Hybrid Provider Relations & Operations Specialist

Teachers Health Fund; Sydney; Hybrid; AUD 80,000 - 110,000; Full time

Benefits offered by this job

Attractive leave benefits

Hybrid working model (flex your work/l

Subsidised private health insurance

Discounts on our products and services

Generous employee wellbeing program

Easily accessible by public transport

Job summary

Teachers Health Fund is seeking an Ancillary Provider Relations Officer to manage our network of health providers, support electronic claiming processes, and improve the systems and processes that keep things running smoothly for our members and providers.

This role blends stakeholder engagement, troubleshooting, process improvement, and project work, ideal for someone who enjoys both people and technology and is based in Australia, with hybrid working options.

Qualifications

• Experience in health insurance, healthcare administration, claims, provider management, or a similar environment.
• Strong communication skills and confidence engaging with a range of stakeholders.
• A naturally analytical and problem-solving mindset.
• Strong attention to detail and organisational skills.
• The ability to navigate multiple systems and troubleshoot technical or process issues.
• Intermediate Microsoft Excel skills.
• A proactive, adaptable, and solutions-focused approach.

Responsibilities

• Manage provider onboarding, recognition, and registration activities.
• Resolve provider enquiries and troubleshoot claiming and registration issues.
• Build relationships with providers, industry associations, HAMBS/Civica/HICAPS/HealthPoint and other key stakeholders.
• Monitor and maintain provider data across multiple systems.
• Support preferred provider programs and provider-related initiatives.
• Identify opportunities to improve processes, workflows, and system functionality.
• Represent Teachers Health at industry meetings and forums.
• Play a key role in provider-related projects, including our transition from HAMBS to Civica.

Skills

Health insurance experience

Stakeholder engagement

Analytical mindset

Attention to detail

Systems troubleshooting

Excel skills

Proactive problem-solving

Tools

HAMBS

Civica

HICAPS

HealthPoint

Job description

Teachers Health Fund is seeking an Ancillary Provider Relations Officer to manage our network of health providers, support electronic claiming processes, and improve the systems and processes that keep things running smoothly for our members and providers.

This role blends stakeholder engagement, troubleshooting, process improvement, and project work, ideal for someone who enjoys both people and technology and is based in Australia, with hybrid working options.