Consultant, Provider Management
Core
Strengthen governance, compliance oversight, audit effectiveness, and operational excellence across Third-Party Administrators (TPA) and healthcare partners.
Role type
Senior IC provider management consultant
Builds
Governance frameworks, audit trails, partner performance reports, and operational transformation initiatives
Domain
Insurance / Healthcare operations / Compliance
Deliverable
dashboards & analysis
Required skills
Audit planning and execution, regulatory compliance monitoring, SLA and contract management, risk mitigation, stakeholder liaison, process automation
Preferred skills
Data governance, enterprise project management, digitalisation initiatives
Technologies
Audit registers, action trackers, governance documentation, dashboards, reporting packs
Responsibilities
Plan, coordinate, and conduct provider, TPA, and partner audits; Monitor compliance with contractual obligations and service-level agreements; Drive issue management, escalation tracking, and resolution; Identify opportunities to improve operational efficiency and reduce manual processes; Serve as a liaison between AIA and healthcare partners, TPAs, brokers, and internal stakeholders; Develop dashboards, reporting packs, and management information for governance tracking.
