Healthcare Managment
7 days ago
Healthcare Management Governance Lead
Victory House - Trafalgar Pl, Brighton BN1 4FY
Open to other Bupa Offices
Full Time Permanent (35 hours per week)
£54,400 - £68,000 per annum + fantastic benefits
Here you’ll be welcomed. We champion diversity and we understand the importance of our people representing the communities and customers we serve. You’ll find an inclusive environment where you can be yourself and where everyone is driven by the same purpose - helping people live longer, healthier, happier lives and making a better world.
Role Overview
The Healthcare Management Governance Lead is accountable for the design and delivery of robust governance for HCM, including external facing governance activity through oversight of Bupa Global’s provider and partner network and internal governance workstreams to monitor Healthcare Management's (HCM) performance, enabling commercial best value and continuous improvement for Bupa Global.
What you'll do:
- Accountable for delivery and continuous improvement of Provider and Partner 360 Governance framework ensuring best value is extracted from third party relationships.- Develop Healthcare Management (HCM) strategic direction globally using insight from governance activity to drive improved commercial outcomes through contracting improvements and direct recoveries.- Set strategic direction of clinical billing audit activity globally to ensure consistent approach to audits, recovery and managing provider behaviour trends identified through contracting and standalone engagement work.- Responsible for ensuring HCM contracting documentation is obtained, structured and stored in a way that enables optimal payment integrity activity.- Monitor the commercial efficacy of billing for key providers within the 360 framework and work with key stakeholders to develop approach for BG to deliver cost containment and improved commercial leverage.- Accountable for provider behaviour management and derecognition activity to prevent claims leakage and manage exposure to providers that fall below BG’s operational, commercial and clinical standards.- Accountable for HCM customer, provider, partner and internal complaints reporting, identifying trends and driving continuous improvements.- Ownership of HCM’s core processes, working with the team to ensure documented processes remain up to date.- Accountable for monitoring compliance to the documented processes and using governance output to drive continuous improvement.- Ownership of HCM’s key documentation, including work instructions and guidance notes to ensure they remain up to date and fit for purpose.- Ownership of HCM’s contract template documents, working with BG Legal and other key stakeholders to ensure they remain up to date and fit for purpose.- Lead on risk activity for HCM: working with Risk team to ensure HCM risk is appropriately identified and managed.- Lead on ORCM activity for HCM, act as a centralised point of contact for all HCM functions to prepare for audit activity and ensure good practices are maintained.- Lead on sustainability initiatives for HCM, working with business and market unit working groups to ensure that BG’s provider, partner and associated activity has sustainability as a focus, with measurable outcome targets.
What you'll need:
- Background education in healthcare management, customer service or relevant professional qualification desirable - insurance sector highly desirable- Educated to bachelor degree level or equivalent- Strong commercial knowledge of the international health insurance industry; with knowledge of healthcare systems.- Strong knowledge of hospital industry and revenue cycle management, pricing and quality dynamics- Strong knowledge of risk management and third party suppliers relationship management- Excellent commercial negotiation skills and ability to deal with Health Care services operators at executive level.- Experience of working in a global team- A proven track record of achieving and exceeding targeted business results in a similar environment- Evidence of building talented high performing teams and getting the best out of highly talented people.- Ability to establish a performance management culture- Excellent interpersonal, communication, coaching and influencing skills are required with emphasis on achieving results and successful outcomes.
Why Bupa?
We are a health insurer and provider. With no shareholders, our customers are our focus. We reinvest profits into providing more and better healthcare for the benefit of current and future customers.
Our benefits are driven by what matters to our people. It’s important to us that these benefits support a work-life balance that keeps people healthy, both mentally and physically. You will be eligible for:
- 25 days holiday, increasing through length of service, with option to buy or sell
- Bupa health insurance as a benefit in kind
- An enhanced pension plan and life insurance
- Annual perfo
-
Healthcare Operations Manager
1 week ago
Brighton, Brighton and Hove, United Kingdom Elysium Healthcare Full timeAs a Support Services Executive at Elysium Healthcare, you will play a crucial role in ensuring the delivery of high-quality non-clinical care to our patients. Based in Brighton & Hove Clinic, you will be responsible for managing the operation of support services, including catering, housekeeping, maintenance, administration, and reception functions.You will...
-
Healthcare Coordinator
3 weeks ago
Brighton, Brighton and Hove, United Kingdom Elysium Healthcare Full timeJob SummaryWe are seeking a highly skilled Ward Administrator to join our team at Elysium Healthcare. As a key member of the multidisciplinary team, you will provide administrative support to the ward staff and contribute to the delivery of high-quality care to patients.Key ResponsibilitiesManage rota systems, including Quinyx and TemployerUndertake daily...
-
Complex Healthcare Worker
6 days ago
Brighton, United Kingdom Better Healthcare Services Full time**Support worker/ healthcare assistant - Working with Adults with specialist and complex care needs £10.00-£15.00 per hour depending on experience** **FREE DBS, TRAINING AND £300 WELCOME BONUS** - Are you patient and caring with a friendly attitude?_ - Do you really want to have a positive impact on others’ lives?_ - Would you like a career within...
-
Healthcare Operations Associate
3 weeks ago
Brighton, Brighton and Hove, United Kingdom Elysium Healthcare Limited Full timeJob Role">We are looking for a highly organized and detail-focused individual to fill the role of Healthcare Operations Associate at Brighton & Hove Clinic. The successful candidate will have strong administrative skills and be able to work independently in a busy environment.">Main Responsibilities:">Manage rota systems and coordinate staffing...
-
Female Healthcare Assistant
7 months ago
Brighton, United Kingdom Elysium Healthcare Full timeIf you care for others without a second thought and are looking for a rewarding career where you can make a difference and changes lives for the better, then Healthcare Assistant at Brighton and Hove Clinic could be the right choice for you. Whether you are looking for a new career or are already work in healthcare through the NHS or private care, you’ll...
-
Healthcare Professional
3 weeks ago
Brighton, Brighton and Hove, United Kingdom City & County Healthcare Group Full timeCareer OpportunityJoin City and County Healthcare Group, the largest care company in the UK, as a Care Assistant. In this rewarding role, you'll play a vital part in delivering award-winning care to support our clients in their own homes. As a valued member of our team, you'll enjoy a range of benefits, including a competitive salary, flexible hours, and...
-
Healthcare Assistant
7 months ago
Brighton, United Kingdom Wellsbourne Healthcare CIC Full timeThe following are the core responsibilities of the Healthcare Assistant. There may be, on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels. Training provided if skill not already achieved: a. Undertake venepuncture b. Carry out BMI checks as directed c. Carry out baseline observations...
-
Healthcare Professional
2 weeks ago
Brighton, Brighton and Hove, United Kingdom HealthCare Talent Full timeRN Clinic Supervisor OpportunityWe are seeking an experienced Registered Nurse to lead our clinical team as a Clinic Supervisor. This role is responsible for managing a team of healthcare professionals, developing clinical policies, and ensuring high-quality patient care.Key Responsibilities:Lead and manage a team of clinicians, coordinators, and...
-
Healthcare Partnership Manager
18 hours ago
Brighton, United Kingdom Evolve Selection Ltd Full timeWe are currently hiring for a Healthcare Partnership Manager within a marketing leading Medical Devices organisation This role works in the Wound Care market, covering the South East territory. If you have experience within Medical Devices and are lookingto further your knowledge and career progression, this can be the role for you! **Ideal requirements** -...
-
Healthcare Assistant Leader
2 days ago
Brighton, Brighton and Hove, United Kingdom City & County Healthcare Group Full timeAbout the RoleWe are seeking a caring and dedicated individual to join our team as a Care Assistant at City & County Healthcare Group. In this role, you will have the opportunity to provide high-quality care and support to our clients in their own homes, helping them maintain their independence and dignity.With a competitive hourly rate of £13, depending on...
-
Clinical Team Manager
1 week ago
Brighton, Brighton and Hove, United Kingdom HealthCare Talent Full timeClinical Team Manager Job Description:This position is responsible for managing a team of clinicians and administrative staff to deliver high-quality patient care. The ideal candidate will have strong leadership skills and a passion for healthcare.Responsibilities:Manage a team of clinicians, coordinators, and administrative staffDevelop and implement...
-
Operational Manager
3 weeks ago
Brighton, Brighton and Hove, United Kingdom Elysium Healthcare Full timeJob Description:We are seeking a highly skilled Operational Manager - Support Services to join our team at Elysium Healthcare. This role is responsible for ensuring the facilities are maintained in good condition, conducting regular audits to identify and address any issues.The ideal candidate will have experience in maintenance and facilities management,...
-
Healthcare Talent Acquisition Manager
5 hours ago
Brighton, Brighton and Hove, United Kingdom The Private Care Company Full timeWe are a dynamic and forward-thinking company, dedicated to delivering exceptional care services to our clients. We are now seeking a highly motivated Healthcare Talent Acquisition Manager to join our team, responsible for leading our recruitment efforts and developing strategies to attract top talent in the healthcare sector.You will be responsible for...
-
Deputy Ward Manager Lead
2 weeks ago
Brighton, Brighton and Hove, United Kingdom Elysium Healthcare Full timeAs a key member of the surgical team, you will play a crucial role in supporting the Ward Manager to lead the nursing team in providing high-quality care and support for young people aged 12 up to 18 years with a primary diagnosis of eating disorder. Your expertise and leadership skills will empower recovery and deliver supervision to staff across the ward...
-
Healthcare Support Specialist
2 weeks ago
Brighton, Brighton and Hove, United Kingdom City and County Healthcare Group Ltd Full timeAbout UsCity and County Healthcare Group Ltd is a leading care provider, dedicated to delivering exceptional services. Our team of experts works tirelessly to support individuals with complex needs, providing personalized care that makes a real difference.What We OfferWe offer a competitive salary from £14.50 per hour, ensuring you're fairly rewarded for...
-
Nursing Home Manager
2 weeks ago
Brighton, Brighton and Hove, United Kingdom Florin Healthcare Full timeCare Service Manager OpportunityFlorin Healthcare is seeking a seasoned Registered Manager to lead our nursing home in Sussex. As the successful candidate, you will oversee the delivery of high-quality care to residents, ensuring compliance with regulatory requirements and working closely with the clinical team. This is an excellent opportunity to join a...
-
Senior Healthcare Manager
3 weeks ago
Brighton, Brighton and Hove, United Kingdom Amber Mace Full timeJob Title: Senior Healthcare ManagerLocation: Hove, UKSalary: £80,000 per annumThe successful candidate will oversee the day-to-day operations of a large nursing home in Hove, ensuring a safe, caring, and stimulating environment for residents. This role requires a skilled professional to lead a multidisciplinary team in delivering high-quality care that...
-
Part Time Service Operations Manager
2 weeks ago
Brighton, Brighton and Hove, United Kingdom Elysium Healthcare Full timeElysium Healthcare is a leading provider of mental health services, seeking an experienced professional to fill the role of Part Time Service Operations Manager. This position offers a unique opportunity to work in a dynamic and supportive environment, driving excellence in service delivery.The ideal candidate will have strong leadership skills, with...
-
Ward Manager Support Specialist
1 month ago
Brighton, Brighton and Hove, United Kingdom Elysium Healthcare Full timeJob Description: As a Ward Manager Support Specialist at Elysium Healthcare, you will be responsible for empowering recovery and delivering supervision to staff across the ward to deliver great healthcare. You will work alongside the senior Nurse and Ward Manager to co-ordinate the on-call service and manage the ward budgets, and lead by example, acting as a...
-
Healthcare Navigator
2 days ago
Brighton, Brighton and Hove, United Kingdom Boston Medical Center Full timeJob Title: Healthcare NavigatorSalary: $62,000 - $72,000 per yearAbout Boston Medical Center:Boston Medical Center is a leading academic medical center and the largest safety-net hospital in New England. Our mission is to provide high-quality, patient-centered care to all members of our diverse community.Job Description:We are seeking a highly skilled and...