Overview
This newly created position sits within AXA Health's Commercial team and is responsible for leading internal medical operations. You will oversee the Medical Policy and Medical Underwriting teams, driving performance across medical, healthcare, and operational domains.
Responsibilities
* Medical Policy Development: Design and optimise policies for healthcare funding, ensuring regulatory alignment.
* Operational Efficiency: Monitor and improve policy effectiveness and customer experience.
* Claims Support: Provide expert guidance to claims teams across modalities and technologies.
* Annual & Bi-Annual Reviews: Lead reviews of policy terms and guidance to manage indemnity risk and ensure clarity.
* Clinical Risk Management: Chair the Clinical Risk Committee and oversee AXA Health's Clinical Risk Register.
* Stakeholder Engagement: Act as the primary contact for healthcare providers regarding treatment eligibility.
* Medical Underwriting Leadership: Ensure underwriting practices are efficient, compliant, and risk-aligned.
* Training & Development: Promote continuous improvement through staff training and workshops.
Candidate Profile
* Medical qualification with substantial clinical experience.
* Postgraduate qualification or 3+ years in a similar leadership role.
* 10+ years of relevant experience, including clinical governance and risk management.
* Proven success in leading strategic initiatives in complex environments.
* Strong analytical skills and proficiency in healthcare data tools.
* Deep understanding of healthcare regulatory and compliance frameworks.
* People and resource management expertise.
Eligibility
Candidates must be authorised to work in the UK. This role is classified under the Insurance Distribution Directive (IDD) and subject to periodic background screening.
Partnership & Role Details
Partnered with AXA Health | Exclusively managed by Opus People Solutions
Opus People Solutions is proud to be the exclusive recruitment partner for AXA Health in the search for a visionary Medical Director - Medical Services & Delivery. This is a high-impact, senior leadership opportunity for an experienced clinician with a strong background in healthcare insurance operations. You\'ll be instrumental in shaping AXA Health\'s strategic direction, building a team that sets the benchmark for excellence in the UK. This hybrid role requires attendance at AXA\'s Tunbridge Wells office, client sites, or industry events at least two days per week (moving to three days/week by late 2025).
Benefits
* Competitive salary (dependent on experience)
* Annual company & performance-based bonus
* £6,700 cash car allowance
* Up to 12% employer pension contributions
* Life Assurance (up to 10x salary)
* Private health cover
* 28 days annual leave + Bank Holidays
* Option to buy/sell up to 5 days leave
* Wellbeing services & AXA employee discounts
How to Apply
To apply, please submit your CV via the Opus People Solutions website. For accessibility support, or a confidential chat contact
#J-18808-Ljbffr