Insurers and Third-Party Administrators Lead

HEALTHWAY MEDICAL GROUP PTE LTD; Singapore; On-site; SGD 50,000 - 70,000; Full time

Job summary

A healthcare provider in Singapore is seeking a professional to manage relationships with insurance companies and TPAs. The role demands expertise in healthcare financing, strong communication and negotiation skills, and the ability to oversee contract and compliance matters. Ideal candidates will have a background in business or healthcare administration and 3–5 years of relevant experience.

Qualifications

• 3–5 years of experience in healthcare, insurance, or TPA partnership management.
• Experience working in or with a private medical group or hospital.
• Strong understanding of Singapore's healthcare financing schemes.

Responsibilities

• Broaden and maintain relationships with insurance companies and TPAs.
• Ensure clinics remain in good standing with insurer panels.
• Organise and lead reviews with doctors and insurance partners.

Skills

Communication skills

Negotiation skills

Stakeholder management

Analytical skills

Education

Bachelor's degree or diploma in Business or Healthcare Administration

Job description

Key Responsibilities:

Relationship Management:

• Broaden, maintain and deepen relationships with insurance companies and TPAs.
• Act as the primary point of contact for panel-related queries, escalations, and contract negotiations.

Panel Management & Optimisation:

• Ensure our clinics and doctors remain in good standing with insurer/TPA panels.
• Drive efforts to be listed on new panels, monitor performance, and improve terms where applicable.
• Lead the education of doctors and clinic staff on matters relating to insurance/TPA pre-authorisation, pricing and claims

Stakeholder Engagement:

• Work closely with internal stakeholders (clinic operations/staff, doctors, corporate sales) to align service delivery with insurer/TPA expectations.
• Organise and lead regular reviews with both doctors and insurance/TPA partners.

Market Intelligence & Strategy:

• Keep abreast of changes in the MediShield Life, IP and corporate insurance landscape.
• Provide recommendations to leadership based on policy trends and regulatory shifts.
• Benchmark competitor panel affiliations and identify growth opportunities.

Data & Performance Analysis:

• Track panel utilisation, patient volumes, and revenue derived from insurance-linked cases/visits.
• Perform ad hoc analysis and periodic performance reports to inform strategic decisions.

Contract & Compliance Oversight:

• Oversee new and renewal contract negotiations, SLAs and compliance with regulatory bodies.
• Ensure adherence to data privacy laws (PDPA) and medical ethics in insurer/TPA dealings.

Requirements:

• Bachelor's degree or diploma in Business, Healthcare Administration, or related field.
• At least 3–5 years of experience in healthcare, insurance, or TPA partnership management.
• Preferably experience working in or with a private medical group, hospital business office, insurer, or TPA in Singapore.
• Strong understanding of Singapore's healthcare financing schemes (e.g., MediShield Life, Integrated Shield Plans) and corporate health benefits.
• Experience in managing panel relationships for medical clinics or providers.
• Excellent communication, negotiation, and stakeholder management skills.
• Numerate and analytical mindset with ability to interpret healthcare utilisation and cost data.
• Highly organised, proactive, and capable of working independently.