Medical Director, Medical Services & Delivery
Description
We have a fantastic, high-impact senior leadership opportunity for an established doctor with substantial clinical experience and experience of supporting healthcare insurance operations. This is a brand-new position in AXA Health's Commercial team, responsible for how AXA Health manages its internal medical operations.
Leading the Medical Policy and Medical Underwriting teams, as well as being the custodian and senior leader responsible for related areas, you'll drive AXA Health's performance across medical, healthcare, and operational responsibilities. You'll hold a strong track record in delivery and expertise, bring expertise in leading and managing multi-disciplinary teams and projects. You'll be eager to shape and drive the organisation and build an industry leading team.
At AXA we work smart, empowering our people to balance their time between home and the office in a way that works best for them, their team and our customers. You'll work at least two days a week (40%) away from home, moving to three days a week (60%) towards the end of 2025. Away from home means either attendance at our Tunbridge Wells office, visiting clients or attending industry events.
We're also happy to consider flexible working arrangements, which you can discuss with Talent Acquisition.
What you'll be doing:
• Develop, implement and continuously optimise medical policies for healthcare funding, ensuring alignment with regulatory requirements and best practices.
• Monitor and evaluate the effectiveness and responsiveness of medical policies, implementing improvements as necessary to enhance operational efficiency and customer satisfaction.
• Provide expert technical support to claims management team, including development and dissemination of guidance, technical rules, and best practices across all modalities of claims operations and all relevant technology development.
• Lead annual review of core policy terms and conditions, focusing on managing indemnity risk exposure and ensuring that policies remain relevant and effective.
• Conduct a comprehensive bi-annual review of all policy guidance to ensure consistency, clarity, and alignment with current medical standards and practices.
• Oversee resolution of medical and policy queries and escalations, including addressing medical aspects of legal inquiries and complaints related to policy terms and conditions.
• Act as primary point of contact for healthcare providers and other key ecosystem stakeholders, regarding the eligibility of treatments, ensuring clear communication and timely resolution of queries.
• Manage and lead the medical underwriting team, ensuring that underwriting practices are efficient, compliant, and aligned with the organization's risk management strategies.
Due to the number of applications we expect to receive for this role, we reserve the right to close this advert earlier than the listed closing date to ensure we're able to effectively manage interest. Therefore, if you're interested in joining us at AXA, please don't hesitate to apply.
What you'll bring:
• Medical qualification with demonstratable clinical experience.
• Experience of an appropriate level of clinical leadership, including clinical governance, performance, and risk management leadership.
• Experience in providing medical leadership to a health insurer to improve internal operational performance.
• Demonstrable experience of leading major strategic initiatives or change programs in complex environments with multiple stakeholders.
• Excellent analytical skills with the ability to guide and support analysts to design, deliver, and interpret complex data sets.
• Proficient in data analysis tools and software relevant to healthcare analytics.
• Knowledge of regulatory requirements and standards in healthcare data management.
• Awareness of the regulatory and compliance environment affecting both our processes and people.
• People and resource management expertise.
As a precondition of employment for this role, you must be eligible and authorised to work in the United Kingdom.
This position has been defined as an Insurance Distribution Directive (IDD) role under the IDD regime which means that in addition to pre-employment screening checks, the successful candidate will be subject to background screening every 4 years with an annual declaration in interim years.
What we offer:
At AXA UK, we're appreciative of the people who work for us and our rewards package is reviewed regularly to reflect that. You can expect to receive:
• Competitive annual salary dependent on experience
• Annual company & performance-based bonus
• Cash car allowance £6,700
• Contributory pension scheme (up to 12% employer contributions)
• Life Assurance (up to 10 x annual salary)
• Private health cover
• 28 days annual leave plus Bank Holidays
• Opportunity to buy up to 5 extra days leave or sell up to 5 days leave
• Wellbeing services & resources
• AXA employee discounts
To apply, click on the 'apply for this job' button, you'll then need to log in or create a profile to submit your CV. We're proud to be an Equal Opportunities Employer and don't discriminate against employees or potential employees based on protected characteristics. If you have a long-term condition or disability and require adjustments during the application or interview process, we're proud to offer access to the AXA Accessibility Concierge. For our support, please send an email to jennifer.manuel@axa-uk.co.uk.
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Who we are:
At AXA Health, we help our members be the best version of themselves by providing access to health and wellbeing support for mind and body. We're transforming our business by developing easy, efficient, digital experiences for our customers. We're a collective of specialists passionate about helping our members flourish, whether that's individuals and families, small businesses or huge corporates.