Head of Care Transformation and Utilization Strategy

AXA; Hong Kong; On-site; HKD 1,800,000 - 3,000,000; Full time

Job summary

AXA Hong Kong and Macau is seeking a senior leader to shape patient steering, utilisation management, and site-of-care strategies across our provider network. You will drive cross-functional initiatives to optimise length of stay and migrate appropriate procedures to cost-effective settings.

Reporting to senior management, you will oversee pre-authorisation enablement, engage with providers and networks, and own KPI delivery for steering effectiveness, utilisation reduction, and PA adoption in a

Qualifications

• Bachelor’s degree in Healthcare, Business, or related field.
• 15+ years of experience, including network/provider strategy leadership.
• Proven track record in utilisation, steering, and cost management transformation.
• Strong experience in provider engagement and negotiations.

Responsibilities

• Define and lead active steerage frameworks directing members to preferred providers.
• Lead initiatives to optimise inpatient length of stay and reduce inappropriate utilisation.
• Sponsor identification of site-of-care migrations to lower-cost settings.
• Lead pre-authorisation strategy and enablement across procedures and vendors.
• Partner with Provider/Network Management on future-state networks and steering models.
• Own KPIs for steering effectiveness, utilisation reduction, LOS, and PA adoption.

Skills

Network / provider strategy leadership

Utilisation, steering, cost management

Provider engagement and negotiations

Education

Bachelor’s degree in Healthcare, Business, or related field

Job description

Responsibilities:

1. Patient Steering & Redirection Strategy

• Define and lead active steerage frameworks directing members to preferred, high‑quality, cost-effective providers.
• Sponsor and oversee preferencing‑based member redirection models across channels and journeys.

Utilisation & Length‑of‑Stay Transformation

• Lead strategic initiatives to optimise inpatient length of stay and reduce inappropriate utilisation.
• Drive cross‑functional alignment to address unwarranted variation through policy, pathways, and incentives.

Site‑of‑Care Optimisation

• Sponsor identification of procedures suitable for migration from inpatient to day care or lower‑cost settings.
• Oversee design and enablement of site‑of‑care shifts.

Pre‑Authorisation Strategy & Enablement

• Lead PA strategy as a utilisation and steering lever, including prioritisation of procedures and providers.
• Sponsor onboarding and early stabilisation of the PA vendor to support behavioural change and adoption.

Provider & Network Transformation Leadership

• Partner with Provider / Network Management teams on future‑state network and steering models.
• Lead strategic provider discussions related to transformation initiatives and participation alignment.

Performance & KPI Ownership

• Own delivery of agreed KPIs across steering effectiveness, utilisation reduction, LOS optimisation, site‑of‑care shifts, and PA adoption.
• Review performance with analytics and operations teams and direct corrective actions where targets are at risk.

Qualifications:

Required

• Bachelor’s degree in Healthcare, Business, or related field
• 15+ years experience, including network / provider strategy leadership
• Proven track record in utilisation, steering, and cost management transformation
• Strong experience in provider engagement and negotiations

Preferred

• Experience within payer, insurer‑led, or integrated delivery models
• Familiarity with pre‑authorization frameworks, vendor management, and utilisation controls
• Ability to balance clinical credibility with commercial and network considerations

Core Competencies

• Strategic mindset with strong execution capability
• Influential stakeholder and provider relationship management
• Data-driven and outcome‑focused approach
• Ability to lead change across providers without direct authority

*Candidates with more experience will be considered for the Director grade.

About AXA Hong Kong and Macau

AXA Hong Kong and Macau is a member of the AXA Group, a leading global insurer with presence in 52 markets and serving 92 million customers worldwide. Our purpose is to act for human progress by protecting what matters.

As one of the most diversified insurers in Hong Kong, we offer integrated solutions across Life, Health and General Insurance. We are the largest General Insurance provider and a major Health and Employee Benefits provider. Our aim is to not only be the insurer to provide comprehensive protection to our customers, but also a holistic partner to the individuals, businesses and community we serve. At the core of our service commitment is continuous product & service innovation and customer experience enrichment, which is achieved through actively listening to our customers’ needs and leveraging and investing in technology and digital transformation.

We embrace our responsibility to be a driving force against climate change and a force for good to create shared value for our community. We are proud to be the first to address the importance of mental health through different products and services and thought leading iconic research. Our overall Sustainability Strategy, with emphasis on climate strategy and biodiversity commitment, is developed based on TCFD recommendations. We are committed to integrating environmental, social and governance factors across our business and strive to contribute to a sustainable future through 3 distinct roles - as an investor, an insurer and an exemplary company.

AXA is an equal opportunity employer. We are committed to promoting Inclusion and Diversity (I&D) by creating a work environment where all employees are treated with dignity, respect, and where individual differences are valued. We welcome and treasure diverse profiles to join our big family, and to build an inclusive culture together which allows everyone to maximise their personal potential.

Our people strategies are designed to enhance employee well-being and professional growth, ultimately empowering them to excel within the company.