Team Member - Health Management

Job Description

` Annexure I : ABG Job Description Template ` HayGroup Job Description Template 2017 Basic Details: Fill the required information about business, unit, location, position, reports to position and date of updation of JD Business Financial Service - HO Unit Aditya Birla Health Insurance Company Ltd Location Thane Poornata Position Number of the job Reports to: Poornata Position Number Poornata Position Title of the job (30 characters max) Reports to: Poornata Position Title Function Services Operations Reports to: Function Services Operations Department Health Management Reports to: Department Health management Designation of the Employee Deputy Chief Manager Designation of the Manager Deputy Vice President Date of writing/updation of JD 29th October 2025 ` Annexure I : ABG Job Description Template ` HayGroup Job Description Template 2017 1) Job Purpose: Write the purpose for which the job exists (in 2-3 lines) (Max 1325 Characters) The Role will be an integral part of the Clinical Data Analytics team, contributing to the advancement of health analytics within the organization. Reporting to the Deputy Vice President & Head of Clinical Data Analytics, this role is pivotal in shaping the statistical foundation of population health analytics initiatives. The primary purpose of this position is to validate, optimize, and maintain statistical models that underpin the organization's Wellbeing Score, Family Wellbeing Score, Corporate Health Index, and Lifestyle Scores. By applying advanced statistical methods and causal analysis, the Role ensures that data-driven insights are accurate, actionable, and aligned with business and customer engagement goals. The role focuses on ensuring the robustness and scalability of statistical heuristics and fostering a culture of continuous improvement in modeling approaches. The Role will collaborate with cross-functional teams, including business stakeholders, technical experts, and subject matter specialists, to support the organization's mission of improving population health and customer engagement strategies. They will also uphold the integrity of data governance protocols and contribute to the automation of model updates and reporting processes to enhance efficiency and compliance with regulatory standards. This role provides the opportunity to contribute to transformative projects, engage in innovative research, and influence decision-making through rigorous statistical insights that directly impact the health and wellbeing of individuals and organizations. 2) Dimensions: Mention quantitative or qualitative parameters that are relevant for the job and provide a better understanding of the scope and scale of the job. Business Workforce Number (Max 254 Characters) Unit Workforce Number (Max 254 Characters) Function Workforce Number (Max 254 Characters) Department Workforce Number (Max 254 Characters) Other Quantitative and Important Parameters for the job: Budgets/ Volumes/No. of Products/Geography/ Markets/ Customers or any other parameter ` Annexure I : ABG Job Description Template ` HayGroup Job Description Template 2017 3) Job Context & Major Challenges: Write the specific aspects of the job that provide a challenge (internal and external) to the jobholder in the context of the Business/Unit/Function/Department/Section ((Max 3975 Characters) About the Health Insurance Industry - While the current market sees more than 15 non-life players in the private space and 5 exclusive private players in the health insurance space trying to capture a sizable market share, the nationalized service provider (6) remains a strong competitor. In addition to this the business dynamics are such that the overall market on an annual basis which is to the tune of roughly 10,000 Crs sees close to 85 % of the business renewing with the existing service provider itself. This narrows down the opportunity of the fresh business actually being seriously fought in the market to approximately 1500 odd Crs. With the SME and the start-ups being the driving force of Indian economy, the opportunity to cater to these segments is immense and is increasing manifold year on year. The challenge here therefore remains as to how we capture a larger share of the opportunity by developing specific solutions to cater each segment of the business. Also by creating an inexpensive and standardized solution to increase the reach into the pockets of channel partners across the country to harness on their captive business and explore new opportunities with them. Market Opportunities - With the advent of medical advancements, lifestyle changes, change in Indian socio economic scenario and Indian healthcare space, and the insurers are facing challenges to cater to the needs of this diverse clientele. Increasingly Indian customers have started considering health insurance partners as extensions of health advisers. In this scenario it becomes extremely important to understand their psyche and then provide tailored solutions with Wellbeing score and Risk stratification which would help them meet their end objectives and bring in profitable revenue source for the company. About the Aditya Birla Health Insurance - Aditya Birla Health Insurance Co. Limited (ABHICL) was incorporated in 2015 as a 51:49 joint venture between Aditya Birla Capital Limited (ABCL) and MMI Strategic Investments (Pty) Ltd. ABHICL commenced its operations in October 2016. ABHICL has entered the competitive health insurance market with an aim to expand the category to wider customer segments, beyond the ones that health insurance companies traditionally have marketed to. As the 6th entrant in a category with well-established players, ABHICL is creating differentiation and equity for itself though the unique business proposition of Health Insurance for All, a one of a kind proposition in India at the moment. This is a philosophy that is being built through every single consumer touch point and into every single backend process of the company to ensure a customer's experience of our proposition is continuous and seamless. ABHI's unique offering to market includes proposition includes - . A Comprehensive Incentivized Wellness Program that will attract the young and health conscious and will motivate, guide and reward them to stay healthy . A Chronic Care Management Program to cater to the unmet needs of a growing Indian population of those suffering from chronic lifestyle conditions like Diabetes, Asthma, High Cholesterol and Hypertension from Day 1 . ABHICL serves as an enabler and influencer of health and healthcare choices that customers make, in addition to being a payer of healthcare expenses. Thus, ABHICL would act like a much needed catalyst to grow the prevalent health insurance landscape in India through product innovations and a wider choice of consumer relevant products. . ABHICL's vision has always been digital. The company has been successful in adopting paper-less approach right from identifying to on-boarding to delivering seamless experience of its customers & employees. Challenges - ` Annexure I : ABG Job Description Template ` HayGroup Job Description Template 2017 3) Job Context & Major Challenges: Write the specific aspects of the job that provide a challenge (internal and external) to the jobholder in the context of the Business/Unit/Function/Department/Section ((Max 3975 Characters) . Evolving Customer and Population Health Needs (Internal/External): The role demands continuous adaptation to evolving health trends and customer needs, requiring frequent updates and optimization of statistical models to ensure relevance and accuracy in dynamic business environments. . Regulatory Compliance and Data Governance (External): Ensuring all statistical models and data processes adhere to stringent regulatory standards such as those set by the NHA, while maintaining compliance with data privacy and protection laws, adds complexity to project execution. . Cross-functional Collaboration and Alignment (Internal): Working with diverse stakeholders across business, technical, and clinical teams poses challenges in aligning statistical models with organizational goals and customer engagement strategies. . Scalability and Automation of Models (Internal): Developing models that are not only accurate but also scalable and automated for efficiency can be challenging, particularly in ensuring seamless integration with existing systems and workflows. . Causal Analysis and Beyond (Internal/External): Moving beyond correlation to establish robust causal relationships in population health analytics requires advanced statistical expertise, reliable data, and significant computational resources, often under tight deadlines. 4) Key Result Areas: Write the key results expected from the job and the supporting actions for each of these key result areas (For a majority of jobs typically there could be 4- 7 key result areas)- Maximum 10 KRAs can be updated Key Result Areas (Max 1325 Characters) Supporting Actions (Max 1325 Characters) 1. Integrated Health Data & Platform Development :- Lead backend integrations connecting health, wellness, and financial datasets to enable unified, analytics-ready platforms supporting customer and partner journeys. . Drive reverse data integration across coaching, OPD, and diagnostic vendors. . Lead automation for ingestion, validation, and enrichment. 2. Data Reporting & Dashboard Automation :- Ensure timely, accurate, and automated publication of business and health-management reports for leadership and functional stakeholders. . Deliver BMA, CEO, DRM, and HM P&L reports as per schedule. . Automate recurring dashboards (HM, EW, OPD). . Maintain data integrity and visualization consistency. . Partner with Finance for accuracy and budget alignment. 3. Portfolio Analytics & Financial Impact Measurement:- Develop analytical frameworks linking wellness participation, health outcomes, and claims experience to measure ROI and business impact. . Build models connecting wellness scores to IR/LR/LOS. . Conduct re-admission and high-risk analysis .. Publish evidence-based insights for leadership decisions. . Integrate findings into portfolio-level financial dashboards. ` Annexure I : ABG Job Description Template ` HayGroup Job Description Template 2017 4. Group Wellness Delivery & Client Engagement :- Lead execution and tracking of corporate wellness programs to drive measurable engagement and satisfaction. . Deliver programs as per defined corporate priority. . Baseline group clients on risk, engagement, and benefit utilization. . Publish progress and outcome dashboards. . Coordinate with RM/HR teams for on-time delivery. 5. Governance, Capability & Process ExcellenceStrengthen data governance, team capability, and process standardization to support ABHI's health-management strategy. . Establish SOPs and data-quality checks. . Build analytics and visualization capability within team. . Drive completion of IDPs and continuous skill upgrades. 5) Job Purpose of Direct Reports: Describe the job purpose of the direct report/s to the job (in 2-3 lines for each report) NA 6) Relationships: Describe the nature and purpose of most important contacts or relationship (except superior/team members) with individuals, departments, organizations inside and outside of the organization, that job is required to interact with in order to deliver the job objectives Relationship Type (Max 80 Characters) Frequency Nature (Max 1325 Characters) Internal DRM team BIUteam/Digital team/Marketing team As and when required As and when required To decide on Micro cohorts and periodic insight sharing on the health improvement front. Establish correlation between Risk stratification and cross functional data For Customer response on the communication For app downloads to collect health data External NA 7) Organizational Relationships: Provide the structure for a level above and below the position for which this job description is written. Use position titles in the structured and indicate all the reports of the position. ` Annexure I : ABG Job Description Template ` Gaurav Tripathi Gouri Karazgi Birendra Yadav Kamlesh Gadhge To B Hiredi Rajesh patidar Akshata Kale Ravi Nikam Jaimeen Panchall SIGN-OFF: Provide the name of the Manager and the jobholder. Signature needed for the hard copy of the JD. Hard copy to be maintained in the organizational record. Job Holder Reports to - Manager Name Signature (needed for the hard copy) Job Description Template 2017 HayGroup