Healthcare Services Senior Manager

  •  Job Reference: 22458
  •  Posted Date: 22/08/2026
  •  Job Type: Cố định
  •  Salary: Thương lượng
  •  Industry: Dịch vụ tài chính - Ngân hàng/Bảo hiểm
  •  Specialization: Vận hành

Role Overview

This leadership position is responsible for shaping and managing the organization's healthcare operations framework, including health claims governance, medical partner relationships, service quality, and operational performance. The role plays a key part in balancing customer satisfaction, risk controls, cost management, and business growth objectives.

The successful candidate will work closely with internal business leaders and external healthcare stakeholders to strengthen operational effectiveness, identify emerging risks and industry trends, drive innovation, and enhance the overall customer healthcare experience.

Key Responsibilities

  • Develop and execute the strategic direction of healthcare operations, ensuring alignment with corporate goals, regulatory expectations, and customer needs.

  • Provide leadership oversight for health claims management activities, ensuring consistent decision-making, operational efficiency, and high-quality service delivery.

  • Establish and maintain strong partnerships with healthcare providers, medical networks, and service vendors to support business performance and customer outcomes.

  • Drive initiatives focused on healthcare cost optimization, utilization management, risk mitigation, and sustainable growth.

  • Collaborate with cross-functional teams across product development, underwriting, distribution, customer experience, and business strategy functions to enhance offerings and improve healthcare outcomes.

  • Monitor healthcare utilization patterns and emerging operational risks, recommending preventive actions and continuous improvement measures.

  • Lead transformation projects involving process redesign, digitalization, automation, and service enhancement initiatives.

  • Oversee provider network development, including selection, performance evaluation, quality monitoring, and relationship management.

  • Champion customer-centric programs that improve service accessibility, claim experiences, and healthcare journey satisfaction.

  • Ensure adherence to governance standards, internal controls, compliance requirements, and operational best practices.

  • Develop a high-performing leadership team through coaching, succession planning, talent development, and performance management.

  • Prepare strategic reports and recommendations for senior leadership on key healthcare performance indicators and improvement opportunities.

  • Perform additional responsibilities as assigned by executive management.

Success Measures

  • Strong operational performance across healthcare-related functions.

  • Effective management of healthcare costs while maintaining service quality.

  • Sustainable and productive healthcare provider partnerships.

  • Enhanced customer satisfaction and service experience.

  • Robust governance, compliance, and risk management practices.

  • Continuous operational improvement through innovation and process optimization.

Candidate Profile

Education: Bachelor's degree or higher in Healthcare Management, Life Sciences, Business Administration, Economics, Public Health, Nursing, Pharmacy, or other related disciplines.

Experience

  • Proven experience in healthcare operations, health claims management, medical provider relations, healthcare administration, or related functions.

  • At least 5 years of leadership experience in insurance, healthcare services, financial services, or another highly regulated industry.

  • Experience managing healthcare networks, service vendors, or provider partnerships is highly desirable.

  • Demonstrated track record in leading operational improvement and transformation initiatives.

Skills & Competencies

  • Strong understanding of healthcare operations, claims governance, medical cost management, and risk control principles.

  • Ability to analyze business and healthcare data to support strategic decision-making.

  • Excellent stakeholder management and relationship-building capabilities.

  • Strong project and change management skills.

  • Effective leadership, coaching, and team development experience.

  • Commercial mindset with a focus on operational excellence and customer value.

  • Proficient in Microsoft Office applications and business reporting tools.

  • Results-oriented, resilient, and capable of operating in a fast-paced environment.


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