Claims Process Strategist

1 week ago


Melbourne, Victoria, Australia beBeeTransformation Full time $120,000 - $180,000
Job Overview

Leads a team responsible for transforming the claims process to deliver exceptional customer experiences and business outcomes.

Key Responsibilities
  • Develops and executes strategic plans for the Claims Transformation Program, ensuring operational excellence and timely delivery of initiatives.
  • Collaborates cross-functionally with finance, claims intelligence, and other stakeholders to leverage data-driven insights and recommendations to inform claims strategy.
  • Works with senior leaders to build and refresh the claims initiative pipeline, stress tests assumptions, and sets clear baselines for tracking benefits.
  • Enables delivery of the claims initiative pipeline through development of execution plans, milestones, and refinement of assumptions, with oversight of detailed benefit modelling.
About You
  • Tertiary qualifications in business, project management or strategy.
  • 8+ years of proven leadership experience in leading programs of work requiring strategic and execution capabilities.
  • Hands-on exposure to Australian health system, PHI claims data, healthcare program design, claims integrity concepts, or provider negotiations.
  • Strong interpersonal and influencing skills, with ability to communicate with senior stakeholders.

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