Private Medical Insurance Relationship Manager

The London Clinic; Greater London; Hybrid; GBP 63,000 - 77,000; Full time

Benefits offered by this job

Life insurance

Private medical cover

Pension

Employee assistance programme

Blue light card

Cycle to work

Electric car scheme

Subsidised staff restaurant

Recognition programmes

Job summary

The London Clinic is seeking an experienced PMI Relationship Manager to lead the commercial and operational management of our private medical insurer portfolio and to build strong relationships with PMI partners.

You will manage negotiations, analyze data and work with clinical, finance and operational teams to improve insurer performance and service delivery. This hybrid role requires PMI sector experience and strong commercial acumen.

Qualifications

• Experience in PMI/commercial roles within PMI sector or private healthcare with PMI partners.
• Strong understanding of contracts, tariffs, pricing, reimbursement and negotiation.
• Excellent commercial and relationship management skills.

Responsibilities

• PMI Contract & Commercial Management: manage major PMI agreements, renewals, networks and fixed-price packages.
• Lead negotiations on tariffs, reimbursement, coding, pricing and funding models.
• Maintain knowledge of insurer contracts, business rules, tariffs and coding requirements; challenge out-of-contract requests.
• Coordinate insurer KPIs, performance reviews and pathway reporting; identify risks and opportunities.
• Act as primary contact for PMI partners, resolving commercial, operational and contractual issues.

Skills

PMI sector experience

Negotiation

Relationship management

Data analysis

Commercial acumen

Job description

Location: London, NW1 4LJ (2-3 days onsite)

Salary: c£70,000 dep on exp + benefits

Term: Permanent

Hours: Full-time

Make an impact at The London Clinic!

We're looking for an experienced PMI Relationship Manager to lead the commercial and operational management of our private medical insurer portfolio and build strong relationships with our PMI partners.

You will need to have experience within the PMI sector or from a private healthcare provider working specifically with PMI providers. What's also essential is a strong understanding of how PMI works behind the scenes, including contracts, tariffs, pricing, reimbursement and negotiation, alongside strong commercial and relationship management skills.

Using data, insight and commercial judgement, you'll manage negotiations, resolve complex issues, identify opportunities and work closely with clinical, finance and operational teams to improve performance and develop our services with insurer partners.

If you're commercially savvy, confident managing relationships and enjoy using data to find opportunities and solutions, this is a great opportunity to make a real impact at The London Clinic.

What you'll be doing

PMI Contract & Commercial Management

• Manage major PMI agreements, renewals, variations, networks and fixed-price packages.
• Lead negotiations on tariffs, reimbursement, coding, pricing, funding models and annual uplifts, protecting The London Clinic's commercial position.
• Maintain detailed knowledge of insurer contracts, business rules, tariffs and coding requirements, challenging uncommercial or out-of-contract requests where appropriate.
• Anticipate insurer and market changes and support the introduction of new services, procedures and pathways.
• Act as the principal contact for PMI partners, building strong relationships and resolving commercial, operational and contractual issues.
• Coordinate insurer KPIs, performance reviews, pathway reporting, audits and contractual obligations, identifying risks and opportunities.
• Investigate variances, complaints and audit requests, coordinating evidence-based responses and corrective action.
• Coordinate insurer meetings, visits, pathway discussions and senior communications.
• Resolve funding, reimbursement, invoicing, payment and billing issues, identifying recurring problems and opportunities to improve cash conversion.
• Analyse insurer and internal data to identify trends, performance issues and commercial opportunities.
• Improve processes, guidance and training to support accurate billing and invoice acceptance.

Stakeholder & Strategic Collaboration

• Act as the central liaison between insurers and Commercial, Finance, Clinical Governance, Operations, Legal, Marketing and clinical teams.
• Lead and coordinate cross-functional workstreams, using sound judgement to manage competing priorities and ensure delivery.
• Support commercial discussions and develop recommendations for new services, treatments, pathways and network opportunities.
• Identify and implement improvements that strengthen insurer relationships, revenue, margin and operational performance.

What we're looking for

• Experience in a similar commercial/PMI role.
• Strong experience working with major UK PMIs, including insurer-funded clinical pathways or networks.
• Strong commercial judgement, with confident negotiation, influencing and relationship-building skills and the ability to constructively challenge when required.
• Highly analytical, with excellent attention to detail and the ability to interpret and clearly communicate complex financial, contractual and clinical information.
• Proactive, organised and solution-focused, with the ability to manage competing priorities, identify opportunities and work effectively with limited supervision.

About us

At The London Clinic, everything starts with our people. Whether you're at the bedside or behind the scenes, your part of something bigger - making a real difference to patients and to each other, every day.

As the UK's largest independent charitable hospital, we care for over 120,000 patients each year. What makes us different is what we do with that success - we reinvest it back into our services, our technology, and, most importantly, our people. From developing, innovative, new ways of delivering care to supporting continuous learning and career progression, we're always looking ahead.

We are incredibly proud to be the only independent healthcare provider included in the Top 10 of the Financial Times' UK Best Employers Survey 2026.

What's in it for you

• Life insurance - Get life cover worth four times your salary, whether you're full-time or part-time.
• Private medical cover - Once you've passed probation, our employee medical scheme gives you fast-track access to private healthcare.
• Pension - Join our matched pension scheme and enjoy up to 10% contributions.
• Employee assistance programme - From stress to practical guidance, our counselling service has your back.
• Blue light card - Unlock thousands of discounts! From supermarkets to holidays, fashion, tech, and days out, your Blue Light Card makes it all cheaper.
• Cycle to work - Pedal your way to a healthier, greener commute! Enjoy tax-free benefits while reducing your carbon footprint.
• Electric car scheme - Our Electric Car Scheme makes switching to a cleaner, eco-friendly ride simple and affordable.
• Subsidised staff restaurant - Dig into a variety of tasty, healthy meals without denting your wallet.
• Recognition programmes - Celebrate wins big and small! Our Recognition Programmes make sure your hard work doesn't go unnoticed.

How to find us:

Our main hospital is based at:

Located in central London near Harley Street, we are within walking distance of:

• Oxford Circus
• Bond Street
• Baker Street
• Great Portland Street

This role will be based from:

1 Park Square West, London, NW1 4LJ

We are committed to safeguarding and protecting all adults at risk, children and young people by implementing robust safer recruitment practices during our selection process. Pre-employment checks are undertaken in accordance with industry standards and regulations, and successful applicants may be required to undertake an Enhanced Disclosure via the Disclosure and Barring Service (DBS). If you would like further information about our safer recruitment policy, then please contact a member of our recruitment team.

The London Clinic values a diverse workforce and welcomes applications from all backgrounds. If you have the skills and experience for the role, we encourage you to apply. We are committed to supporting candidates throughout the recruitment process and will make reasonable adjustments where needed - please let us know if there is anything we can do to support you.