**Health Care Transformation & Utilization Strategy Manager**
Lead network strategy and pre-authorization initiatives to drive patient steering and utilization optimization. Design network strategies (preferred provider models, centres of excellence), identify capability gaps, and optimize site-of-care for cost savings. Collaborate cross-functionally to translate strategies into practical requirements, and engage providers for vendor onboarding. Monitor KPIs to guarantee utilization and site-of-care shifts. Requires 8-12 years' experience in network, utilization, or healthcare strategy with strong stakeholder engagement skills and data-informed decision-making. Bachelor's degree in Healthcare, Business, or related field.
Full Job Description
We are seeking a strategic and executionfocused manager to drive network strategy and preauthorisation enablement initiatives, supporting patient steering and utilisation optimisation across providers and care pathways. The position will drive network and utilisationrelated transformation initiatives by combining provider network strategy and preauthorisation (PA) enablement to support active patient steering, utilisation optimisation, and siteofcare shifts. The role focuses on strategy design, change enablement, and adoption, working alongside with the Network Management and Utilisation Management functions. Key Responsibilities Network Strategy & Steering Enablement Design and support steeragedriven network strategies (e.g. preferred provider models, centres of excellence, pathwaybased networks) to direct members to highquality, costeffective providers. Identify network capability gaps and strategic opportunities impacting steerage, utilisation, and siteofcare objectives. SiteofCare & Pathway Optimisation Identify procedures suitable for migration from inpatient to day care or lowercost settings. Support design of futurestate clinical and utilisation pathways in collaboration with providers and internal stakeholders. PreAuthorisation Strategy & Adoption Design preauthorisation adoption strategies across priority procedures, providers, and member touchpoints. Position PA as a behaviourchange and utilisationmanagement lever, aligned with steering and network objectives. 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. CrossFunctional & 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. Performance & KPI Enablement Track and analyse KPIs related to preferred provider utilisation, siteofcare shifts, PA adoption, and utilisation outcomes. Provide insights and recommendations to the Patient Steering & Utilisation Management Lead to drive corrective actions. Qualifications & Experience Required Bachelors degree in Healthcare, Business, Life Sciences or related field 812 years experience in network, utilisation, or provider strategy Experience in provider network strategy, utilisation management, or healthcare transformation Strong exposure to preauthorisation 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 changeenablement skills Ability to influence providers and internal teams without direct authority Datainformed decisionmaking and performance tracking capability Structured, outcomeoriented execution mindset 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. 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