Senior Manager, Panel Management & Clinical Quality

ABOUT THE ROLE: 
To ensure safe, high-quality, and sustainable care for Income members by governing clinical standards, shaping doctor behaviour, and stewarding a defensible, high-performing provider panel.
This role integrates clinical oversight, doctor behaviour management and quality governance to safeguard standards and reduce variation.
 

KEY RESPONSIBILITIES INCLUDE:

1.    Lead empanelment and dispanelment of doctors in line with governance and regulatory standards. 
-    Segment panel doctors by utilisation patterns, outcomes, and adherence to pathways.
-    Identify high variance behaviours (over investigation, over treatment, repeated exceptions).
-    Implement peer benchmarking, feedback loops, and engagement/education sessions.
-    Lead remediation and manage structured depaneling when necessary.
2.    Provide clinical oversight of doctor panel credentialing, quality, and performance. 
-    Own clinical standards, pathways, and panel participation criteria.
-    Run governance cycles for pathway reviews, clinical policy refresh, and defensibility.
-    Ensure all standards are embedded consistently across.
3.    Oversee compliance monitoring, surveillance activities, and audit readiness. 
-    Maintain the integrity, credentialing, and clinical eligibility of the doctor panel.
-    Lead quality of care incident reviews, adverse event assessments, and repeat pattern analysis.
-    Run periodic panel quality audits.
-    Oversee risk flags and escalate where care patterns indicate systemic quality concerns.
4.    Act as the clinical peer lead for panel doctors, including issue resolution and escalations. 
5.    Support the expansion and ongoing development of the doctor panel.
6.    Identify and manage clinical, regulatory, and operational risks related to panel management.
-    Provide clinical input into claims rules
-    Partner with Claims to align medical necessity decisions and peer-to-peer reviews.
-    Ensure clinical defensibility of all panel, claims, and utilisation decisions.
7.    Contribute clinical insights to health strategy and panel-related initiatives.
 

REQUIREMENTS:
•    Degree in healthcare, life sciences, public health, health administration, or a related discipline, Medical Doctor (MD) or equivalent clinical qualification is preferred.
•    Strong understanding of the healthcare system in Singapore. 
•    Experience in healthcare provider management, clinical governance, medical affairs, healthcare operations, or a related governance or quality role. 
•    Demonstrated experience in managing healthcare compliance, quality assurance, or regulatory-related functions. 
•    Proven ability to engage, influence, and build effective working relationships with medical professionals and senior stakeholders.