Director, Health Funds and Payer Relationship

Adventist HealthCare Limited (Aus); Sydney; On-site; AUD 120,000 - 160,000; Full time

Benefits offered by this job

Salary packaging

Up to 14 weeks parental leave

Gym discounts

Campus amenities

Learning & development culture

Job summary

Adventist HealthCare Limited (AHCL) is seeking a seasoned healthcare commercial leader to drive revenue optimisation across a complex hospital network in Sydney. You will lead the revenue cycle, manage health fund contracts and negotiations, and maximise reimbursement for patient care while maintaining clinical integrity and value-based outcomes across services.

Collaborating with finance, clinical leadership and operations, you will design commercial models, review charging structures, and

Qualifications

• Significant experience leading healthcare revenue, payer relations or contracting.
• Strong negotiation and commercial management skills.
• Advanced financial modelling and analytical capability.
• Sound knowledge of Australian healthcare funding and regulatory environment.

Responsibilities

• Lead the revenue cycle function and maximise reimbursement for the care provided.
• Manage health fund contracts and negotiations; review fees and identify revenue opportunities.
• Build strong relationships with health funds and payers; lead health fund audit activities.

Skills

Healthcare revenue leadership

Contract negotiations

Financial modelling

Stakeholder management

Education

Bachelor's degree in Business/Health Management

Job description

• Lead revenue optimisation across a complex healthcare environment
• Shape health fund strategy and high-value contract negotiations
• Be part of our value-based, caring organisation + NFP salary packaging

Taking care of people is our reason for being

At Adventist Healthcare caring for people is at the core of who we are. It’s what drives us to deliver exceptional outcomes for our patients and it’s a shared sense of purpose that extends to everyone who works here.

When you join our team, you’ll feel valued and supported by our strong commitment to learning, flexibility, great benefits and a positive culture of teamwork and cooperation.

Some Of The Exceptional Benefits We Offer Include

• As a not-for-profit, we offer salary packaging that can reduce the amount of tax you pay, which can leave you with thousands of dollars more in your pocket
• Up to 14 weeks paid parental leave
• Discounted gym membership for you and your family using Fitness Passport
• Great on campus amenities including cafés, gift shop, florist and even a hairdresser
• We have many other benefits as well, find out more when you meet us!

What You Will Be Doing In This Role

Reporting to the Chief Financial Officer, you will lead the revenue cycle function and help ensure the organisation receives the best possible reimbursement for the care we provide.

You will manage health fund contracts and negotiations, review fees and identify opportunities to improve revenue. You'll work closely with executive, clinical and operational leaders to make sure contract requirements are understood and embedded across the organisation.

A key focus will be building strong relationships with health funds and other payers, as well as leading health fund audit activities and identify opportunities to improve revenue cycle performance.

Who We’re Looking For

You are an experienced healthcare commercial or revenue leader with strong knowledge of the Australian healthcare funding environment. Commercially astute and highly analytical, you are confident negotiating complex contracts, interpreting financial data and influencing senior stakeholders.

You Will Bring

• Significant experience in healthcare revenue, payer relations, contracting or a similar role
• Strong contract negotiation and commercial management skills
• Advanced financial modelling and analytical capability
• Sound knowledge of the Australian healthcare funding and regulatory environment
• Experience developing RFPs and managing complex contractual arrangements
• Strong stakeholder engagement and influencing skills
• Proven experience leading teams and driving improvement
• Bachelor’s degree in business, Health Management or a related field preferred

This role is ideal for a commercially minded healthcare leader who wants to influence payer strategy, optimise revenue performance and contribute to the long-term sustainability of a values-based healthcare organisation.

About Us

Adventist HealthCare Limited (AHCL) operates several businesses including Sydney Adventist Hospital (fondly known as the San), San Day Surgery Hornsby, San Radiology & Nuclear Medicine and Sydney Adventist Hospital Pharmacy. The San is NSW’s largest private hospital which was founded in 1903. We are proudly faith-based and have a proven history of being industry pioneers in ground-breaking research and delivering superior patient care. As a not-for-profit, we continually reinvest in cutting-edge technology and facilities, providing exceptional outcomes for our dedicated team of 2500+ employees, 1400 Accredited Medical Officers, 300 volunteers and the community we serve.

What To Expect

Successful candidates will be required to complete a range of pre-employment checks and assessments. These vary and could include professional references, functional questionnaire, a national police check, working with children check, vaccination evidence, among others.

Applications close 18 October.