11 Oct
|
Amplify Health
|
Noida
11 Oct
Amplify Health
Noida
About Amplify Health
Who We Are
Amplify Health Asia Pte. Limited (Amplify Health) is a pan-Asian health technology and analytics company which brings together health technology assets, proprietary data analytics and healthcare expertise to support innovation across the healthcare value chain.
Headquartered in Singapore, Amplify Health operates in 10 markets across the region: Australia, Hong Kong, India, Indonesia, Malaysia, New Zealand, the Philippines, Singapore, Thailand and Vietnam.
Amplify Health develops integrated solutions that empower healthcare payors, providers and policymakers across Asia to identify value and drive new partnerships, understand variation and address systemic inefficiencies—with the aim of improving outcomes for individuals and the sustainability of health systems.
Powered by a clinically enriched data foundation, Amplify Health’s health intelligence platform combines modular AI solutions, context-aware automation and deep regional insights to offer localised, AI-powered health solutions spanning health payment integrity to chronic disease management. The company’s technology has earned recognition at several industry competitions, including the Celent Model Insurer Awards, ITC Asia Awards and SBR Technology Excellence Awards.
As an ISO27001 certified organisation, Amplify Health maintains clearly defined policies, structured oversight mechanisms and ongoing risk assessments that ensure alignment with global best practices on enterprise data security.
Our Vision and Ambition To build the leading healthcare AI and platform services company in Asia that transforms the delivery of health and wellness for patients and communities by combining and leveraging the distinctive and complementary assets and strengths of AIA and Discovery.
Amplify Health will simplify access to health data and AI Innovation to accelerate distinct and disruptive healthcare value insights and resulting improvements in health outcomes through value-based care, personalised care plans and aligning individuals’ lifestyle/ behavioural choices.
By 2028, Amplify Health will have in place one of Asia’s strongest health-tech and AI capabilities; a comprehensive, integrated health technology stack supported by precision insights derived from proprietary data pools.
The Position
Role Overview
We are seeking a strategic and experienced healthcare leader to own the end-to-end Clinical Coding & Assets portfolio.
The role combines leadership of clinical annotation and encoded-data optimization with the creation, acquisition, validation, integration, maintenance and governance of clinical coding assets, ontology development, crosswalks, reference lists and grouper systems.
The successful candidate will ensure that the encoded clinical data is accurate, clinically meaningful, scalable and fit for use across products, analytics, automation and client implementations. This role requires deep expertise in international healthcare coding, billing and terminology standards, automation tools, together with robust leadership and stakeholder engagement across APAC and global markets.
Responsibilities
1. Portfolio strategy, governance and roadmap
- Own the strategy, roadmap and operating model for the Clinical Coding & Assets portfolio.
- Prioritize portfolio initiatives based on client needs, market requirements, product value, regulatory considerations and scalability.
- Establish governance for asset development, acquisition, ingestion, annotation, validation, implementation, versioning, monitoring and retirement.
- Track portfolio performance and identify opportunities to improve coverage, accuracy, usability, automation and operational efficiency.
- Prepare quarterly management updates and lead roadmap planning, sprint planning and backlog grooming.
2. Clinical coding & encoded-data optimization
- Lead end-to-end clinical annotation and validation processes across international, regional and client-specific coding systems.
- Lead and manage initiatives to improve encoded-data coverage, clinical accuracy, usability and scalability across markets and implementations.
- Lead the definition of clinical and operational logic underpinning encoded data and supervise its alignment with business workflows and intended product use.
- Manage and supervise audits to assess completeness, accuracy and alignment with expected outputs, and lead resolution of escalated discrepancies or anomalies.
- Partner with coding, terminology, interface and data science teams to improve automation, modelling, ground-truth datasets and scalable data workflows.
- Support product teams in improving coding accuracy and enabling responsible use of generative AI and other automation models.
3. Clinical assets ingestion, integration and lifecycle management
- Lead the onboarding of current clinical coding assets into the central database and ensure data integrity, consistency and alignment with established models and standards.
- Oversee the creation, acquisition, validation,
maintenance and controlled release of classifications, code sets, reference lists, crosswalks and related terminology assets.
- Collaborate with terminology, engineering and data science teams to define and implement scalable schemas, properties and data structures.
- Serve as the subject matter expert for schema scalability and localization across countries, clients and products.
- Ensure seamless and traceable integration of clinical assets and encoded data into databases and downstream product workflows.
4. Clinical Ontology development and governance
- Lead and manage the end-to-end development, implementation and lifecycle governance of clinical and billing ontologies that support coding, claims, analytics, automation and product use cases.
- Supervise the design of ontology domains, concept hierarchies, properties, relationships, modifiers and metadata, ensuring structures are clinically valid, mutually exclusive where required, scalable and reusable across markets.
- Lead the definition of ontology principles, modelling standards, naming conventions, semantic rules and acceptance criteria, and ensure consistent application across the team.
- Manage the mapping and alignment of ontology concepts to source terminologies, classifications, local code sets, reference lists and billing constructs while preserving provenance and traceability.
- Supervise clinical annotation, expert review, testing and quality assurance of ontology content, including the resolution of ambiguous, overlapping or conflicting concepts.
- Lead collaboration with product, engineering, data science, coding and operational teams to translate business and clinical requirements into implementable ontology schemas and data models.
- Manage ontology versioning, change control, release documentation, impact assessment and communication to downstream users and systems.
- Lead the development of reusable ontology assets and decision logic that improve semantic interoperability, encoded-data consistency, explainability and automation readiness.
- Supervise ontology performance monitoring and continuous improvement using coverage, accuracy, usability, consistency and implementation feedback.
5. Clinical Assets - Crosswalks, classifications and grouper systems
- Lead and supervise the development, validation and refinement of crosswalks between coding systems, including SNOMED CT, ICD variants, CPT and other relevant classifications.
- Manage mapping governance, version control, traceability and documented rationale for mapping decisions.
- Lead comparative analyses of Diagnosis-Related Group systems and other clinical or reimbursement groupers across markets.
- Supervise documentation of differences between grouper methodologies and lead assessment of implications for product configuration, analytics, reimbursement and reporting.
- Translate international standards and methodologies into practical, market-relevant recommendations.
6. Clinical data assessment and standardization
- Lead reviews of market-specific clinical and claims data and recommend suitable standardization and coding approaches.
- Define and validate schemas, property structures and data rules against clinical, operational and business requirements.
- Support harmonization of heterogeneous source data while preserving source meaning, traceability and market-specific requirements.
- Establish repeatable quality controls for data assessment, standardization and encoded-data releases.
7. Product and solution enablement
- Lead cross-functional engagement with product, clinical, actuarial, analytics and data science teams during requirement gathering and solution design.
- Manage ongoing subject matter support for coding, terminology, ontology, assets and grouper-related queries across portfolios such as Provider Management, Member Risk Profile, Chronic Disease Management, Rules and Benefits, and Asset Management.
- Ensure that portfolio outputs are clinically relevant, usable by clients and aligned with product strategy.
- Lead clarification of coding, terminology and ontology logic, manage communication of updates, and supervise effective adoption by internal and external users.
8. Research, licensing and external standards
- Monitor international and APAC developments in coding classifications, terminologies, crosswalks, reference lists, groupers, healthcare billing and regulatory standards.
- Lead and supervise structured research into concepts and methodologies from recognized healthcare organizations and regulatory bodies in leading jurisdictions.
- Recommend building, acquire or license strategies for priority assets, considering business value, scalability,
permitted use and maintenance requirements.
- Manage licensing engagements, requirements gathering and vendor coordination, and supervise compliance with licensing terms and data-use agreements.
- Supervise evidence-based documentation of sources, assumptions, decisions and implementation implications.
9. Stakeholder engagement
- Lead engagement with internal stakeholders, including product managers, data scientists, analysts, medical coders, clinicians and operational teams.
- Collaborate with clients, regulators, providers, vendors and industry bodies to align expectations and uphold applicable standards.
- Facilitate workshops, working groups and feedback loops to build shared understanding of requirements and drive continuous improvement.
- Act as the primary liaison for complex coding, terminology, assets and grouper matters across the organization.
10. Leadership, team management and ways of working
- Lead and mentor a multidisciplinary team of coding and terminology specialists, with the ability to operate across a large delivery function and smaller specialist asset teams.
- Set clear priorities, quality expectations and development plans, and provide regular coaching and constructive feedback.
- Develop and maintain SOPs, principles, guidelines and workflows covering the full portfolio lifecycle.
- Ensure documentation remains current with standards, regulatory expectations and operational practices.
- Deliver training on client and market requirements, coding validation, asset recommendation, grouper interpretation and subject matter standards.
- Promote international and regional knowledge sharing, consistency and collaboration across Clinical Informatics.
- Provide critical subject matter support to other clinical portfolios through expert review, actionable feedback and strategic alignment.
Candidate Profile
Experience and Qualifications
Essential
- Graduate healthcare qualification, preferably a medical degree with at least 05 years of post-qualification experience.
- At least 8 years of relevant experience spanning health insurance, clinical coding and validation, healthcare data or database management, and stakeholder engagement.
- At least 3 years of experience in a leadership role.
- Deep knowledge of clinical terminologies, coding assets, healthcare billing practices, crosswalks, classifications and grouper systems.
- Demonstrated experience leading annotation, validation, data-quality or clinical asset lifecycle processes.
- Strong stakeholder management and communication skills across clinical, product, operational, technical and regulatory domains.
Preferred
- Master's degree in Health Informatics, Clinical Sciences, Public Health, Health Administration or a related discipline.
- Private healthcare or health insurance experience in Asia or other international markets.
- Experience managing distributed, multidisciplinary teams and supporting multiple concurrent products or markets.
- Experience with licensing, vendors and controlled use of third-party clinical content.
Competencies & Core Characteristics:
Technical Understanding
Core requirements
- Strong understanding of healthcare-specific data claims data and encoded clinical information.
- Detailed working knowledge of international coding systems and terminologies, including ICD, CPT, SNOMED CT, LOINC and ATC, together with client-specific classifications where relevant.
- Detailed knowledge of groupers, crosswalks, reference lists, coding schemas and version-control practices.
- Understanding of healthcare billing, patient health management, provider profiling, healthcare reporting and related technologies.
- Competence in Microsoft Office, particularly Excel, Access and PowerPoint.
Advantageous
- SQL, Python and advanced Excel skills.
- Understanding of advanced statistics, risk adjustment, health outcomes indices and related metrics.
- Knowledge of data science and generative AI applications in healthcare.
- Experience with Microsoft Azure services such as Databricks, Synapse and Data Factory.
Behavioral capabilities
- Strategic leadership with the ability to translate complex clinical content into scalable portfolio priorities.
- Strong analytical thinking, clinical judgment and rigorous problem-solving capability.
- High attention to detail and a consistent focus on quality, traceability and continuous improvement.
- Exceptional communication and facilitation skills across diverse stakeholder groups.
- Ability to challenge assumptions constructively and convert feedback into improved delivery.
- Resilience, energy, accountability and a positive, collaborative approach.
- Excellent planning and coordination skills, with the ability to balance multiple priorities in a fast-paced environment.
Join Us
If you are passionate about leveraging data to drive healthier outcomes across Asia and thrive in a dynamic, mission-driven environment, we encourage you to apply.
Amplify Health is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
📌 Senior Specialist-Clinical Coding & Assets (Noida)
🏢 Amplify Health
📍 Noida