Head of Insurer Relations

Circle Health Group; Greater London; Hybrid; GBP 90,000 - 130,000; Full time

Benefits offered by this job

25 days holiday + bank holidays

Private Healthcare Scheme

Family-friendly policies

Life insurance

Staff benefits and wellbeing resources

Training and development opportunities

Job summary

Circle Health Group is seeking a strategic Head of Insurer Relations to lead and nurture partnerships with national health insurers in London. You will shape contract negotiations, oversee reimbursement discussions and align insurer expectations with hospital delivery.

The role requires strong influencing, financial acumen and a proactive approach to risk and revenue optimization across finance, clinical services and administration.

Qualifications

• Strong communication skills for interacting with insurers, hospital staff and patients.
• Proven experience negotiating contracts and reimbursement terms with health insurers.
• Solid understanding of healthcare economics and reimbursement models.
• Knowledge of healthcare regulations and policy changes.

Responsibilities

• Manage and cultivate relationships with health insurers.
• Negotiate contracts, fee schedules and terms of service.
• Collaborate with finance, administration and clinical services.
• Analyse market trends and insurer offerings to optimise revenue.

Skills

Relationship management

Contract negotiation

Financial acumen

Healthcare regulations

Strategic thinking

Strong communication

Education

Bachelor's degree in a relevant field

Tools

CRM systems

MS Office

Job description

Head of Insurer Relations
Head Office - London
37.5 Hours & Permanent
Salary: Competitive Salary plus Benefits (depending on level of experience, training and qualification)

We have an opportunity for a Head of Insurer Relations to join the team of staff in theCommercial Insurance department.

This is a full time role for 37.5 hours a week. The role holder will be required tocover a flexible shift pattern.

Duties of this role include:

Your primary responsibility is to manage and cultivate relationships with various health insurance companies.

Negotiate contracts: You will be involved in negotiating contracts and agreements with health insurance companies, including fee schedules, reimbursement rates, and terms of service. This involves understanding the financial aspects of healthcare services and working towards mutually beneficial arrangements.

Maintaining relationships: You would establish and maintain strong working relationships with insurance company representatives, including account managers and executives. Regular communication is essential to address concerns, resolve disputes, and ensure smooth coordination between the hospital and the insurers.

Collaboration with internal stakeholders: You would collaborate with various departments within the hospital, such as finance, administration, and clinical services. This collaboration ensures effective communication and alignment regarding insurance-related matters, such as billing processes, coverage limitations, and service delivery.

Market analysis and strategy: You may be involved in analysing market trends, competitors' offerings, and insurance industry developments. This analysis helps in formulating strategies to maximise insurance coverage for the hospital and adapt to changes in the healthcare landscape.

Applicants should meet the following criteria:

Strong communication: Excellent verbal and written communication skills are essential for effectively interacting with insurance company representatives, hospital staff, and patients. You should be able to articulate complex information clearly and negotiate contracts and agreements.

Negotiation and persuasion: The ability to negotiate effectively and persuade others is crucial in securing favourable contracts and reimbursement rates from insurance companies. You should be able to advocate for the hospital's interests while maintaining positive relationships with insurers.

Financial acumen: A solid understanding of healthcare economics, reimbursement models, and financial management is important. You should be comfortable analysing financial data, assessing reimbursement rates, and identifying opportunities to optimize revenue.

Analytical and problem-solving skills: You should possess strong analytical skills to evaluate insurance policies, claims data, and reimbursement trends. This allows you to identify areas for improvement, resolve claim denials, and develop strategies to mitigate financial risks.

Relationship management: Building and maintaining relationships with insurance company representatives is critical. You should have the ability to establish rapport, understand the needs of different stakeholders, and navigate complex dynamics to foster productive partnerships.

Knowledge of healthcare regulations and policies: Familiarity with healthcare regulations, insurance guidelines, and industry best practices is important. You should stay updated on changes in policies and reimbursement methodologies to ensure compliance and optimize revenue cycle management.

Strategic thinking: The ability to think strategically and anticipate future trends is valuable. You should be able to assess the impact of changes in the healthcare landscape, develop long-term strategies, and adapt to evolving insurance market dynamics.

Salary & Benefits

Circle Health Group is committed to offering competitive starting salaries and access to a wide range of employee benefits, including:

• 25 days holiday per year + bank holidays, increasing to 30 days with service
• Private Healthcare Scheme for treatment at our hospitals, covering pre-existing medical conditions
• Friends & Family Hospital Discounts
• Family Friendly policies, including enhanced Maternity, Paternity & Adoption pay
• Non-contributory life insurance
• Staff engagement hub with access to discounts and extensive rewards and voluntary benefits
• Access to resources, tools and services to support your wellbeing
• Employee recognition programmes
• Industry leading training and development opportunities

…and much more!

Circle Health Group is committed to creating a diverse workforce offering inclusive opportunities for all our colleagues. Our definition of diversity goes beyond the established characteristics protected by the Equality Act, as we strive to attract candidates with diverse experiences, backgrounds, identities or expressions, skills, work styles…and more.

We’re passionate about creating an environment where our people can thrive, grow and develop professionally and personally. Our principles and values guide our colleagues to be selfless, compassionate, committed, collaborative, brave, agile, tenacious and creative and are at the core of our purpose and culture.

Circle National Enquiry Centre - Glasgow, Head Office - Central London