Location: Cork (with national travel) Department: Claims & Provider Relations Reporting to: Director of Claims & Provider Relations About Us At laya healthcare, we are committed to helping people live longer, healthier lives. As one of Irelands leading health insurers, we combine deep clinical expertise with a strong focus on innovation, quality, and member experience to deliver better healthcare outcomes. We are currently at an exciting stage in our evolution, with a strong focus on enhancing how we deliver care, strengthening clinical governance, and collaborating more effectively with healthcare providers. This is a unique opportunity to join a forward-thinking organisation and play a key role in shaping the future of healthcare delivery for our members. About the Role We are seeking an experienced and commercially aware clinical leader to join our senior management team as Head of Clinical Office. This role will provide strategic clinical leadership across the organisation, ensuring high standards of patient care, strong clinical governance, and effective collaboration with healthcare providers. You will play a key role in shaping how we deliver value-based healthcare outcomes while supporting the ongoing evolution of our clinical and reimbursement frameworks. Key Responsibilities Clinical Leadership & Strategy Provide expert clinical guidance to support business decision-making Contribute to the development and delivery of key clinical and operational initiatives Drive improvements in patient outcomes, clinical quality, and cost effectiveness Governance & Oversight Lead clinical governance frameworks to ensure safe, effective, and evidence-based care Oversee clinical aspects of claims adjudication, appeals, and complex case reviews Support the development of clinical policies, guidelines, and best practice standards Provider & Stakeholder Engagement Build and maintain strong relationships with consultants, hospitals, and healthcare partners Represent the organisation in clinical and reimbursement discussions Support the evolution of provider engagement approaches Innovation & Evaluation Assess new medical procedures, technologies, and treatments Contribute to the development of sustainable and future-focused healthcare solutions Promote evidence-based practice and continuous improvement Leadership & People Management Lead and develop a multidisciplinary clinical team Foster a culture of collaboration, accountability, and high performance Support capability development and succession planning Commercial & Operational Contribution Contribute to financial sustainability through effective clinical input Support the refinement of reimbursement and benefit structures Oversee budget management within the clinical function About You Qualifications Medical degree (MB, BCh or equivalent) with current Medical Council registration Minimum 10 years post-qualification clinical experience Relevant postgraduate qualification (e.g. MICGP, MRCPI or equivalent) Experience & Skills Proven experience operating at senior leadership level Strong clinical credibility with the ability to influence at executive level Experience working within complex healthcare environments Commercial awareness and understanding of healthcare delivery models Excellent stakeholder management and communication skills Strategic thinker with a solutions-focused mindset Desirable Experience within private healthcare or health insurance Exposure to large-scale clinical or operational transformation Why Join Us This is a unique opportunity to shape the future of clinical leadership within a dynamic and evolving healthcare environment. You will play a critical role in delivering high-quality, sustainable healthcare outcomes while working as part of a collaborative and forward-thinking senior leadership team. Skills: Leadership medical Strategic Planning Benefits: Work From Home
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