Insurers and Third-Party Administrators Lead

Healthway Medical Group; Singapore; On-site; SGD 60,000 - 80,000; Full time

Job summary

A leading healthcare provider in Singapore seeks a professional to manage relationships with insurance companies and TPAs. The role involves optimizing panel management and ensuring compliance with healthcare regulations. The ideal candidate has a Bachelor's degree and pertinent experience in healthcare partnership management. Strong negotiation and analytical skills are essential for success in this role.

Qualifications

• At least 3–5 years of experience in healthcare or insurance partnership management.
• Strong understanding of Singapore's healthcare financing schemes.
• Excellent communication and organizational skills.

Responsibilities

• Broaden and maintain relationships with insurance companies.
• Ensure clinics and doctors remain in good standing with insurance panels.
• Work closely with internal stakeholders to align service delivery.

Skills

Relationship Management

Negotiation

Stakeholder Management

Analytical Skills

Education

Bachelor's degree 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.