Director, Health Ecosystem & Care Innovation

Prudential Health's vision is to give peace of mind to every patient in Asia and Africa.

You will lead how Prudential Health works with healthcare providers and the wider health ecosystem, setting provider and network strategy, developing new care and commercial models, helping us get better prepared to help customers navigate getting care across borders, and helping local business units turn strategy into measurable change.

Key Responsibilities:

• Provider and network strategy: Set a regional view of how provider networks improve outcomes, experience and affordability.
• Insight into action: Work with analytics and clinical teams to identify unwarranted variation in treatment, utilisation and cost, and turn it into evidence-based provider conversations, scorecards and improvement plans.
• New care and commercial models: Design and test site-of-care shifts and value-based, bundled-payment or outcome-based arrangements with providers.
• Affordability and provider-facing FWA: Develop a long-term approach to provider-related fraud, waste and abuse.
• Cross-border care: Build the framework for a coordinated Prudential cross-border care network.
• Network-led propositions: Work with product teams to turn network and care-model capabilities into customer propositions that can be tested and scaled.
• Strategic partnerships: Build senior relationships with hospital groups and healthcare organisations.

What Success Looks Like:

• More customers are guided to appropriate, high-quality and affordable care.
• Provider and network arrangements improve affordability without compromising access or quality.

Requirements:

• Significant senior experience in health insurance, a hospital or provider group, healthcare consulting, managed care or a comparable healthcare organisation.
• Deep understanding of healthcare-provider economics and how clinical decisions, utilisation, payment mechanisms and network design affect cost and outcomes.