Clinic Service Design Lead

MediCard Phils., Inc. is one of the country's leading HMO and the only HMO founded and run by Doctors. Since its inception, the concept of service-oriented total health care has been the molding ideal of MediCard.  The competition is vast, and the benefits being offered by the competitors are tempting.  However, MEDICard has taken the lead in providing innovative and productive ideas that cut down the cost of health maintenance without compromising its quality.

MediCard now boasts of more than half a million members and over 54,000 accredited doctors in over 1,000 hospitals and clinics nationwide. It also operates 16 MediCard free-standing clinics that provide services at par with those offered by hospitals minus the confinement.

MediCard is currently looking for assertive, dynamic and energetic individuals to fill up the following vacancy:

Leads needs assessment, competitor benchmarking, service packaging, pricing logic, and workflow design. Partners with Medical, Operations, IT, and BD to ensure services can launch reliably and scale profitably.

Job Purpose
Define demand-aligned clinical and ancillary service offerings, pricing, and patient experience for new clinics, ensuring product-market fit, reimbursement alignment, and operational executability.

Key Duties & Responsibilities

A. Needs & Market Assessment
Conduct client and catchment assessments; identify gaps versus demand and competitors.
Review current operational flows and benchmark pricing and inclusions.

B. Service Definition & Pricing
Design modular service packages (with PhilHealth/HMO alignment) and pricing structures.
Model revenue and margins versus business case and capacity constraints.

C. Experience & Workflow Design
Map patient journeys, SOPs, and handoffs to optimize throughput and satisfaction.
Coordinate IT enablement, documentation, and training requirements.

D. Commercial Enablement
Produce service catalogs and sales enablement materials; present to clients pre-launch to secure commitments.

Expected Results (Success Metrics)
PhilHealth coverage maximized per service; reimbursement captured with minimal denials.
≥20% of patient volume from non-HMO segments by Month 12.
Capacity utilization ≥60% in Year 1; stakeholder sign-off within 45 days.

Qualifications
Education & Experience
Bachelor’s degree required; clinical or health administration background preferred.
Experience in clinical operations and/or HMO product design.

Knowledge, Skills & Attributes
Commercial acumen; market segmentation; financial modelling.
Working knowledge of DOH and PhilHealth requirements.
Strong collaboration and documentation skills.

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