Programme Director - Health Insurance

Fill the required information about business, unit, location, position, reports to position and date of updation of JD Business Financial Service - HO Unit Aditya Birla Health Insurance Company Ltd Location Thane Poornata Position Number of the job Reports to: Poornata Position Number Poornata Position Title of the job (30 characters max) Reports to: Poornata Position Title Function Sales Reports to: Function Health Management Department Group Sales Reports to: Department Group Sales Designation of the Employee Manager Designation of the Manager DVP Date of writing/updation of JD 3rd February 2025 ` Annexure I : ABG Job Description Template ` HayGroup Job Description Template 2017 1) Job Purpose: These organizations recognize that a healthy workforce leads to higher productivity, reduced absenteeism, and lower healthcare costs, ultimately impacting business performance positively. They integrate preventive care, wellness initiatives, and data-driven health interventions to create a culture of proactive healthcare. The Program Manager - Corporate Health & Analytics plays a pivotal role in driving this transformation by designing and executing corporate health programs, leveraging health analytics for risk stratification, and aligning wellness initiatives with insurance cost optimization. By closely engaging with corporate clients, analyzing employee health trends, and implementing evidence-based wellness interventions, this role ensures that companies transition towards a sustainable, health-conscious work environment. Additionally, the integration of ABHA, FHIR, and DPDP compliance into corporate health strategies ensures data-driven decision-making while maintaining regulatory standards. Business Workforce Number (Max 254 Characters) Unit Workforce Number (Max 254 Characters) Function Workforce Number (Max 254 Characters) Department Workforce Number (Max 254 Characters) Other Quantitative and Important Parameters for the job: Write the specific aspects of the job that provide a challenge (internal and external) to the jobholder in the context of the Business/Unit/Function/Department/Section ((Max 3975 Characters) About the Health Insurance Industry - The Indian health insurance market is highly competitive, with over 15 private non-life insurers and 5 exclusive health insurers competing alongside nationalized providers. SMEs and start-ups, being the backbone of the Indian economy, present significant growth potential. Write the specific aspects of the job that provide a challenge (internal and external) to the jobholder in the context of the Business/Unit/Function/Department/Section ((Max 3975 Characters) tailored health solutions and leveraging cost-effective, standardized approaches to expand market reach through channel partners. Corporate Health's Role in Market Expansion - As businesses prioritize employee health and well-being, insurers must go beyond traditional coverage and offer data-driven, preventive health solutions. Employers increasingly demand risk stratification, chronic disease management, and wellness programs integrated into their insurance plans. The Program Manager - Corporate Health & Analytics plays a crucial role in bridging insurers and corporate clients by utilizing predictive analytics, customized wellness initiatives, and financial modeling to optimize claims and enhance employee health outcomes. Market Opportunities - Medical advancements, lifestyle shifts, and rising healthcare costs are reshaping insurance expectations. Customers now see insurers as health partners, not just financial protectors. Tools like Wellbeing Score and Risk Stratification Models enable insurers to proactively manage health risks, helping businesses reduce claims costs and improve employee well-being. Insurers must adopt personalized, engagement-driven wellness programs to gain market differentiation. About Aditya Birla Health Insurance (ABHI) - Established in 2015 as a joint venture between Aditya Birla Capital Ltd. and MMI Strategic Investments, ABHI is redefining health insurance with its 'Health Insurance for All' philosophy. As a digital-first insurer, it ensures seamless customer experiences through innovative, wellness-driven solutions. Comprehensive Incentivized Wellness Programs motivating individuals to adopt healthier lifestyles. . Chronic Care Management Programs covering conditions like Diabetes, Asthma, High Cholesterol, and Hypertension from Day 1. . Evolving Corporate & Population Health Needs: Requires continuous updates to risk models, data insights, and engagement strategies. Regulatory Compliance & Data Privacy: Must adhere to ABHA, FHIR, and DPDP guidelines while ensuring data protection. Alignment across analytics, underwriting, and wellness partners to drive holistic health solutions. Scalability & Automation: Ensuring efficient, technology-driven wellness programs tailored for large corporate clients. Data-Driven Insights for Cost Optimization: Leveraging advanced analytics to establish causal relationships between employee health trends, claims, and financial outcomes. Conclusion - The shift towards corporate health-first organizations aligns with ABHI's mission to integrate insurance with proactive health interventions. By leveraging data insights, wellness incentives, and chronic care solutions, insurers can strengthen corporate partnerships and drive long-term profitability while enhancing employee well-being. Write the key results expected from the job and the supporting actions for each of these key result areas (For a majority of jobs typically there could be 4- 7 key result areas)- Maximum 10 KRAs can be updated Key Result Areas (Max 1325 Characters) Supporting Actions (Max 1325 Characters) ` Annexure I : ABG Job Description Template ` HayGroup Job Description Template 2017 Data-Driven Insights & Risk Stratification Analyze employee health data, claims trends, and risk stratification to develop actionable insights. Collaborate with cross functional team to ensure Timely reporting in 90%/Timely reporting 98%/Timely reporting 100% Process Automation & Efficiency Implement process improvements and automation to increase efficiency in wellness program execution. Conduct at least four corporate wellness strategy presentations annually. Timely reporting in 90%/Timely reporting 98%/Timely reporting 100% Performance Measurement & ROI Analysis Track the impact of wellness programs on corporate employee health and insurance claims. Develop key performance metrics to measure ROI and present actionable insights for business decisions. Describe the job purpose of the direct report/s to the job (in 2-3 lines for each report) NA Criteria Details Education Bachelor's degree - Business Analytics, Public Health, Insurance, Medical degree or a related field. MBA preferred. Experience 5+ years of experience in corporate wellness, health insurance analytics, population health management, or employer-employee health programs. Technical Skills Proficiency in any one data analytics tools (SQL, Tableau, Power BI, Python, Excel), experience in risk stratification models, and knowledge of health insurance financials and wellness program execution. Soft Skills Strong stakeholder management, client engagement and communication. Describe the nature and purpose of most important contacts or relationship (except superior/team members) with individuals, departments, organizations inside and outside of the organization, that job is required to interact with in order to deliver the job objectives Relationship Type (Max 80 Characters) Frequency Nature (Max 1325 Characters) Internal DRM team BIUteam/Digital team/Marketing team As and when required Monthly/SOS To decide on Micro cohorts and periodic insight sharing on the health improvement front. Establish correlation between Risk stratification and cross functional data For Customer response on the communication For app downloads to collect health data External NA 7) Organizational Relationships: