Manager - Credentialing Operations and Escalations

2 weeks ago

Melbourne, Australia Bupa Full time

A full time, permanent opportunity has become available in our ADF Health Services Contract (ADFHS) Clinical Governance Team. This is a hybrid role and can be based from our Melbourne, Sydney or Brisbane office locations when not working from home.

As Manager Clinical Credentialing & Service Escalations you will be responsible for all aspects of the ADFHS Clinical Governance related to Clinical Credentialling activities including leadership, development, management, and providing effective clinical governance through compliance with Bupa policies, relevant legislation, regulation agencies and work instructions.

**How will I help?**

Key accountabilities include but are not limited to:

- Leading a team and acting as a proactive process change leader to ensure the integrity of all credentialling systems is maintained
- Ensuring business alignment and adherence to industry standards and requirements within the Bupa clinical governance, risk management and compliance framework particularly relating to clinical credentialling
- Leading governance, quality assurance and process improvement activities to ensure effective team operations
- Ensuring oversight and implementation of all Global and Asia Pacific (APAC) Market Unit Clinical Governance related policies.

**What’s in it for me?**

As well as a competitive salary, a range of Bupa benefits and flexible working/ work from home arrangements, you’ll be challenged and encouraged to innovate. You will partner with colleagues who are dedicated to delivering exceptional experiences. We respect and consider everyone, knowing your difference will make the difference.

**Perk highlights**:

- Discount on our health insurance, travel, car, home, contents and pet insurance products as well as discounts when you attend a Bupa Dental clinic or purchase glasses from a Bupa Optical store.
- A dedicated internal wellbeing team provides you with a range of services, such as a global resilience program, regular training opportunities on a range of wellbeing topics and access to a variety of wellbeing discounts.

**What do I need?**
- You will be a Health Professional/allied health practitioner with extensive experience in Clinical Governance, Quality and Risk Management experience.
- Post Graduate qualifications or working towards i.e., Quality Management, Health Administration, Clinical Governance or similar will be highly desirable.
- Demonstrated capacity to support and lead quality and compliance function.
- Demonstrated ability to build and refine service delivery and clinical governance processes.
- Proven ability to develop and implement frameworks, drive outcomes and ultimately delivery programs of work.
- Strong conceptual, analytical, problem solving and strategic planning/thinking ability.
- Excellent communication and interpersonal skills with the ability to engage with a range of key stakeholders to work in partnership with service delivery teams to achieve outcomes.
- Experience implementing organisational wide quality improvement initiatives and influencing teams in building a high-quality improvement culture.
- A passion for innovative thinking
- ** This is a Security Cleared Position. The occupant must be an Australian Citizen and must be eligible to obtain and uphold a Baseline Security Clearance**

**About Bupa**

Bupa is an international healthcare group which has a purpose to deliver longer, healthier, happier lives and making a better world for more than 70 years. In Australia and New Zealand, Bupa assists more than 5 million customers through a broad range of health and care services including health insurance, aged care, rehabilitation, dental, optical, medical, hearing and medical visa services.

ADF Health Services Contract (ADFHS) provides integrated and seamless end-to-end health support to 85,000 Australia Defence Force (ADF) personnel across 59 facilities. This includes a health professional workforce to complement the existing ADF and Australian Public Service (APS) health workforce in providing health services to Defence personnel, along with pathology, imaging and radiology, rehabilitation, mental health, hospital, specialist, allied health and other off base services enabled by Bupa network and systems.

As part of the ADFHS, Bupa also provide health support to the Department of Veterans’ Affairs (DVA). This includes but is not limited to; providing a national network of Bupa health professionals to provide clinical advice, communication, and quality assurance activities to DVA Health and Compensation branches, as well as health assessment and mental health services to Veterans. Additionally, Bupa also provide a Veterans & Families Counselling service for veterans and their families through the Open Arms programme.

Our people reflect the diversity of our community. At Bupa, your wellbeing, identity and own story is respected and valued.

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