Job summary
An exciting opportunity has risen for the role of Director of Insurer Relationships and Pricing to join our Private Care Team. The role will be responsible for driving key strategic relationships with both domestic and international insurers as well working with the wider Clinical teams to drive innovative proposition and product development across all customer groups. Candidates must have a proven track record of successfully developing services and building relationships with senior independent healthcare stakeholders within the UK.
The post holder will be the key support to the Private Care Managing Director to develop deeper, more strategic, relationships with Insurers in order to deliver value-added solutions that increase profitability, reduce costs, and improve patient experience. The post holder will also have ownership of the Private Care pricing strategy across all sponsors to ensure market relevance of pricing and evolution to a tariff structure that improves value for sponsors and improves operational performance for Private Care. This is a full-time position and is originally set as a 1-year fixed term contract. Travel within the UK may be required.
The Royal Marsden continually invests in staff to ensure they can develop professionally, with education and training available to all.
For further details please contact:
David Pedrick, Head of Commercial Finance, Private Care. Email david.pedrick@rmh.nhs.uk
Main duties of the job
The post holder will be the Trust lead responsible for driving key strategic relationships with both domestic and International Insurers as well working with the wider Clinic team to drive innovative proposition and product development across all customer groups.
The post holder will be the key support to the Private Care Managing Director to develop deeper, more strategic, relationships with Insurers in order to deliver value-added solutions that increase profitability, reduce costs, and improve patient experience. The post holder will also have ownership of the Private Care pricing strategy across all sponsors to ensure market relevance of pricing and evolution to a tariff structure that improves value for sponsors and improves operational performance for Private Care.
About us
The Royal Marsden NHS Foundation Trust is a world-leading cancer centre. Our role is to offer our patients the best cancer care available anywhere in the world, and to continue to make a global contribution to finding better ways of diagnosing and treating cancer. We employ over 4,500 staff in a diverse range of careers including nursing, medical, science, radiography, pharmacy, occupational therapy, finance and administrative services. We have two hospitals - one in Chelsea, London, and one in Sutton, Surrey - as well as a Medical Daycare Unit in Kingston Hospital.At The Royal Marsden, we deal with cancer every day, so we understand how valuable life is. When people entrust their lives to us, they have the right to demand the very best. That's why the pursuit of excellence lies at the heart of everything we do.At the heart of the hospital is our dedicated team. We offer a stimulating and dynamic working environment, a wide range of staff benefits, learning and development opportunities and clear career pathways. There are opportunities to work flexibly across a range of areas and specialities and we welcome flexible working requests from point of hire to support employees work life balance. We are looking for employees who aspire to excellence, share our values and can play a crucial role in our on-going achievements.
Job description
Job responsibilities
For further information on this role, please see the attached detailed Job Description and Person Specification.
- Provide leadership in the development of Contracting and Pricing strategies, working with key negotiating partners. This includes negotiating to secure favourable contracts acting as an advocate for The Royal Marsden whilst maintaining positive relationships with providers.
- Seek innovation in our contract arrangements, facilitating the development of collaborative contract arrangements. Harmonising and coaching to achieve the right objectives for Private Care.
- Drive product innovation and experimentation, encouraging the Private Care teams to explore new ideas and test development of new service proposals.
- Engage with consultants to optimise their relationships with sponsors (commercially and operationally). Identify areas for improvement, resolve claim denials and develop dynamic plans to minimize financial risk.
- Develop a comprehensive journey for any new offerings, identifying challenges, and implementing solutions throughout the development process. Be a member of the Private Care Board as well as present to the Trust executive board on the optimization of on changes in policy, reimbursement methodologies and revenue cycle management.
Job description
Job responsibilities
For further information on this role, please see the attached detailed Job Description and Person Specification.
- Provide leadership in the development of Contracting and Pricing strategies, working with key negotiating partners. This includes negotiating to secure favourable contracts acting as an advocate for The Royal Marsden whilst maintaining positive relationships with providers.
- Seek innovation in our contract arrangements, facilitating the development of collaborative contract arrangements. Harmonising and coaching to achieve the right objectives for Private Care.
- Drive product innovation and experimentation, encouraging the Private Care teams to explore new ideas and test development of new service proposals.
- Engage with consultants to optimise their relationships with sponsors (commercially and operationally). Identify areas for improvement, resolve claim denials and develop dynamic plans to minimize financial risk.
- Develop a comprehensive journey for any new offerings, identifying challenges, and implementing solutions throughout the development process. Be a member of the Private Care Board as well as present to the Trust executive board on the optimization of on changes in policy, reimbursement methodologies and revenue cycle management.
Person Specification
Education/Qualifications
Essential
- Masters level qualification or equivalent
- Evidence of continuous professional development
Desirable
- A management qualification or equivalent
Experience
Essential
- Evidence of success in leading contract negotiations and securing favourable outcomes.
- Substantial management experience, the majority at senior level.
- Experience of service development and innovation.
- Demonstrated success in delivering change and performance with and through others across an organization.
- Proven experience of analysing complex problems and successfully adapting practical and pragmatic solutions
- Experience of working in partnership with public and private sector providers.
Desirable
- Experience of working in an acute hospital or health insurance industry setting at a director level
- Evidence of working with range of other stakeholders, including clinicians
Skills/Abilities/Knowledge
Essential
- Exceptional interpersonal and communication skills.
- Deep knowledge of the Private Healthcare market and understanding of future direction of the market.
- Exceptional understanding of health economics, reimbursement models and financial management
- Ability to think and plan strategically, technically and creatively with the ability to prioritise work programmes in the face of competing demands
- Aptitude to engage in constructive collaboration with internal and external stakeholders to achieve success through partnership
- Excellent negotiating skills to be able to successfully influence and persuade others.
- Ability to exercise judgment and take appropriate decisions.
- Proven ability to design and manage programmes of work, including the ability to act on own initiative, work under pressure and meet tight deadlines
- Ability to manage a varied and complex workload
- Ability to recognize direction and implications of policy and to contribute to Trust's strategic direction
- Excellent collaborative working skills and ability to build strong relationships with clinical leaders and professional staff groups. Ability to deliver unwelcome news if targets are not met or where market changes require changes within teams or the organization.
Desirable
- Evidence of successful influence of organisational relationships and culture
- Knowledge of key national healthcare policy issues.
Person Specification
Education/Qualifications
Essential
- Masters level qualification or equivalent
- Evidence of continuous professional development
Desirable
- A management qualification or equivalent
Experience
Essential
- Evidence of success in leading contract negotiations and securing favourable outcomes.
- Substantial management experience, the majority at senior level.
- Experience of service development and innovation.
- Demonstrated success in delivering change and performance with and through others across an organization.
- Proven experience of analysing complex problems and successfully adapting practical and pragmatic solutions
- Experience of working in partnership with public and private sector providers.
Desirable
- Experience of working in an acute hospital or health insurance industry setting at a director level
- Evidence of working with range of other stakeholders, including clinicians
Skills/Abilities/Knowledge
Essential
- Exceptional interpersonal and communication skills.
- Deep knowledge of the Private Healthcare market and understanding of future direction of the market.
- Exceptional understanding of health economics, reimbursement models and financial management
- Ability to think and plan strategically, technically and creatively with the ability to prioritise work programmes in the face of competing demands
- Aptitude to engage in constructive collaboration with internal and external stakeholders to achieve success through partnership
- Excellent negotiating skills to be able to successfully influence and persuade others.
- Ability to exercise judgment and take appropriate decisions.
- Proven ability to design and manage programmes of work, including the ability to act on own initiative, work under pressure and meet tight deadlines
- Ability to manage a varied and complex workload
- Ability to recognize direction and implications of policy and to contribute to Trust's strategic direction
- Excellent collaborative working skills and ability to build strong relationships with clinical leaders and professional staff groups. Ability to deliver unwelcome news if targets are not met or where market changes require changes within teams or the organization.
Desirable
- Evidence of successful influence of organisational relationships and culture
- Knowledge of key national healthcare policy issues.
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
