Health Care Transformation & Utilization Strategy Manager

About AXA Hong Kong and Macau

AXA Hong Kong and Macau is a member of the AXA Group, a leading global insurer with presence in 52 markets and serving 92 million customers worldwide. Our purpose is to act for human progress by protecting what matters.

As one of the most diversified insurers in Hong Kong, we offer integrated solutions across Life, Health and General Insurance. We are the largest General Insurance provider and a major Health and Employee Benefits provider. Our aim is to not only be the insurer to provide comprehensive protection to our customers, but also a holistic partner to the individuals, businesses and community we serve. At the core of our service commitment is continuous product & service innovation and customer experience enrichment, which is achieved through actively listening to our customers' needs and leveraging and investing in technology and digital transformation.

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We are seeking a strategic and execution‑focused manager to drive network strategy and pre‑authorisation enablement initiatives, supporting patient steering and utilisation optimisation across providers and care pathways.

The position will drive network‑ and utilisation‑related transformation initiatives by combining provider network strategy and pre‑authorisation (PA) enablement to support active patient steering, utilisation optimisation, and site‑of‑care shifts. The role focuses on strategy design, change enablement, and adoption, working alongside with the Network Management and Utilisation Management functions.

Key Responsibilities

1. Network Strategy & Steering Enablement
• Design and support steerage‑driven network strategies (e.g. preferred provider models, centres of excellence, pathway‑based networks) to direct members to high‑quality, cost‑effective providers.
• Identify network capability gaps and strategic opportunities impacting steerage, utilisation, and site‑of‑care objectives.
2. Site‑of‑Care & Pathway Optimisation
• Identify procedures suitable for migration from inpatient to day care or lower‑cost settings.
• Support design of future‑state clinical and utilisation pathways in collaboration with providers and internal stakeholders.
3. Pre‑Authorisation Strategy & Adoption
• Design pre‑authorisation adoption strategies across priority procedures, providers, and member touchpoints.
• Position PA as a behaviour‑change and utilisation‑management lever, aligned with steering and network objectives.
4. Provider & Vendor Enablement
• Initiate provider engagement for PA implementation, adoption, and workflow alignment, distinct from BAU PA servicing.
• Support onboarding, integration, and early stabilisation of the PA vendor, ensuring alignment with steering and utilisation goals.
5. Cross‑Functional & Network Collaboration
• Work closely with Provider / Network Design, Clinical, Operations, and Analytics teams to translate strategy into executable requirements.
• Support provider discussions related to transformation participation, not routine contracting or relationship management.
6. Performance & KPI Enablement
• Track and analyse KPIs related to preferred provider utilisation, site‑of‑care shifts, PA adoption, and utilisation outcomes.
• Provide insights and recommendations to the Patient Steering & Utilisation Management Lead to drive corrective actions.

Qualifications & Experience

Required

• Bachelor's degree in Healthcare, Business, Nurse, Life Sciences or related field
• 8-12 years experience in network, utilisation, or provider strategy
• Experience in provider network strategy, utilisation management, or healthcare transformation
• Strong exposure to pre‑authorisation frameworks, provider workflows, or utilisation controls
• Experience working with hospitals, specialists, or ambulatory care providers
• Comfort operating across strategy, provider engagement, and implementation
  

Core Competencies

• Strong stakeholder engagement and change‑enablement skills
• Ability to influence providers and internal teams without direct authority
• Data‑informed decision‑making and performance tracking capability
• Structured, outcome‑oriented execution mindset