Clinical Lead - Healthcare Value, Analytics & Performance

AXA UK; Tunbridge Wells; Hybrid; GBP 100,000 - 125,000; Full time

Job summary

A leading health insurance provider is seeking a candidate for a role focused on UK healthcare claims data integrity. The ideal candidate will oversee the development of clinical coding strategies and ensure compliance with healthcare coding standards. Candidates should have relevant clinical qualifications and strong analytical skills. This position offers a competitive salary and a hybrid working model.

Benefits

Competitive salary

Annual bonus

Pension scheme

Life Assurance

Private health cover

Wellbeing services

Qualifications

• Demonstrable understanding of UK healthcare coding standards.
• Expertise in leading multi-disciplinary teams.
• Proven experience in implementing healthcare coding standards.

Responsibilities

• Oversee claims and healthcare data integrity.
• Develop clinical coding strategy for AXA Health.
• Lead audits on claims data quality.
• Monitor effectiveness of implemented solutions.

Skills

UK condition coding

Analytical skills

Relationship management

Leadership

Networking skills

Education

Relevant clinical qualification

Job description

Are you an expert in UK healthcare claims data and clinical coding? If you’re analytical, have experience in healthcare coding standards and delivering strategic programmes, this could be the role for you.

You’ll oversee, set standards for, monitor, and ensure improvement of AXA Health’s claims and healthcare data integrity. You’ll develop the AXA Health strategy for clinical coding and lead the programme to transform the quality and accuracy of our health claims data.By setting a clear vision and objectives to enhance how we capture key information, develop systems to support structured data and re-engineering processes where required, you will grow our claims data capability and enable the business to make robust, data led decisions.You’ll also be responsible for regular reporting and audits on claims data quality, ensuring compliance and accountability.

At AXA we work smart, empowering our people to balance their time between home and the office in a way that works best for them, their team and our customers. You'll work at least two days a week (40%) away from home, moving to three days a week (60%) in the future. Away from home means either attendance at our Tunbridge Wells or Bournemouth offices, visiting clients or attending industry events. We’re also happy to consider flexible working arrangements, which you can discuss with Talent Acquisition.

What you’ll be doing:

• Work with Data teams across AXA Health and AXA UK & Ireland to set goals and objectives for claims data quality.
• Provide subject matter expertise and assurance on the use of healthcare and claims data in AXA Health operational and development activity (including pre-authorisation and invoice payment, specialist preferencing and sourcing).
• Develop the AXA Health clinical coding strategy, identifying key system, process and reporting development requirements.
• Hold AXA Health to account through regular reporting and audits on the quality of information coding.
• Deliver and support delivery of pragmatic solutions to address where the current quality of coding and data requirements could be improved.
• Build and develop clear lines of communications across all areas of ownership and wider stakeholders, ensuring regular updates enabling colleagues to be kept informed and engaged.
• Lead design and delivery of our specialist preferencing and sourcing activity as both subject matter expert and day to day clinical lead.
• Monitor and evaluate the effectiveness of implemented solutions, ensuring continuous improvement.
• Act as a liaison between clinical and data colleagues to foster collaboration and communication.
• Ensure compliance with regulatory standards and internal policies regarding data management.

Due to the number of applications we expect to receive for this role, we reserve the right to close this advert earlier than the listed closing date to ensure we’re able to effectively manage interest. Therefore, if you’re interested in joining us at AXA, please don’t hesitate to apply.

What you’ll bring:

• Demonstratable understanding and background in UK condition coding.
• Expertise in leading multi-disciplined teams and strategic projects.
• Relevant clinical qualification and experience preferred.
• Proven experience in effectively implementing healthcare coding standards in claims authorisation and billing processes.
• Excellent analytical skills with ability to guide and support colleagues to design, deliver, and interpret complex data sets.
• Relationship management, influencing, networking and presentation skills.
• Wider experience in clinical data management or healthcare analytics.
• Awareness of the regulatory and compliance environment affecting AXA Health processes.

As a precondition of employment for this role, you must be eligible and authorised to work in the United Kingdom.

This position has been defined as an Insurance Distribution Directive (IDD) role under the IDD regime which means that in addition to pre-employment screening checks, the successful candidate will be subject to background screening every 4 years with an annual declaration in interim years.

What we offer:

At AXA UK, we’re appreciative of the people who work for us and our rewards package is reviewed regularly to reflect that. You can expect to receive:

• Competitive annual salary from £80,000 dependent on experience
• Annual company & performance-based bonus
• Perk cash car allowance £5,200
• Contributory pension scheme (up to 12% employer contributions)
• Life Assurance (up to 10 x annual salary)
• Private health cover
• 28 days annual leave plus Bank Holidays
• Opportunity to buy up to 5 extra days leave or sell up to 5 days leave
• Wellbeing services & resources
• AXA employee discounts

To apply, click on the ‘apply for this job’ button, you’ll then need to log in or create a profile to submit your CV. We’re proud to be an Equal Opportunities Employer and don’t discriminate against employees or potential employees based on protected characteristics. If you have a long-term condition or disability and require adjustments during the application or interview process, we’re proud to offer access to the AXA Accessibility Concierge. For our support, please send an email to [e-mail].

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Who we are:

At AXA Health, we help our members be the best version of themselves by providing access to health and wellbeing support for mind and body. We’re transforming our business by developing easy, efficient, digital experiences for our customers. We’re a collective of specialists passionate about helping our members flourish, whether that’s individuals and families, small businesses or huge corporates.