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Insurers and Third-Party Administrators Lead
Descripción de la vacante
A healthcare organization in Singapore is seeking a professional to manage relationships with insurance companies and optimize panel management. The ideal candidate has 3–5 years of experience in the healthcare or insurance sectors and a strong understanding of Singapore's healthcare financing schemes. Responsibilities include stakeholder engagement, compliance oversight, and performance analysis. Excellent communication and negotiation skills are essential.
Formación
- 3–5 years of experience in healthcare, insurance, or TPA partnership management.
- Strong understanding of Singapore's healthcare financing schemes.
- Experience in managing panel relationships for medical clinics.
Responsabilidades
- Broaden, maintain and deepen relationships with insurance companies and TPAs.
- Ensure clinics and doctors remain in good standing with insurer/TPA panels.
- Organise and lead regular reviews with both doctors and insurance/TPA partners.
Conocimientos
Educación
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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.
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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.
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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.
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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.
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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.
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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.
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.
* El índice de referencia salarialse calcula en base a los salarios que ofrecen los líderes de mercado en los correspondientes sectores. Su función es guiar a los miembros Prémium a la hora de evaluar las distintas ofertas disponibles y de negociar el sueldo. El índice de referencia no es el salario indicado directamente por la empresa en particular, que podría ser muy superior o inferior.