WW6482 - Health Information Manager - (Full-Time ) - Medibank Private,Docklands, VIC

We are Medibank – an integrated healthcare company providing private health insurance and health solutions to 3.7 million Australians. At Medibank we stand for better health for better lives.

About Us

We're passionate about nurturing careers.

We support new innovation and thinking, and openly collaborate and share new ideas. We're healthy and active in our lives and wellbeing is encouraged at every level. Our people play an important role in the future of health and healthcare and we believe that working together, we're stronger

The Opportunity

Due to growth in the team, a new opportunity exists for a Health Information Manager to join our Health Audit Team at the Medibank head office in Docklands. You will be an active member of a team that collaborates with hospitals to provide excellence and integrity in hospital claiming.

The Healthcare and Strategy team is focused on redefining the way healthcare will be purchased, funded and delivered in order to improve the health system experience. Our aim is to create a centre of excellence that is driven by innovation, clinical expertise, the patient experience and informed healthcare purchasing. Therefore we are building our capability by investing in provider management, analytics and insights capability.

In this role you will be required to:

  • Conduct hospital claim reviews, refund requests and manage other admission related queries;
  • Provide accurate advice and guidance on payment integrity initiatives, including advice on casemix, DRG and clinical coding matters to internal and external stakeholders in relation to hospital claim payments;
  • Contribute to the development and implementation of solutions to ensure strong data quality and payment integrity;
  • Analyse and report on payment integrity data, outcomes and trends
  • Participate in data integrity activities to ensure compliance with hospital contractual agreements, Australian Coding Standards and other industry guidelines and
  • Conduct audits of claims for external parties, as required

This is an exciting and diverse role situated at our award winning head office located in Melbourne’s Docklands and is supported by a team of Health Information Managers, Clinical Coders, Data Analysts, Clinicians and Claims specialists.

Medibank values flexible working practices and professional development, providing opportunities for further training, including education and conferences applicable to the role.

About you

This role will suit an organised and confident Health Information Manager with an eye for detail and strong time management skills. Presenting with coding experience, ideally at a tertiary level, you will be supported by the appropriate qualifications.

Sound knowledge of DRGs, current coding experience with ICD-10-AM/ACHI and strong communication skills will be crucial to your success in this position. You will also have competent knowledge and skills with Microsoft Office products, particularly Excel.

While not mandatory, a knowledge and understanding of the private health insurance sector, will be highly regarded.

What We Offer

In return for your hard work we offer a range of great benefits, including subsidised private health insurance, travel insurance and pet insurance.

Furthermore, we take the health and wellbeing of our employees seriously, offering flexible working conditions and encouraging wellbeing at all levels of life.

Medibank is an equal opportunity employer committed to providing a working environment that embraces and values diversity and inclusion. If you have any support or access requirements, we encourage you to advise us at the time of application to assist you through the recruitment process.

A Career at Medibank adds up to more. More achievement. More progress. More passion and more innovation for health.


Nisha Gopinath
Talent Acquisition Partner
Phone: (03) 8622 5970
Email: nisha.gopinath@medibank.com.au

Reference Number: 


Applications Close On: 
21 December 2018