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Head Payor Partnerships

Head Payor Partnerships

foundation healthcare holdings
6-8 Years
Not Disclosed
  • Posted 4 days ago
  • Be among the first 10 applicants

Job Description

About The Company

Foundation Healthcare is Singapore's largest private specialist platform, with 117 specialist doctors, 2 medical centres, and a digital platform used across private specialist clinics, public and private hospitals in Singapore. We sit where providers and insurers meet, and we believe that's where one of private healthcare's biggest problems, and its biggest opportunities, are found.

Our north star is the patient. Private healthcare must be accessible and sustainable and that won't happen unless insurers and providers work as partners - this role exists to make that happen.

Our Culture

We dream big. We push boundaries. All while remembering the importance of laying the right foundations to build a sustainable organization.

We are a team of passionate and dynamic individuals pursuing our best daily. We respect everyone's ideas and talents, and we embrace diversity.

The role

Reporting directly to the Chief Commercial Officer, you'll drive transformation across how financial counselling to patients, pre-authorisation, claims and payor partnerships work. You'll turn insight into change by finding where friction and waste happens, then designing and delivering fixes that work for patients, doctors, and payors alike.

What you'll do

  • Act as a bridge between insurers and our doctors, translating payor requirements into clinic workflows.
  • Design and run joint initiatives with insurer partners, such as streamlined pre-authorisation, panel and empanelment frameworks, and value-based or bundled arrangements.
  • Analyse claims data across our network to pinpoint the causes of delays, repeated back-and-forth between insurers and providers, and our clinical cost drivers and outliers, then turn those insights into practical initiatives that would eliminate waste in the healthcare journey.
  • Work with our payor and TPA partners, our doctors, our clinics, and our tech team to improve processes, data quality, and turnaround times for patients.
  • Build the business case, stakeholder alignment, and implementation plan for each transformation workstream, and track outcomes.
  • Represent FHH in conversations with insurers, providers, and industry stakeholders.

You'll have a rare vantage point. Few organisations see healthcare cost across the Singapore and have their own specialist network to pilot change with.

You'll work on FHH's payor strategy, with real scope to shape the agenda and the chance to help build a version of private healthcare that's sustainable.

The ideal candidate should:

  • have around 6+ years in health insurance claims or provider relations, ideally with exposure to both TPA and insurers.
  • have a strong working knowledge of Singapore's healthcare and insurance landscape, including Integrated Shield Plans, TPAs, panel arrangements, and pre-authorisation processes.
  • be comfortable with data: you can work through claims datasets and turn numbers into a story that changes decisions.
  • have a builder's mindset. You're energised by ambiguity, take ownership, and care about outcomes more than process.
  • have a genuine belief that the system can work better for patients.

Foundation Healthcare is an equal opportunity employer. We thrive on diversity and are committed to creating an inclusive environment for all employees.

Data Protection Notice

By proceeding to apply for the role, you understand and accept that your personal data may be processed by the Company for the purposes of processing your application as further explained in this privacy notice.

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Key Skills

panel arrangements

Integrated Shield Plans

TPAs

pre-authorisation processes

health insurance claims