Value Driven Care (Healthcare), Specialist

aia; Singapore; On-site; SGD 140,000 - 190,000; Full time

Job summary

AIA Singapore is seeking a Value Driven Care Specialist to lead high-priority healthcare initiatives, collaborating with the Head of Value Driven Care and other leaders to enhance healthcare propositions and ensure financial sustainability of the portfolio.

You will focus on developing concepts, frameworks and roadmaps, analyzing healthcare data to uncover trends and opportunities, and driving initiatives with cross-functional teams while managing risks and ensuring on-time delivery.

Qualifications

• Minimum 7 years of healthcare or health insurance experience.
• Experience with value-based healthcare and utilization management.
• Strong data analysis skills with healthcare data.
• Proficiency in Excel and SQL for data insights.
• Ability to work with external advisors and travel if necessary.
• Excellent verbal and written communication and stakeholder management.
• Strong project management and organizational skills.
• Ability to influence across functions without direct authority.

Responsibilities

• Develop initiative concepts, frameworks and roadmaps to address defined problems.
• Collaborate with function heads to ensure robust plans with buy-in.
• Analyze healthcare data to identify trends and quantify impact.
• Drive initiatives hands-on to achieve desired outcomes.
• Provide regular progress updates to Head of Healthcare Programme Office and Exco.
• Monitor impact and ensure delivery within time and budget.

Skills

Health insurance domain expertise

Value-based healthcare

Stakeholder management

Project management

Organizational skills

Communication skills

Analytical thinking

Tools

MS Excel

SQL

Job description

At AIA we’ve started an exciting movement to create a healthier, more sustainable future for everyone.

It’s about finding new ways to not only better people's lives, but to better the communities and environments we live in. Encompassing our ambition of helping a billion people live Healthier, Longer, Better Lives by 2030.

And to get there, we need ambitious people who believe in playing an important part in shaping that future. People seeking unmatched career and personal growth opportunities, who are driven to work with, and learn from some of the most inspiring and supportive leaders in the business.

Sound like you? Then read on.

About the Role

Work with the Head of Value Driven Care, Head of Healthcare, Group Healthcare, and other key stakeholders across AIA Singapore to drive high priority Healthcare initiatives to enhance its healthcare propositions, strengthen its health and wellness ecosystem, and ensure the financial sustainability of its healthcare portfolio. This includes driving initiatives that enhance the value of healthcare services provided to our clients and working with various stakeholders to ensure the delivery of high-quality, cost-effective healthcare solutions.

The high priority initiatives under the programme are:

• Product changes

• Healthcare ecosystem development

• Value-based Healthcare

• Utilization Management

• Pre-authorisation

• Improving third party recovery

• Enhancement of provider steerage and fee structure

• Agency engagement on healthcare metrics and initiatives

• Underwriting investigations of early claims and suspicious cases

• Analytics and financials

You are expected to focus deeply on one or more of these high priority initiatives and directly drive and deliver them. This includes working with the Workstream Lead to:

• Develop a deep understanding of the underlying problem and how to craft a relevant initiative to address the problem

• Develop the concept, framework, and roadmap for the initiative, including how this will contribute to claims cost containment and improved customer experience

• Analyze healthcare data to identify trends, opportunities for improvement, and to measure the impact of initiatives

• Hands on work in driving the initiative to achieve the desired outcomes

• Regular reporting of initiative progress to the Head of the Healthcare Programme Office, Head of Healthcare, and the Exco

• Monitoring initiative impact to ensure that the desired outcomes are achieved for the company, that downside risks are controlled, and that initiatives are delivered within time and on budget

The Value Driven Care Specialist is expected to work closely with the Head of Value Driven Care, and work in close collaboration with the various functional heads of department (e.g., Claims, Underwriting, Provider Management, Agency Management, Health Analytics, Technology) to ensure that plans are robustly crafted, have buy-in from functional units, and are executed well.

To be successful in this role, you will need to have relevant expertise in the functional areas relevant for the initiative (e.g., Claims, Provider Management, Underwriting, Value-based Healthcare, Utilization management), experience in analyzing health data and deriving actionable insights, familiarity with the Singapore healthcare financing system and the ability to work effectively and collaboratively with senior stakeholders to drive results. You will also need to be highly organized and be able to influence without direct authority.

WHAT YOU SHOULD HAVE:

• Minimum 7 years relevant healthcare or health insurance experience

• Exposure to health insurance functions and / or deep understanding of one or two relevant functions

• Good understanding of value-based healthcare and utilization management

• Proficient in healthcare data analysis including use of MS Excel, SQL

• Basic understanding of the healthcare system in Singapore

• Ability to work with external advisors, including consultants

• Flexible, able to work in dynamic environment and across cultures and willing / able to travel if necessary

• Strong project management and organizational skills are essential along with proven track record of delivery

• Demonstrated ability to manage multiple tasks or projects effectively

• Excellent verbal and written communications skills

• Strong and effective interpersonal relationship skills and a team player

• Analytical problem solving/decision making and judgment skills

Build a career with us as we help our customers and the community live Healthier, Longer, Better Lives.

You must provide all requested information, including Personal Data, to be considered for this career opportunity. Failure to provide such information may influence the processing and outcome of your application. You are responsible for ensuring that the information you submit is accurate and up-to-date.