.
  • Establish and then oversee clinical peer review.
  • Oversee documentation for and implementation of care planning
  • Manage relationships with clinical providers.
  • Convert strategy into practical and effective management.
  • Monitor quality and appropriateness of medical care.
  • Contribute to the overall Aviva Health strategy by participation in the Healthcare Management Committee.
Effective Risk Management/Governance
  • Monitor and evaluate clinical risk associated with interventions and operational activity.
  • Establish (together with our selected risk manager should such exist) a comprehensive set of clinical protocols defining best practice so as to both ensure quality outcomes for our clients as well as manage our claims expenditure.
  • Implement effective clinical protocols into our claims process in such a manner as to best manage the balance between push back from providers and attaining our goals in terms of quality outcomes and financial control.
  • Further develop the claims protocol set and intervention strategy so as to maximise benefit for clients and ourselves whilst respecting the dignity of medical professionals
  • Influence and where possible over time manage and ensure the implementation for our benefit of a vertically and horizontally integrated network by which we can control our patient pathways, outcomes, quality of experience and cost.
  • Interact with all levels of Aviva Health Singapore to ensure that the goals and benefits of the strategy are understood and supported.
  • Work with providers so as to achieve understanding and to try to develop common goals.
  • To establish and then lead a team of clinically qualified or trained individuals to fulfil the objectives of the newly established clinical division.
  • Masters degree or higher in medicine
  • Valid license to practice medicine
  • 10+ years experience in clinical medicine
  • 5+ years experience in a hospital/ insurance administration role
  • 5+ years experience in managed care
  • Familiar and comfortable with the use of data and analytics to gain insight, aid decisions and support actions.
  • Experience in dealing with Senior Leadership Teams (SLT)
  • Experience dealing with external consultants, third party administrators (TPAs), doctors, hospitals.
  • Passion for the health/health insurance/healthcare financing category
  • Business & Financial Acumen.
  • Numeracy levels both to understand the Profit & Loss drivers and identify where the key opportunities lie
  • Strategic Thinking & Planning. Broad range of thinking skills - vision and strategy definition
  • Analytical skills, attention to detail
  • Self-driven, with high initiative, and a bias towards action
  • Interpersonal influencing skills
  • Effective Relationships
  • Collaboration
  • Communication (oral and written, including presentation skills)
  • Exhibits ethical and professional behaviour.
  • Knowledge of managed care products and strategies.
  • Computer Competency: Word processing, Spreadsheet, email and
  • Personal Information Management programs
  • Ability to work within a changing business environment and balance patient advocacy with business needs.
  • Successful experience with change management.
  • Demonstration of strong and effective teamwork, negotiation, conflict management, decision-making and problem-solving skills.
  • Successful ability to assess complex issues, to determine and implement their solutions, and to resolve problems.
  • Demonstrated sensitivity to culturally diverse situations, participants and customers.
  • Excellent verbal and written communication skills

About Company

We help our 33 million customers to save for the future and manage the risks of everyday life. To give these customers the best possible products and service we know we must make Aviva the most attractive choice for talented, entrepreneurial people with diverse backgrounds and an evolving range of expertise and insight.So, were passionate about helping our 29,500 people to do the best work of their lives, to enable them to make a positive difference to the lives of our customers.

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