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National Health Fund Contract and Data Manager
2 weeks ago
**Management**
**Brisbane**
**Full Time**
**Icon Cancer Centre Australia**
**National Health Fund Contract and Data Manager - Icon Group**
Join Icon in an integral leadership role within our extensive Australian private oncology operations as the newly created National Health Fund Contract and Data Manager
As we continue to expand our growth trajectory, we have renewed our focus on data driven insights to maximise profitability and reinvestment into the business. Our roadmap includes a concerted effort to better understand our commercial requirements from third party agreements and partnerships via precise data collection, cost modelling and revenue forecasting to inform provider negotiations.
The National Health Fund Contract and Data Manager will champion our data analysis to identify strategic opportunities; ultimately utilising these insights to strengthen upcoming/ongoing provider negotiations.
Icon’s integrated oncology approach allows us to provide a service with a competitive edge (spanning across compounding, pharmacy, research/clinical trials, radiation oncology, medical oncology & haematology). What is exciting is we can still do better, and we know sticking to the status-quo won’t get us there. This role is at the forefront of this philosophy; you will have the autonomy to bring your own insights to the table, explore out-of-the box thinking, and collaborate with other modern thinking strategists to ensure our continuing success.
**What’s on Offer?**
**Location**: Ideally Brisbane (Icon HQ), Melbourne or Sydney - Flexible
**Remote**:WFH/Remote is 100% Supported. The above locations are most amenable to our Day Hospitals, Providers and Internal Stakeholders for time zones, meeting arrangements etc
**Work Type**:Permanent, Full or Part Time (depending on your preference). Min. 3 days per week
**Reports to**:General Manager Revenue and Service Relationships
**Direct Reports**: Health Fund Claims Manager (1.0 FTE)
**Key Role Responsibilities**:
- Leadership / Operations Management:_
- Lead the health funding function to achieve commercial and operational requirements using expertise and knowledge in funding, contract rules, billing and claims management, balanced against operational requirements
- Work with the business and Icon’s supporting functions to ensure health fund contracts support business requirements and that internal processes are efficient and effective.
- Drive a collaborative and customer service culture
- Ensure policies and procedures support compliance, efficient and effective service delivery, and business improvement
***
- Contract Management:_
- Set and deliver health funding strategies and operational plans
- Proactively engage with funders to create positive commercial relationships
- Lead health fund contract negotiations and deliver within agreed KPI parameters
- Review and maintain Second Tier funding agreements
- Manage HPPA agreements across day hospital facilities, and Icon’s patient administration systems - by interpreting agreements, cascading information and ensuring appropriate procedures are in place to support delivery
- Oversee HPPA contract loading and technical administration including configuration of agreements and fund liaison, undertake ongoing training across each PAS system, actively contribute at PAS vendor meetings.
***
- Data Management & Data Analytics:_
- Uses dashboarding and reporting capabilities to identify and monitor site item number and service usage.
- Critical analyses of data to identify areas of growth and decline to inform strategic growth opportunities.
- Central point of contact for sites and business development managers regrading data to assist business growth.
***
- Revenue Cycle: Governance, Quality & Compliance:_
- Proactively engage the internal Cancer Centre teams to ensure compliance and maximise revenue opportunities
- Work with finance on annual budget cycles and costing analysis
- Review funding and costing trends to inform the cost model and health fund contract negotiations
***
**Selection Criteria / Key Attributes**
- Minimum 5 years' experience in health care, including significant health fund contract negotiation in Private Health Insurance/Hospital/Health Sector
- Deep understanding of private health care and funding systems, and related regulatory environment experience
- Tertiary qualifications in accounting, or related field such as Administration Management, Project Management or Health Sciences
- Proven internal and external engagement skills
- Advanced analytics skills - experience in defining information requirements and capacity to analyse and integrate information from diverse sources - underpinning effective decision making.
- Extensive stakeholder management experience
Demonstrated ability to lead the development and implementation of:
- Systems to monitor and improve service performance and experience in effective resource planning.
- A culture that promotes and supports coll
