Health Care Transformation & Utilization Strategy Manager

We are seeking a strategic and execution‑focused manager to drive network strategy and pre‑authorisation enablement initiatives, supporting patient steering and utilisation optimisation across providers and care pathways

The position will drive network‑ and utilisation‑related transformation initiatives by combining provider network strategy and pre‑authorisation (PA) enablement to support active patient steering, utilisation optimisation, and site‑of‑care 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 steerage‑driven network strategies (e.g. preferred provider models, centres of excellence, pathway‑based networks) to direct members to high‑quality, cost‑effective providers

Identify network capability gaps and strategic opportunities impacting steerage, utilisation, and site‑of‑care objectives

Site‑of‑Care & Pathway Optimisation Identify procedures suitable for migration from inpatient to day care or lower‑cost settings

Support design of future‑state clinical and utilisation pathways in collaboration with providers and internal stakeholders

Pre‑Authorisation Strategy & Adoption Design pre‑authorisation adoption strategies across priority procedures, providers, and member touchpoints

Position PA as a behaviour‑change and utilisation‑management 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

Cross‑Functional & 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, site‑of‑care shifts, PA adoption, and utilisation outcomes

Provide insights and recommendations to the Patient Steering & Utilisation Management Lead to drive corrective actions

Qualifications & Experience Required Bachelor’s degree in Healthcare, Business, Life Sciences or related field 8–12 years experience in network, utilisation, or provider strategy Experience in provider network strategy, utilisation management, or healthcare transformation Strong exposure to pre‑authorisation 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 change‑enablement skills Ability to influence providers and internal teams without direct authority Data‑informed decision‑making and performance tracking capability Structured, outcome‑oriented 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

Our purpose is to act for human progress by protecting what matters

As one of the most diversified insurers in Hong Kong, we offer integrated solutions across Life, Health and General Insurance

We are the largest General Insurance provider and a major Health and Employee Benefits provider

Our aim is to not only be the insurer to provide comprehensive protection to our customers, but also a holistic partner to the individuals, businesses and community we serve

At the core of our service commitment is continuous product & service innovation and customer experience enrichment, which is achieved through actively listening to our customers’ needs and leveraging and investing in technology and digital transformation

We embrace our responsibility to be a driving force against climate change and a force for good to create shared value for our community

We are proud to be the first to address the importance of mental health through different products and services and thought leading iconic research

Our overall Sustainability Strategy, with emphasis on climate strategy and biodiversity commitment, is developed based on TCFD recommendations

We are committed to integrating environmental, social and governance factors across our business and strive to contribute to a sustainable future through 3 distinct roles - as an investor, an insurer and an exemplary company

AXA is an equal opportunity employer

We are committed to promoting Inclusion and Diversity (I&D) by creating a work environment where all employees are treated with dignity, respect, and where individual differences are valued

We welcome and treasure diverse profiles to join our big family, and to build an inclusive culture together which allows everyone to maximise their personal potential

Our people strategies are designed to enhance employee well-being and professional growth, ultimately empowering them to excel within the company

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