PHI - Director - Core Health Insurance Systems

prudential; Bengaluru; On-site; INR 3,500,000 - 7,500,000; Full time

Job summary

Prudential Health India (PHI) seeks a Director - Core Health Insurance Systems, Information Technology to lead the strategic design and evolution of core health insurance platforms. The role focuses on delivering integrated solutions aligned with business strategy, governance, and compliance, while managing vendor contracts and cross-functional partnerships.

You will oversee NB, Claims and Policy Owner Services processes, drive data-driven improvements, and guide teams through architecture

Qualifications

• Proven experience leading health insurance core systems architectures.
• End-to-end knowledge of health insurance business processes.
• Ability to translate business strategy into technology solutions.
• Proven ability to deliver large-scale platform implementations from scratch.
• Thrives in collaborative, co-creative environments.
• High resilience, able to manage teams under ambiguity or failure.
• Hands-on with strong attention to detail.

Responsibilities

• Lead strategic design, implementation and evolution of core Health Insurance systems.
• Collaborate with Product, Actuarial, Operations, Compliance, Risk and Finance.
• Guide system integration, architecture standards and governance.

Skills

Leadership

Health insurance

System architecture

Vendor management

Job description

Prudential's purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support our people's career ambitions. We pledge to make Prudential a place where you can Connect, Grow, and Succeed.

At Prudential Health India (PHI), we are on a mission to make Indians healthier, while bridging the health protection gap. This is a Zero to One team undertaking a greenfield health insurance deployment in India committed to building journeys that will truly empathize with the customer and offer a differentiated, bespoke experience.

To partner us in this mission, we are looking for a talented...

Director - Core Health Insurance Systems, Information Technology

This role requires the candidate to have significant knowledge of health insurance and a demonstrated ability to build technology platforms and solutions to enable our business ambitions.

As a Director - Core Health Insurance Systems, your typical week might include the following.

• Lead strategic design, implementation, management and evolution of Core Health Insurance systems for individual and group health insurance to power business management activities; Collaborate with functions including but not limited to Product & Actuarial, Operations, Compliance, Risk Management and Finance
• Build deep understanding & knowledge of our business strategy among technology function and leverage this knowledge to deliver core health insurance system implementations.
• Guide design and development of integrated solutions that meet current and future enterprise business strategy.
• Ensure adoption and implementation of defined solutions; Provide technical expertise to enable the application design & iteration; Guide system integration plans and review progress; take corrective action timely to course correct implementation.
• Vendor Partner Management - Lead contract negotiations, licensing, maintenance contracts and service level agreements
• Implement data driven, experience-led health insurance system implementations spanning new business, underwriting & issuance, policy servicing & claims management. Demonstrate thought & action leadership in systems design & implementation for NB, Claims and Policy Owner Services processes to drive reimagined customer experience & operating efficiency.
• Lead teams to understand & refine business requirements and convert them into technology implementations considering Functionality, Interoperability, Performance, Scalability, Reliability & Availability
• Map system linkages across the functions; identify target state capabilities; create a defined roadmap to materialize the same; measure & report process with real impact on business metrics.
• Power new products launches & modifications to achieve customer and financial KPIs; Oversee component modelling, backend & frontend integration strategy & execution.
• Collaborate with key technology leaders across front-end platforms, data engineering, solution architecture, Group security integration, and infrastructure teams. Ensure adoption and implementation of defined solutions aligned with solution architecture; Provide oversight to the application design & iteration.
• Guide teams' application of design principles that comply with enterprise and solution architecture standards.
• Ensure that the collaborative nature of capabilities such as design and engineering is coupled with tight governance around non-negotiables like security, availability and performance. Oversee core systems alerting frameworks, exception reviews, logs and events to build a preventive stance towards any site reliability or performance issues.
• Drive Prevention of Recurrence and lead teams to build Effective monitoring frameworks get feedback from production to increase customer experience at all key touchpoints.
• Manage and prioritize new transformation projects, ongoing support, and technical debt.

You could be the right candidate, if you have

• Proven experience as a leader in health insurance core insurance systems, with overall insurance experience of atleast 15 years; excellent knowledge of technical architecture of core health insurance systems
• End-to-end knowledge of health insurance business and processes; deep familiarity with health insurance insurance products and operations processes
• Demonstrated ability to understand business strategy, target customer experience and drive successful implementation of technology solutions.
• Built best-in-class technology implementations from scratch, with proven business impact.
• Thrive in environments that celebrate co-creation and collaboration.
• High resilience - can manage yourself, your teams and your peers when faced with ambiguity or failure.
• Have the ability and willingness to be hands-on with strong attention to detai