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

Manager

Designation of the Manager

Manager

Date of writing/updation of JD

18^th March 2026

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

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 -

- Integration of multiple data sources including claims, policy, wellness, and external health data
- Ensuring data quality and standardization (ICD, lab data, etc.)
- Regulatory compliance with ABDM and data privacy standards
- Building scalable and efficient SQL queries
- Aligning business requirements with data architecture

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

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

Relationship Type (Max 80 Characters)

Frequency

Nature (Max 1325 Characters)

Internal

DRM team

BIUteam/Digital team/Marketing team

As and when required

Monthly

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.

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)