Senior Manager HI Clinical Governance

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

Bupa's purpose is helping people live longer, healthier and happier lives and making a better world. We employ more than 22,000 people in Australia and support the health and wellbeing needs of more than 4 million health insurance customers.

Reporting to the Principal, Medical Affairs & Clinical Governance, the Senior Manager, HI Clinical Governance is responsible for expert review and advice for clinical governance activities across Bupa Health Insurance, including Bupa-delivered, third party-contracted, and hospital-contracted health services and programs. This position will also perform internal auditing of clinical decisions made within Bupa Health Insurance to ensure strong clinical governance is upheld throughout Bupa Health Insurance. The position holder will work within the Medical Affairs & Clinical Governance team and will engage and partner with both clinical and non-clinical stakeholders across Bupa Health Insurance.

What you’ll need to make it possible:

• Unconditional and unrestricted registration with AHPRA as a Registered Nurse, Medical Practitioner, or other relevant allied health practitioner
• Relevant tertiary qualifications in a clinical discipline
• Significant recent clinical governance experience in a hospital or large health care environment with demonstrated experience of leading and successfully undertaking clinical reviews and audits
• Demonstrated experience in working collaboratively with clinicians and non-clinicians to evaluate and introduce new healthcare service models, therapies, technologies, and innovations
• Excellent organisational and project management skills to balance competing demands and conflicting priorities, delivering high-quality outcomes within agreed timelines

What you’ll be doing in this role: 

• Partner with Bupa teams to help design, review, and provide expert advice for new and existing healthcare services and programs delivered by Bupa clinicians for health insurance customers.
• Provide evidence-based assessments and expert advice on clinical governance aspects of third party-delivered health programs and services.
• Review clinical quality, safety, and performance of healthcare programs and services delivered by Bupa and third-party providers including contracted hospitals.
• Lead and undertake clinical audit and assurance activities to independently assess clinical decision making and adherence to internal processes and guidelines and identify opportunities for improvement.
• Manage and improve the processes and systems that support clinical decision-making to ensure quality service standards are met.

Why you’ll love it?

We support our people to be the healthiest and happiest versions of themselves.

If this sounds exciting, 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