Head of Healthcare Partnerships and Network Development

2 months ago

Hong Kong, Central and Western District, Hong Kong SAR China The Cigna Group Full time

About The Role

The Head of Healthcare Partnerships and Network Development will be responsible for developing and implementing negotiation and provider collaboration strategies, working directly with healthcare providers, third-party vendors, and internal stakeholders to deliver best-in-class service to Cigna's providers, customers, and clients. This position reports to the Director of Provider Network for Middle East and Asia Pacific.

Key Responsibilities

  • Leads the provider network function and executes on both strategic and tactical level actions.
  • Accountable for driving affordability agenda by developing and delivering on cost containment strategy, including value-based contracting and management of utilization through contractual means.
  • Performs service area analysis and cost analysis to identify network development and network renegotiation opportunities.
  • Manages a team of contract negotiators, ensuring a balance between access to care and affordability.
  • Promotes process improvement initiatives by identifying and successfully positioning service improvement opportunities and strategies within the Hong Kong Network Management department.
  • Manages key relationships with existing and potential third-party administrators (TPAs).
  • Monitors the quality of services provided by medical providers and the correct execution of agreements.
  • Manages broad healthcare delivery systems specialties, including ancillary, telehealth, and other network/vendor-related service providers.
  • Acts as an expert for providers regarding agreements, fees, and pricing in Hong Kong.
  • Effectively communicates and interacts with other business units to achieve goals, such as Medical Management, CIGNA Service Operations, Sales and Client Management (NA, UK, and Antwerp), and CIGNA Strategy & Operations.

Qualifications

  • University degree, master's degree preferred.
  • 10+ years of relevant experience, with 5+ years of experience in provider contracting and good acumen on value-based contracts and overall utilization management techniques preferred.
  • Must have a deep understanding and experience (and relationship) of local providers, health systems, and key players in the market.

Personal Competencies Required

  • Data-driven decision-making.
  • Strategic and critical-thinking skills.
  • Strong conflict resolution and people management skills.
  • Ability to take charge and make sound business decisions.
  • Ability to organize and manage complex initiatives.
  • Results-oriented, out-of-the-box problem solver.
  • Excellent interpersonal, verbal, and written communication skills.
  • Good English is mandatory, and other Southeast Asian languages are a plus.
  • Mature, with the ability to effectively communicate and influence individuals at all levels.
  • Comfortable working in a fast-paced environment with shifting priorities.
  • Energetic and enthusiastic.
  • Ability to flex up to strategic level and down to running everyday business tasks.
  • Willing to travel (up to 15%).
  • Data mining competency.
  • Proficiency with MS Office programs, including Word, PowerPoint, Excel, and PPT.
  • Strong influencing skills and ability to work in a complex, highly matrixed environment, including balancing priorities of multiple organizations to deliver end results.

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