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.

About the role

Prudential Health's vision is to give peace of mind to every patient in Asia and Africa. Our customer promise, Help When You Need It Most, is tested at the moment a customer or their family faces illness. In that moment, what matters is whether they know what to do next, whether they can reach the right provider quickly, receive appropriate and high-quality care, avoid unexpected costs, and have a smooth experience from diagnosis through to claim. Much of that depends on the health ecosystem around our customers: the hospitals, clinicians and networks we work with, and how we work with them.

The Director, Health Ecosystem & Care Innovation is central to making this happen. You will lead how Prudential Health works with healthcare providers and the wider health ecosystem, setting provider and network strategy, developing new care and commercial models, helping us get better prepared to help customer navigate getting care across borders, and helping local business units turn strategy into measurable change. This is not a traditional procurement or provider-contracting role. It combines health strategy, provider economics, network design and care innovation.

How this role delivers our promise

·    Help: guide customers to providers that deliver appropriate, high-quality care, using provider segmentation, scorecards and network steerage.

·    When you need it most: make care accessible and easy to navigate at the moment it matters, including embedding our innovative AI-Guided Care platform across markets and structurally solving cross-border care for customers who need treatment outside their home market.

·    Peace of mind: keep care affordable and trustworthy by tackling provider-facing fraud, waste and abuse (FWA) and designing incentives that reward appropriate, efficient and high-quality care.

·    Over time: develop new care and commercial models and network-led propositions, so the promise keeps improving and can be scaled across our markets.

Without strong provider ecosystems, Help When You Need It Most would remain a promise on paper. This role is how we make it real for customers.

Key relationships

You will work closely with local business unit Chief Health Officers (CHOs) and their teams, group Guided Care colleagues, the wider Group Health teams, Operations and Technology, product, Fair Prices and fraud, waste and abuse (FWA) teams, and hospital groups and other ecosystem partners.

Key accountabilities

·    Provider and network strategy: Set a regional view of how provider networks improve outcomes, experience and affordability. Partner closely with Provider leads in the local business units to segment providers using clinical, cost and experience evidence, and build a Provider Centre of Excellence with practical playbooks and frameworks.

·    Insight into action: Work with analytics and clinical teams to identify unwarranted variation in treatment, utilisation and cost, and turn it into evidence-based provider conversations, scorecards and improvement plans.

·    New care and commercial models: Design and test site-of-care shifts and value-based, bundled-payment or outcome-based arrangements with providers, working with the Regional Clinical Lead, and scale successful pilots.

·    Affordability and provider-facing FWA: Develop a long-term approach to provider-related fraud, waste and abuse with the wider FWA programme, and design incentives that reward appropriate, efficient and high-quality care.

·    Cross-border care: Build the framework for a coordinated Prudential cross-border care network, including priority corridors, preferred-provider criteria, and referral, payment and information-exchange arrangements.

·    Network-led propositions: Work with product teams to turn network and care-model capabilities into customer propositions that can be tested and scaled.

·    Strategic partnerships: Build senior relationships with hospital groups and healthcare organisations, structured around defined health and customer outcomes and coordinated with local business unit contracting to create a One Prudential regional network.

What success looks like

More customers are guided to appropriate, high-quality and affordable care, and provider and network arrangements improve affordability without compromising access or quality. Indicative measures include:

·    More eligible customers using preferred or high-value providers.

·    Improved network cost, quality and experience indicators.

·    New site-of-care or value-based models launched, with measurable provider and patient uptake.

·    Cross-border corridors established or strengthened.

·    Network-led propositions piloted with product teams.

Specific targets will be agreed by market and initiative, with a balanced scorecard covering outcomes, experience, utilisation and economics.

Who we are looking for

We are looking for a senior health leader who understands how providers work and how care is paid for, and who can turn that knowledge into practical change across multiple markets. You will be credible with hospital CEOs and clinicians, comfortable with data, and able to influence local teams and Group functions without direct authority. Just as importantly, you will be hands-on and collaborative, because success depends on local business units adopting and owning the initiatives. You will bring strong external perspective and challenge us to raise the standard of how we design and deliver provider and care solutions.

Essential experience

·    Significant senior experience in health insurance, a hospital or provider group, healthcare consulting, managed care or a comparable healthcare organisation.

·    Deep understanding of healthcare-provider economics and how clinical decisions, utilisation, payment mechanisms and network design affect cost and outcomes.

·    Experience developing or implementing provider strategy, network strategy, care models or provider-performance improvement.

·    Demonstrated ability to use claims, utilisation, quality or outcomes data to support strategic and commercial decisions.

·    Credibility with senior provider executives, clinicians and market leadership teams.

·    A strong record of converting strategy into implementation across multiple stakeholders and markets.

·    Experience operating successfully in a complex, matrixed and multicultural organisation.

Advantageous experience

·    Value-based care, bundled payments, outcome-based contracting or centres-of-excellence models.

·    Healthcare and provider markets across Asia and Africa.

·    Provider segmentation, steerage or network-performance improvement.

·    Cross-border care, medical travel or regional hospital-group partnerships.

·    Provider-facing FWA or unwarranted clinical variation.

·    Connecting provider strategy to insurance product and proposition design.

·    Patient-reported outcomes and experience measures.

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.