Technical Lead - Healthcare Funding

Will you actively create a healthier future for tomorrow?

At Medibank we’re encouraged to think big. We have a clear purpose to impact better health outcomes for our customers, patients and our community.

We celebrate diversity of thought because we want to make better decisions for our customers. As we work towards our goal of better health for better lives, we value the knowledge and contribution of Aboriginal and Torres Strait Islanders. We are working hard to create an inclusive workplace and develop Indigenous careers.

Our 2030 Vision is to create the best health and wellbeing for Australia. We connect people to a better quality of life in every moment. We create access, choice and control for everyone, and together lead change for a stronger health system. 

The Opportunity 

In this role you will support the Head of Hospital Funding Models in the design, development and delivery of hospital funding and payment models in support of Medibank’s healthcare value purchasing and benefit outlay management strategies with hospital, medical and ancillary providers. 

With an innovative, structured and customer-focused problem-solving approach, you will work with stakeholders to deliver new funding models to be considered best practice not only within Australia but globally. 

Delivering this involves: 

• Hospital case-mix funding model design, updates, technical specifications, and documentation of new funding models from design to delivery. 

• Lead strategy development and implementation of ongoing management of clinical classifications systems e.g., DRG versions and their application to healthcare funding models.  

• Support and lead industry engagement to improve understanding and influence of government policy on healthcare payment models. 

• Support the Head of Hospital Funding Models to develop and deliver on strategies, with responsibility for design, review and quality assurance of all funding models and analysis. 

• Develop a robust knowledge of the Australian private healthcare sector, including key issues around funding and trends in the sector; and build up knowledge and capability in healthcare funding models. 

• Develop and deliver insights into drivers of healthcare utilisation and cost drivers. 

• Proven capacity to communicate and present to both technical and no-technical stakeholders. 

This a hybrid permanent full-time role and you can work from home and one of our offices in Sydney, Melbourne or Brisbane. 

About you  

You have extensive knowledge of healthcare funding models and market review and demonstrated success in structured problem solving to support decision making and strategy development and can deliver succinct verbal communications to an executive level audience. 

What you can bring to the role: 

• Experience in developing and implementing healthcare funding models i.e., activity-based funding and value-based funding models. 

• Experience in case-mix measurement and understanding drivers of healthcare demand and utilisation. 

• Demonstrated achievements and significant experience in advanced quantitative analysis, clinical costing and healthcare benchmarking practices. 

• Experience in strategy development either as an internal or external consultant within healthcare would be highly regarded. 

A career with us

At Medibank, we believe work is something we do, not somewhere we go. Our modes of working – Collaboration, Connection and Concentration – help inform how your day is structured and where you choose to work will vary, depending on your role and requirements.

The wellbeing of our employees is our priority. We encourage you to talk to us about any additional support you may require during the recruitment process, as well as how this role can be flexible for you. We encourage applications from candidates with a disability, if you require any adjustments or alternate formats of key information at any stage of the recruitment process, we welcome hearing from you via inclusion@medibank.com.au or (03) 8622 5666.

We offer a range of great benefits such as subsidised private health insurance, rewards and discounts, and health and wellbeing initiatives. To find out more click here.

To start small and impact bigger.