Insurers and Third-Party Administrators Lead
HEALTHWAY MEDICAL GROUP PTE LTD
Key Responsibilities:
Relationship Management:
Panel Management & Optimisation:
Stakeholder Engagement:
Market Intelligence & Strategy:
Data & Performance Analysis:
Contract & Compliance Oversight:
Requirements:
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.
JOB SUMMARY
Insurers and Third-Party Administrators Lead
HEALTHWAY MEDICAL GROUP PTE LTD
Singapore
22 days ago
N/A
Full-time
Insurers and Third-Party Administrators Lead