Manager - Credentialing Operations And Escalations
vor 4 Wochen
Manager - Credentialing Operations and EscalationsA full time, permanent opportunity has become available in our ADF Health Services Contract (ADFHS) Clinical Governance Team.
This is a hybrid role and can be based from our Melbourne, Sydney or Brisbane office locations when not working from home.
As Manager Clinical Credentialing & Service Escalations you will be responsible for all aspects of the ADFHS Clinical Governance related to Clinical Credentialing activities including leadership, development, management, and providing effective clinical governance through compliance with Bupa policies, relevant legislation, regulation agencies and work instructions.
How will I help? Key accountabilities include but are not limited to:
Acting as a subject matter expert regarding clinical credentialing and promoting a culture that enables staff to understand and comply with quality, clinical risk and patient safety guidelines to meet relevant accreditation standards including ACSQHC NSQHS, ISO:9001 and other relevant industry standards including credentialing for both onboarding and ongoing requirement, escalation of clinical matters and support to Service Delivery teams.Leading a team and acting as a proactive process change leader to ensure the integrity of all credentialing systems is maintained.Ensuring business alignment and adherence to industry standards and requirements within the Bupa clinical governance, risk management and compliance framework particularly relating to clinical credentialing.Leading governance, quality assurance and process improvement activities to ensure effective team operations.Ensuring oversight and implementation of all Global and Asia Pacific (APAC) Market Unit Clinical Governance related policies.What do I need? You will be a Health Professional/allied health practitioner with extensive experience in Clinical Governance, Quality and Risk Management experience.Post Graduate qualifications or working towards i.e., Quality Management, Health Administration, Clinical Governance or similar will be highly desirable.Demonstrated capacity to support and lead quality and compliance function.Demonstrated ability to build and refine service delivery and clinical governance processes.Proven ability to develop and implement frameworks, drive outcomes and ultimately delivery programs of work.Strong conceptual, analytical, problem solving and strategic planning/thinking ability.Excellent communication and interpersonal skills with the ability to engage with a range of key stakeholders to work in partnership with service delivery teams to achieve outcomes.Experience implementing organisational wide quality improvement initiatives and influencing teams in building a high-quality improvement culture.A passion for innovative thinkingThis is a Security Cleared Position.
The occupant must be an Australian Citizen and must be eligible to obtain and uphold a Baseline Security Clearance.About Bupa Bupa is an international healthcare group which has a purpose to deliver longer, healthier, happier lives and making a better world for more than 70 years.
In Australia and New Zealand, Bupa assists more than 5 million customers through a broad range of health and care services including health insurance, aged care, rehabilitation, dental, optical, medical, hearing and medical visa services.
ADF Health Services Contract (ADFHS) provides integrated and seamless end-to-end health support to 85,000 Australia Defence Force (ADF) personnel across 59 facilities.
This includes a health professional workforce to complement the existing ADF and Australian Public Service (APS) health workforce in providing health services to Defence personnel, along with pathology, imaging and radiology, rehabilitation, mental health, hospital, specialist, allied health and other off base services enabled by Bupa network and systems.
Our people reflect the diversity of our community.
At Bupa, your wellbeing, identity and own story is respected and valued.
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