Remote On-Base Credentialing Lead – Healthcare Governance

Bupa Australia; Sydney; Hybrid; AUD 140,000 - 190,000; Full time

Benefits offered by this job

Health insurance

Tech perks

Fitness benefits

Lifestyle perks

Flexible work from home

Job summary

Bupa Australia is hiring an On Base Credentialing Lead to provide expert guidance and oversight of credentialing for the ADF Health Services Contract across 59 facilities. You will ensure regulatory and contractual requirements are met and support service delivery teams in credentialing activities.

In this role you will drive process improvements, manage clinical risk, and align credentialing with governance frameworks, while collaborating with external stakeholders to maintain high standards of

Qualifications

• Health professional with clinical governance, quality and risk management experience.
• Postgraduate qualifications in quality management or health administration are desirable.
• Ability to build and refine service delivery and governance processes.
• Experience implementing clinical quality improvement initiatives.

Responsibilities

• Act as SME on credentialing for onboarding and ongoing requirements.
• Provide clinical support to Service Delivery teams and regional partners.
• Contribute to credentialing activities and waivers with external stakeholders.
• Inform operational and process designs with clinical input.
• Escalate risks and identify system-level improvement themes.
• Lead process changes to protect credentialing system integrity.
• Build relationships across functions to align credentialing and risk.
• Ensure alignment to industry standards within governance framework.

Skills

Clinical governance

Quality and risk management

Health administration

Stakeholder management

Analytical thinking

Strategic planning

Education

Postgraduate qualifications in Quality Management or Health Administration

Job description

Bupa Australia is hiring an On Base Credentialing Lead to provide expert guidance and oversight of credentialing for the ADF Health Services Contract across 59 facilities. You will ensure regulatory and contractual requirements are met and support service delivery teams in credentialing activities.

In this role you will drive process improvements, manage clinical risk, and align credentialing with governance frameworks, while collaborating with external stakeholders to maintain high standards of