General Manager, Provider Contracting

4 weeks ago

Perth Central Business District, Australia HBF Full time

**Job no**: 493732

**Work type**: Permanent full time

**Location**: Perth CBD

**Categories**: Health Services

**The Opportunity**
As one of Western Australia’s most trusted organisations, we have a solid 80-year foundation to grow from.

Over the last few years HBF has embarked on a strategy for growth, keeping downward pressure on premiums, and providing high-value health insurance for our members. Recent announcements confirm our commitment to this, and whilst WA remains our home, we are growing nationally providing exciting opportunities for talent to join us and be part of this career defining journey.

We are currently seeking a General Manager Provider Contracting & Integrity. This Perth based role is pivotal in leading the Provider Network team, encompassing Ancillary, Hospital, Medical and Provider Support, and by maintaining relationships with our HBF providers to deliver the best member value proposition at the lowest cost.

Reporting to the Executive General Manager Health specifically your role will include, but will not be limited to:

- Developing and implementing provider and claims management strategies that will help HBF achieve its vision, purpose and financial goals;
- Managing the annual hospital negotiations process ensuring access to services and providers;
- Managing relationships with providers and relevant regulatory bodies to deliver competitive value to members, and to ensure that the HBF Group can respond to emerging healthcare trends and opportunities;
- Contributing to the management of the health insurance gross margin to meet or exceed required targets;
- Developing and implementing the Payment Integrity strategy and supporting Policies and Procedures to minimise leakage across the business and maximise the recovery of monies owed;
- Lead the Payment Integrity team to identify and action recoverable financial losses; and
- Providing exemplary leadership to ensure that culture, values, behaviours and people management practices are consistent and support the delivery of the HBF strategy and long-term objectives.

**About You**
This role requires an exceptional people leader with superior commercial judgement and negotiation skills. It is expected you will:

- Hold tertiary qualifications in Commerce, Health, Legal or other relevant qualification;
- Experience in a senior management role in a medium to large organisation;
- Substantial experience in Australian healthcare sector, ideally including development and maintenance of strong provider relationships, development of participating arrangements and a firm understanding of the regulatory and legal requirements;
- Highly developed and proven leadership and management skills with the ability to provide clear strategic direction and gain commitment from the team;
- Demonstrated ability in developing and managing relationships with senior internal and external stakeholders; and
- Highly developed verbal and written communication skills, with a demonstrated ability to prepare comprehensive business reports.

This is an exciting opportunity within a growing organisation. This role is fundamental in maintaining access to health care services for our large membership base without compromising value and ensuring that we provide offerings that assist HBF to meet its long-term business strategy to move from being merely a funder of services to a health partner.

**How to Apply**

**About HBF**
As one of WA’s longest established private health providers, (we’ve been around for 80 years), we continue to innovate and challenge the status quo; adopting a strategy that focuses on business growth and sustainability, diversification, national expansion and significant enhancements to how we service our members through technology and relevant related businesses.

As a not-for-profit fund with no shareholders, we are dedicated to doing the right thing for our members. That’s why our iconic brand’s reputation is built on personalised service, community support and a motivation to deliver for our members in the moments that matter.

When you work for HBF, you work for a company with a clear vision and a team of people that are passionate about providing the best service, experience and products for our members across Australia.

So why not come with us on our transformation journey and see where a career with HBF can take you?

**Our Values**
At HBF, we live our values every day. They shape our behaviours and how we relate to each other, our members and our community:
Members are our reason - Members are the reason we exist and are at the heart of everything we do.
We do the right thing - We are open and honest in everything we do. We do what is right, not what is easy and explain why we are doing it.
We are brave - We are brave in the way we will tackle the future. We’re driven by curiosity, and constantly look for better ways to work smarter, faster and more innovatively.
We work as one - We act as one HBF because we’re bette

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