Engagement and Contracting Manager

Bupa

Jan 10

Applications are closed

Job
Full-time
Expert Level
Healthcare
Business, Operations & Strategy
Melbourne

Requirements

Working knowledge of Casemix Funding Systems.
Deep Understanding of the private and public health care systems and industries and the related regulatory environments.
Significant experience (10+ years) in a hospital environment and negotiation of complex and high value contracts with large enterprise organisations and ongoing contract management disciplines.
Proven ability in partnership & alliance negotiation and understanding of negotiation strategies and scenario planning.
A track record of achievement and delivery in relevant commercial field with previous experience in public health environments advantageous.
Excellent stakeholder management (internal/external) and ability to build strong business relationships at a senior level and able to identify business development opportunities for Bupa with Hospital groups.
Deep understanding of business planning and managing outcomes against both target and forecast and experience of working with actuarial teams would be an advantage.
Demonstrated ability to rapidly build relationships with key stakeholders, working across complex organisational structures.
Tertiary qualifications are desirable and skills or training in business management, health service or related disciplines.
Proven capacity to communicate with technical and non-technical audiences – including gathering requirements and presenting results.
High attention to detail, and ability to analyse complex business processes, articulate issues constructively, simplify pros and cons, and make recommendations to facilitate visible decision-making.
Exceptional written and presentation skills and the ability to convert data into insight and prepare compelling, persuasive reports and presentations suitable for executive and board level content.

Responsibilities

Developing and implementing effective negotiating strategies with customer outcomes at the heart of the negotiations for their allocated portfolio of hospital providers.
Developing and maintaining effective relationships with allocated hospital providers and their leadership teams with regular contract review programs in place across their portfolio.
Ensuring the appropriate management of all relationships and associated benefit outlay (including signalling early any concerns that affect claim reserving or AOP assumptions) for hospital providers within the allocated portfolio.
Problem solving and liaising with the Health Insurance claims teams on complex hospital/medical claims and resolution of complex payment or claiming issues.
Supporting implementation of appropriate governance and reporting structures, and ensure appropriate controls are in place to effectively manage contract related risks.
Working with Administration Support Officers to ensure Bupa’s databases accurately reflect current hospital stakeholders and contractual terms to enable claims processing and member experience.
Working in partnership with providers to lead to better outcomes for the customer, the provider and Bupa.
Driving and influences necessary industry and health service delivery reform.
Providing leadership and effective internal and industry stakeholder management.
Other responsibilities as directed by the Senior Manager - Private Hospitals.
You may also carry out any other duties reasonably requested by Bupa from time to time.

FAQs

What is the main focus of the Engagement and Contracting Manager role?

The main focus of the Engagement and Contracting Manager role is to negotiate quality services and establish risk management strategies to support sustainable affordability with contracted hospital providers while ensuring customer outcomes are prioritized.

What experience is required for the Engagement and Contracting Manager position?

Candidates should have significant experience (10+ years) in a hospital environment, including the negotiation of complex high-value contracts with large enterprise organizations, as well as ongoing contract management experience.

What qualifications are preferred for this job?

Tertiary qualifications are desirable, particularly in business management, health service, or related disciplines.

What type of skills should candidates possess?

Candidates should possess excellent stakeholder management skills, the ability to build strong business relationships, a deep understanding of healthcare systems, strong analytical skills, and exceptional written and presentation skills.

How often will I engage with hospital providers?

You will engage regularly with your allocated hospital providers, including both formal and informal contract review programs to build and maintain relationships.

Is there any requirement related to understanding healthcare funding systems?

Yes, a working knowledge of Casemix Funding Systems is required for this role.

Will I have the opportunity for professional growth?

Yes, the role offers significant opportunities for professional and personal growth in a customer-focused and innovative environment.

What are the key responsibilities of this role?

Key responsibilities include developing negotiation strategies, managing provider relationships, resolving complex claims issues, implementing governance structures, and providing leadership in stakeholder management.

Are there benefits offered in addition to the salary?

Yes, in addition to a competitive salary, the position offers a range of Bupa benefits, flexible working arrangements, discounts on health insurance, and access to a global wellbeing program called Viva.

Can I expect to work in a collaborative team environment?

Yes, the role thrives on cross-functional team collaboration and encourages innovative approaches and human-centered design thinking.

Bupa

Our purpose is helping people live longer, healthier, happier lives and making a better world.

Science & Healthcare

Industry

10,001+

Employees

1947

Founded Year

Mission & Purpose

upa's purpose is helping people live longer, healthier, happier lives and making a better world. We are an international healthcare company serving over 38 million customers worldwide. With no shareholders, we reinvest profits into providing more and better healthcare for the benefit of current and future customers. We directly employ around 85,000 people, principally in the UK, Australia, Spain, Chile, Poland, New Zealand, Hong Kong SAR, Türkiye, Brazil, Mexico, the US, Middle East and Ireland. We also have associate businesses in Saudi Arabia and India.