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Insurer & Payor Relationship Manager

About Welbeck Health partners

Healthcare organisations worldwide need to transform. The old models no longer work and the system needs to be re-built to meet patient needs effectively and efficiently. Welbeck Health Partners is developing new models to meet these challenges, including specialized clinic models designed around the patient, supported by teams of internationally renowned doctors.

Our London flagship OneWelbeck in the West End of London is a specialist facility with nine floors of minimally-invasive day surgery and outpatient diagnostics. OneWelbeck was founded by doctors and healthcare leaders who believe there is a better way to deliver care. We are driving excellence and improving patient outcomes by breaking down the barriers that exist in today’s healthcare system.

Welbeck Health Partners brings together a management team with deep experience in the
development and operation of specialised clinics, strong relationships in key markets and a history of successfully launching innovative new care models.

Insurer & Payor Relationship Manager role

Welbeck Health Partners is looking for someone with significant experience in the UK private medical insurance (PMI) market to be our primary account manager with the leading insurers, as well as our other payors (corporate clients, embassies, sports clubs etc).

The role reports to the Commercial Director and has responsibility for all aspects of insurer and payor relationships, including contracting, pricing, pathway development, billing and day-to-day issue resolution – covering our OneWelbeck flagship site and other centres as we build a national network in the coming years.

The jobholder will also be responsible for making sure strategic initiatives we have in place with insurers and payors work effectively and are optimised to meet the needs of patients and payor, whilst looking for opportunities to broaden their scope and/or expand to other payors, including the self-pay market.

As part of the commercial team, there will also be other responsibilities beyond those focused on insurers, for example wider referrer engagement with GPs and Physiotherapists, marketing, and proposition and pathway development.

Core activities will include:

  • Being the day-to-day point of contact for insurers, resolving queries and issues and leading on weekly / fortnightly account management calls
  • Acting as “product owner” for projects and pathways delivered in partnership with insurers, continuously improving the patient experience and seeking expansion opportunities
  • Leading on analysis and price negotiations with insurers for new services, new centres and at annual renewal
  • Working closely with our finance department and billing teams to ensure our invoicing and debt collection is prompt, accurate and in line with our insurer contracts
  • Ensuring that all insurer contractual documents are maintained, implementing any changes in partnership with our operations team
  • Putting agreements and pricing in place with other “institutional referrers”, for example international insurers, embassies, concierge companies, corporate clients and providing ongoing account management with these payors
  • Identifying initiatives which can be rolled out from insurers to other markets (self-pay, institutional referrers etc) or vice versa, working with colleagues to deliver

Candidate profile

Required skills and experience:

  • High degree of expertise in UK Private Medical Insurance, having worked for many years at either an insurer or leading private hospital
  • Well-developed account management skillset, able to engage with stakeholders at a range of seniority level at highly important customer organisations
  • Track record of working with colleagues across a number of teams to deliver operational changes and make sure processes are continuously improved
  • Good clinical knowledge and understanding of medical terminology, with interest in keeping up to date with the latest in healthcare research and development
  • Advanced knowledge of insurance billing processes, including experience with clinical coding and familiarity with CCSD, Healthcode and third party billing systems (such as Compucare, DGL etc)

Salary & benefits

  • Salary highly competitive with discretionary performance related bonus
  • Potential to receive share options for exceptional performance
  • Private medical insurance
  • Life insurance
  • Contributory pension scheme
  • 28 days holiday (excluding bank holidays)

How to apply

To apply for this role send your CV and a cover letter to craig.abrahams@welbeckhealth.com

Consultant Anaesthetist – OneWelbeck Digestive Health

Tired of your current role and looking for a change? What about a new challenge developing a sedation service in the largest private endoscopy practice in London?

Available as a full or part-time role with no on-call and no weekends with a competitive remuneration package including private healthcare cover, this role sits in our Digestive Health centre.

The Role

OneWelbeck Digestive Health are seeking to build a team of dedicated Consultant Anaesthetists to lead and deliver the administration of intravenous anaesthesia and sedation and provision of peri-procedural care. You will work is a team of Consultant Anaesthetists to lead and deliver the administration of intravenous anaesthesia and sedation, and in provision of peri-procedural care. As a team you will manage the coverage of our 4 procedure rooms operating 5 days a week. You will also be participating in the performance improvement and quality assurance activities (QAPI).         

Essential Requirements

Qualifications and training:

  • Full registration with the GMC with a licence to practice
  • Evidence of qualifications as a Consultant Anaesthetist including evidence of primary medical degree (MBBS or equivalent)
  • FRCA or equivalent with evidence of completion of higher specialist training
  • Admission to the Specialist Register for Anaesthesia
  • At least 2-years’ experience working as a Consultant within the UK’s National Health Service
  • Adult Life Support certification (current)
  • Evidence of malpractice indemnity to cover scope of practice for OWDH
  • Evidence of experience administering local anaesthesia, conscious sedation and general anaesthesia

 

Training and audit:

  • Experience of audit
  • Participation in audit and quality improvement
  • Experience teaching multidisciplinary team in acute medical/emergency scenarios
  • Maintains CPD and able to present appropriate evidence for yearly appraisal

 

Interpersonal skills:

  • Organisational skills
  • Communication skills
  • Leadership skills
  • Positive attitude towards multidisciplinary team members and support team led services

Essential Duties & Responsibilities

  • Demonstrates knowledge of the principles of growth and development and the skills necessary to provide care appropriate to the age of the patient
  • Demonstrates ability to administer anaesthesia as approved by Governing Body of Centre
  • Supports and maintains a culture of safety and quality
  • Performs all aspects of anaesthesia care in an environment that optimizes patient safety and reduces the likelihood of medical/healthcare errors
  • Interviews patient and performs pre-anaesthesia and airway assessment prior to the surgery/procedure
  • Demonstrates efficient medication management per established protocols and Centre policies and procedures
  • Strictly adheres to Centre infection control policies and safe injection practices
  • Maintains attendance with patient as required by the patient’s condition relative to his/her anaesthesia status and until responsibility for proper patient care can be assumed by other qualified individuals
  • Provides effective communication related to patient’s condition and ongoing requirements for continuum of care
  • Accurately records all aspects of anaesthesia/sedation provided and airway management techniques utilized on all patients that have received anaesthesia care
  • Performs a post-anaesthesia patient assessment, records post anaesthetic visits, including at least one note describing the presence or absence of anaesthesia related complications
  • Acts as patient’s advocate for the safe delivery of care
  • Assists with appropriate patient selection, discusses anaesthetic plan of care with appropriate parties in the instance where he/she feels the anaesthesia may pose a threat of loss of life or undue and/or unwarranted risk to the patient
  • Discharges or releases the patient from the recovery area according to established criteria and regulatory requirements and documents appropriately
  • Treats patients and their families with respect and dignity
  • Identifies and addresses psychosocial needs of patient and family
  • Documents all narcotic usage and waste, as required by organizational policies and procedures
  • Responds to emergency situations requiring anaesthesia services, knowledge or technique
  • Checks all resuscitative equipment prior to the beginning of the first surgery/procedure of the day.  Reports malfunctioning or missing equipment to the Centre Director immediately
  • Documentation meets current standards and follows Centre policies and procedures
  • Follows the bylaws of the Medical Staff of the Centre

Language Skills

  • Fluent in English (comprehension, reading and writing)
  • If from abroad, evidence of that you have passed the English language exams is required and evidence of provisional GMC registration is required.                         

                 

Salary & Benefits

Competitive salary (experience dependent), Private Healthcare Cover & other employee benefits and performance linked incentives.

How to apply

To apply, please email your current CV, GMC registration and cover letter to veena.patel@welbeckhealth.com