Senior Health Systems Function Specialist
Melbourne, Australia
Senior Health Systems Functional Specialist
At Bupa, purpose meets possible. Join us and help shape a future where healthcare is more connected, more personal and more human.
We’re a global healthcare leader trusted by millions and committed to helping people to live longer, healthier, happier lives and making a better world. Healthcare is changing, and so are we. We’re investing in more clinics, better systems and smarter, more connected ways to help our customers. As we continue to expand our services and invest in innovation, you’ll help create a healthcare system that meets people where they are, responds to what they need and leaves them better than before.
Here, your work has purpose, your voice matters and your future is full of possibility.
Just imagine the impact you could make.
The purpose of this job is to manage and optimise our core health processing systems, with a particular focus on the Eclipse platform (Electronic Claim Lodgement and Information Processing Service Environment), Hospital Case mix Protocol (HCP) reporting and updates, Diagnosis-Related Group (DRG) processing and updates, and ICD-10-AM/ACHI/ACS functionality and updates.
This involves overseeing system performance, upgrades, compliance, and integration with provider data; implementing regulatory updates; conducting audits; and driving process improvements. You’ll collaborate with internal teams and external stakeholders, provide technical support and training and represent Bupa in key industry working groups.
Your work ensures Bupa’s health information meets regulatory standards and supports both day-to-day operations and supports our longer-term strategy. You’ll play a key role in improving processes that directly impact customer experience and business objectives.
This is a permanent, full-time role that can be based in Melbourne, Brisbane, Sydney or Adelaide.
What you’ll need to make it possible:
- Extensive experience with health claims processing platforms, preferably Eclipse.
- Strong working knowledge of DRG, ICD, ACHI ACS coding standards.
- Experience in provider data management and health system integrations.
- Strong and demonstrated leadership and people management skills.
Why you’ll love it?
We support our people to be the healthiest and happiest versions of themselves.
Work-life balance:
- Hybrid working environment: work from home 3 days a week.
- Flexible working hours.
Be part of the Delivery Excellence Team a collaborative group dedicated to data accuracy and innovation
Work on high impact projects that shape the future of health insurance
Access career development opportunities, flexible working arrangements and a supportive culture that values your expertise
If you’re passionate about health systems, data integrity, and making a difference, we’d love to hear from you. Let’s shape the future of healthcare, together.
At Bupa your wellbeing, identity, and personal story are respected and valued. We are continuing to build teams that reflect the diversity of the communities we serve. Bupa is committed to providing equal opportunities and fostering a workplace and environment that is free of discrimination, bullying and harassment.
We actively encourage applicants from all backgrounds and experiences, including Aboriginal and Torres Strait Islander peoples, veterans, people with disabilities, and LGBTQIA+ applicants.
We are dedicated to removing barriers to participation. If you need any reasonable adjustments during the recruitment process, or if you’d like to discuss how this role can be flexible for you, please let us know so we can support your participation on an equitable basis.
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