Prudential’s purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support our people’s career ambitions. We pledge to make Prudential a place where you can Connect, Grow, and Succeed.
Prudential Health India is
a Zero to One team undertaking a no-legacy, greenfield health insurance deployment in India,
building journeys that truly empathize with the customer and offer a differentiated
experience.
To partner
with
us in this mission, we are looking for a talented
Lead
—Condition Management
to join our Health Management team in Mumbai.
We are looking for exceptional talent
with
a
passion for transforming
the
health insurance experience
in India
.
If you have a
deep and thorough understanding of the current state of the industry and
a clear vision
of what a transformed future could
be
like
,
for the scope detailed in this
job
description,
we are eager to speak with you
!
As Lead – Condition Management, your typical week will include the following...
Program
Design and Implementation
Design
end-to-end
clinical protocols
&
workflows
to
support customers with
chronic
health conditions
in manag
ing
/
improving
their health conditions
.
Implement chronic care management
and other health management initiatives
embedded
seamlessly
across
Sales,
Onboarding, Underwriting, Claims, Servicing
,
Renewal,
and other functions
to deliver integrated, seamless user
journeys.
Manage
comprehensive
implementation
of
health management protocols and processes
across PHI and
vendor/partner systems
. Enhance p
rocess
es
leveraging
technology to enhance patient
outcomes
and
experience
while
driv
ing
operating efficiency
.
Design and implement s
egmented
clinical interventions
and processes
based on
the
health risk profile of customer
cohorts.
Design
and enhance comprehensive health risk profile
of customers
based on
Clinical, Fitness, Nutrition, Mental and population health
data.
Implement health outcomes through condition management protocols tailored to physical and digital interventions.
Lead
continuous improvement
in clinical protocols, methodologies, and performance metrics to evaluate the effectiveness of healthcare programs and digital health interventions.
Drive
industry-leading customer engagement
, retention, and loyalty by
leveraging
health management interventions and conversations.
Demonstrate
value and
outcomes of
care programs
to customer
s and business
stakeholders.
Design
and implement
customer
programs/
campaigns
with marketing
and other
team
s.
Deliver
industry-best
NPS
for
PHI
customers.
A
nalyse
Healthcare Trends
,
Digital Health
Technologies,
and Health Ecosystem partnerships
Design mechanisms for customer
health
data enrichment
throughout the customer
life cycle
;
Develop and enhance health data analytics across customer lifecycle management using data from HRA, AHC,
OPD, IPD
,
health trackers
and other sources
.
Monitor and
analyse
current healthcare trends, regulatory changes, and industry developments.
Identify
opportunities to
leverage
digital health solutions to improve patient outcomes, streamline workflows, and enhance healthcare delivery
;
Establish
preferred partnerships with relevant partners
.
Performance & Team Management
Manage
a team of
h
ealth
management experts
that can include
doctors,
nutritionist
s,
and lifestyle
coaches
to
deliver
condition management operation
s
.
Establish clear responsibilities for all team members
,
build a strong culture of accountability and performance
on
business goals.
Lead teams to
i
nnovate designing
journeys
and solutions to address user pain points and achieve business goals.
Ensure attraction, continu
ous
training &
development, and retention of team
members.
E
nable teams with coaching & structured skills to scale with business & perform
effectively.
Build
technical & behavioural skills
in the team
;
engage customers with empathy and impact
.
You could be the right candidate if you have
A
d
egree in
m
edicine (MBBS/MD)
Proven experience
in
delivering health outcomes for consumers at
scale.
8-10
years of
experience in
health & wellness,
digital healthcare
or
health insurance
Minimum 3 years of clinical experience and
3-5 years of corporate experience in
the
healthcare or insurance sector
Managed teams with people from Medical and Non-Medical background
s
S
trong clinical knowledge and clinical decision-making
skills.
Expert in
clinical diagnosis, preventive care, condition management and patient education.
Prove
n
track record
and hands-on
experience in developing or
managing
healthcare systems (EHR, CRM,
Health app
etc.)
Proven
track record
of managing health insurance data models while managing or integrating with data lakes
.
A passion for
driving preventive curative health care driven by innovative technology solutions.
This could be the gig for you if you…
Have built best-in-class processes from
scratch.
Are passionate about
leveraging
digital tools to transform customer
experience
.
Are passionate about consumer
behaviour
and culture; enjoy spending time with customers to understand what they
really need
. Have an attentive ear to listen to
new ideas
.
Join hands with other colleagues to solve for the customer.
Like to work in a culture where everyone can see what others are doing.
Take help from others when stuck and encourage others when there are setbacks.
Take full responsibility for your team’s contribution output while thinking wing-to-wing across the organization.
Location: Mumbai
Position: Senior Manager/ Lead – Condition Management
Prudential is an equal opportunity employer.
We provide equality of opportunity of benefits for all who apply and who perform work for our organisation irrespective of sex, race, age, ethnic origin, educational, social and cultural background, marital status, pregnancy and maternity, religion or belief, disability or part-time / fixed-term work, or any other status protected by applicable law. We encourage the same standards from our recruitment and third-party suppliers taking into account the context of grade, job and location. We also allow for reasonable adjustments to support people with
individual physical or mental health requirements.
