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Bupa

Multinational health insurer and care provider

On Base Credentialing Lead

Medical, Clinical & VeterinaryUpdated on Nov 10
Full-timeSydney NSW, AustraliaNo salary listedIn-person

About the Job

Requirements

  • Health professional or allied health practitioner with experience in clinical governance, quality and risk management.
  • Demonstrated ability to build and refine service delivery and clinical governance processes.
  • Proven ability to develop and implement frameworks, drive outcomes and deliver programs of work.
  • Strong conceptual, analytical, problem-solving and strategic planning and thinking ability.
  • Experience implementing organisation-wide quality improvement initiatives and influencing teams to build a high-quality improvement culture.

Responsibilities

  • Act as a subject matter expert regarding clinical governance activities, including credentialing for onboarding and ongoing requirements, escalation of clinical matters and support to Service Delivery teams.
  • Provide clinical support to Service Delivery, Regional Partnership Managers and subcontractor teams, including managing clinical escalation and risk management.
  • Provide clinical input into credentialing activities for the on-base workforce, including daily credential checks, input into waivers, exemptions and endorsements, and liaison with relevant external stakeholders.
  • Provide clinical input into operational and process designs.
  • Escalate emerging risks and identify system-level themes aligned with continuous improvement opportunities.
  • Lead process changes to ensure the integrity of credentialing systems is maintained.
  • Establish working relationships with business services and central functions to communicate clinical credentialing, risk awareness and developments.
  • Ensure business alignment and adherence to industry standards and requirements within Bupa’s clinical governance, risk management and compliance framework, particularly relating to clinical credentialing.

Desired Qualifications

  • Postgraduate qualifications, or working toward them, in quality management, health administration, clinical governance or a similar area.
  • Excellent communication and stakeholder management skills.

About the Company

Bupa

Multinational health insurer and care provider

Bupa provides health insurance and direct healthcare services, including dental, optical, and aged care, to individuals, companies, and care facilities around the world. Premiums and service fees fund coverage for treatments, clinics, and care homes, with corporate wellness programs supporting employees. Unlike many competitors, Bupa operates as a provident association with no shareholders and reinvests profits into expanding services, delivering an integrated suite of health and care under one global brand across 190 countries. Its goal is to improve health and wellbeing by making quality care and support available at scale.

Company size
10,001+
Company stage
Debt Financing
Total funding
$924M
Headquarters
London, United Kingdom
Founded
1974

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