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- Tasks: Lead and manage key medical schemes for elite athletes, ensuring top-notch healthcare delivery.
- Company: Join a leading group in elite sports healthcare with over 30 years of experience.
- Benefits: Enjoy competitive salary, private medical insurance, and flexible working options.
- Why this job: Make a real impact on the health of professional athletes while shaping healthcare systems.
- Qualifications: 10-15 years in insurance or healthcare scheme management with strong analytical skills.
- Other info: Work closely with senior decision-makers in a dynamic and influential environment.
The predicted salary is between 72000 - 108000 £ per year.
Support elite performance with exceptional care. The Health Partners Europe Group (HPE, Sempris and Formis) operate at the heart of elite and professional sport across the UK. For over thirty years, Health Partners has developed and maintained a comprehensive, unified ecosystem covering healthcare, performance and risk governance. Through three closely aligned businesses, we coordinate care for professional athletes across football, rugby, cricket, and over 75 sporting disciplines, alongside the provision of specialist indemnity insurance for sports medics and the data driven performance management of elite athletes.
Our clients include Premier League Football Clubs, National Governing Bodies, National squads, academy, youth and disability players. We facilitate the medical care of more than 97% of all professional football players across the 92 clubs in the Premier League and English Football League. We are trusted by some of the largest sporting organisations in the world for our discretion, governance, and ability to build and maintain complex healthcare systems.
The group continues to grow and we are looking for an experienced, strategic, and commercially grounded individual to join us as our Senior Medical Scheme Manager.
Role Overview
This is a senior role with strategic and holistic oversight of key medical schemes and healthcare trusts. It requires a seasoned professional who brings 10–15 years of experience in insurance, healthcare scheme management, trust administration, or a comparable environment. You will be responsible for the performance, governance, financial integrity, and development of one or more major schemes. This includes data analysis, reporting to boards and trustees, contribution and rate-setting, and the continuous improvement of scheme processes and systems. You will work closely with senior clinicians, NGBs, administrators, and specialist healthcare providers. The role suits someone who is comfortable switching between high-level strategic thinking and detailed operational oversight, who can bring clarity, structure, and considered judgement to complex schemes.
Key Responsibilities
- Strategic Scheme Management & Governance
- Provide overarching leadership and direction for assigned schemes, ensuring alignment with trust objectives and governance requirements.
- Lead annual renewal cycles, preparing contribution recommendations, performance summaries, and board-level presentations.
- Maintain a deep understanding of scheme rules, benefits, pricing frameworks, and governance processes.
- Identify emerging issues, trends, or risks and communicate them effectively to trustees, boards, or internal leadership.
- Ensure scheme decisions are consistent, transparent, and aligned with policy and regulatory expectations.
- Financial Oversight & Performance Management
- Own the end-to-end financial management of the scheme, including contribution setting, loss-ratio analysis, and forecasting.
- Conduct detailed quarterly membership reconciliations and issue accurate contribution invoices to all scheme participants.
- Oversee claims and benefits administration, including adjudication of discretionary requests and escalation where appropriate.
- Reconcile management accounts, provider invoices, and internal claims data to ensure financial accuracy and accountability.
- Monitor spend patterns, utilisation rates, and high-cost cases to support strategic decision-making.
- Stakeholder & Relationship Management
- Act as a senior point of contact for scheme administrators, clinicians, providers, and internal teams.
- Build trusted working relationships that support scheme stability, responsiveness, and good communication.
- Provide clear guidance on scheme rules, eligibility, and administrative processes.
- Represent the scheme in meetings with trustees, board members and partner organisations.
- Data, Reporting & Insight
- Produce timely, accurate and strategic reporting packs, including utilisation trends, financial performance, risk insights, and scheme commentary.
- Conduct deep-dive analysis to support renewal discussions, pricing decisions, and governance reviews.
- Respond to ad-hoc data requests from boards, clubs, NGBs, and senior stakeholders.
- Maintain and evolve scheme datasets, ensuring high data quality and clear audit trails.
- Systems, Processes & Continuous Improvement
- Maintain accurate system configuration for scheme pricing, eligibility rules, member categories, and benefit limits.
- Define and communicate system change requirements; work with developers and analysts to support improvements.
- Contribute to the development of internal tools, dashboards, and reporting automation.
- Support the evolution of operational processes to increase efficiency, accuracy, and user experience.
- Additional Responsibilities
- Provide mentorship and structured oversight for colleagues working within the scheme.
- Support organisational projects relating to new schemes, system upgrades, or operational redesign.
- Participate in governance reviews, audits, and internal quality processes.
What We’re Looking For
Essential
- 10–15 years’ experience in insurance, healthcare scheme management, trust administration, or PMI.
- Proven ability to operate at a senior level with strategic oversight of complex schemes or portfolios.
- Strong financial and analytical capability, with experience in contribution-setting, reconciliation, and scheme performance management.
- Excellent communication skills, able to engage credibly with board members, trustees, and senior sport executives.
- A calm, organised, and structured approach, with strong judgement and attention to detail.
- Confidence managing sensitive or high-stakes issues within a governance-led framework.
Desirable
- Experience working with sporting organisations, healthcare providers, or regulated environments.
- Advanced Excel skills or exposure to SQL or data tools.
- Experience presenting insights or recommendations at board level.
- Understanding of medical terminology or healthcare delivery (training can be provided).
Perks & Flexibility
- Exposure to senior decision-makers across elite sport and private healthcare.
- Opportunity to influence and shape the evolution of major medical schemes and sit at the intersection of healthcare, risk and performance management across the elite sports landscape.
- 4 days in the office across Surrey and Central London offices. 1-day WFH.
- Flexible structure: 4 or 5 working days considered.
Location: Surrey
Full MHD Private Medical Insurance
Highly competitive pension contribution and host of other benefits
Salary: Competitive and reflective of senior experience.
Senior Medical Scheme Manager in Sutton employer: Health Partners Europe
Contact Detail:
Health Partners Europe Recruiting Team
StudySmarter Expert Advice 🤫
We think this is how you could land Senior Medical Scheme Manager in Sutton
✨Tip Number 1
Network like a pro! Get out there and connect with people in the industry. Attend events, join online forums, and don’t be shy about reaching out to professionals on LinkedIn. You never know who might have the inside scoop on job openings!
✨Tip Number 2
Prepare for interviews by researching the company and its culture. Understand their values and how they align with your own. This will help you tailor your responses and show that you're genuinely interested in being part of their team.
✨Tip Number 3
Practice makes perfect! Conduct mock interviews with friends or family to get comfortable with common questions. This will help you articulate your experience and skills confidently when it counts.
✨Tip Number 4
Don’t forget to follow up after interviews! A simple thank-you email can go a long way in leaving a positive impression. It shows your enthusiasm for the role and keeps you fresh in their minds.
We think you need these skills to ace Senior Medical Scheme Manager in Sutton
Some tips for your application 🫡
Tailor Your Application: Make sure to customise your CV and cover letter for the Senior Medical Scheme Manager role. Highlight your relevant experience in insurance and healthcare scheme management, and don’t forget to mention any specific achievements that align with the job description.
Showcase Your Strategic Thinking: We want to see how you can think big! In your application, emphasise your ability to manage complex schemes and provide strategic oversight. Use examples from your past roles where you’ve successfully led initiatives or improved processes.
Be Clear and Concise: When writing your application, clarity is key. Use straightforward language and avoid jargon unless it’s relevant to the role. We appreciate a well-structured application that gets straight to the point while still showcasing your personality.
Apply Through Our Website: Don’t forget to submit your application through our website! It’s the best way for us to receive your details and ensures you’re considered for the role. Plus, it shows you’re keen on joining our team at Health Partners Europe Group!
How to prepare for a job interview at Health Partners Europe
✨Know Your Schemes Inside Out
Before the interview, make sure you have a solid understanding of the medical schemes and healthcare trusts you'll be managing. Familiarise yourself with their rules, benefits, and governance processes. This will not only show your expertise but also demonstrate your commitment to the role.
✨Prepare for Financial Discussions
Given the financial oversight required in this role, brush up on your financial management skills. Be ready to discuss contribution-setting, loss-ratio analysis, and how you would approach forecasting. Having specific examples from your past experience can really set you apart.
✨Showcase Your Stakeholder Management Skills
This position involves working closely with various stakeholders, so be prepared to share examples of how you've built trusted relationships in previous roles. Highlight your communication skills and how you've effectively engaged with board members or senior executives.
✨Demonstrate Analytical Thinking
The role requires a strong analytical capability, so come prepared to discuss how you've used data to drive decisions in the past. Bring examples of reports you've produced or insights you've generated that led to significant improvements in scheme performance or governance.
