Reporting to:Director of Claims & Provider RelationsAbout UsAt laya healthcare, we are committed to helping people live longer, healthier lives. As one of Ireland’s 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 RoleWe 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 ResponsibilitiesClinical Leadership & StrategyProvide expert clinical guidance to support business decision-makingContribute to the development and delivery of key clinical and operational initiativesDrive improvements in patient outcomes, clinical quality, and cost effectivenessGovernance & OversightLead clinical governance frameworks to ensure safe, effective, and evidence-based careOversee clinical aspects of claims adjudication, appeals, and complex case reviewsSupport the development of clinical policies, guidelines, and best practice standardsProvider & Stakeholder EngagementBuild and maintain strong relationships with consultants, hospitals, and healthcare partnersRepresent the organisation in clinical and reimbursement discussionsSupport the evolution of provider engagement approachesAssess new medical procedures, technologies, and treatmentsContribute to the development of sustainable and future-focused healthcare solutionsPromote evidence-based practice and continuous improvementLeadership & People ManagementLead and develop a multidisciplinary clinical teamFoster a culture of collaboration, accountability, and high performanceSupport capability development and succession planningCommercial & Operational ContributionContribute to financial sustainability through effective clinical inputSupport the refinement of reimbursement and benefit structuresOversee budget management within the clinical functionAbout YouQualificationsMedical degree (MB, BCh or equivalent) with current Medical Council registrationMinimum 10 years’ post-qualification clinical experienceExperience & SkillsProven experience operating at senior leadership levelStrong clinical credibility with the ability to influence at executive levelExperience working within complex healthcare environmentsCommercial awareness and understanding of healthcare delivery modelsExcellent stakeholder management and communication skillsStrategic thinker with a solutions-focused mindsetExperience within private healthcare or health insuranceExposure to large-scale clinical or operational transformationWhy Join UsThis 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.
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