GMHBA's Graduate Program

PHI:  Clinical & Program Team (Benefits Management)

This team includes the clinical component of the private health insurance (PHI) arm of the business.  The team manages the funds most complex, high claiming members, working with them to assist in reducing the frequency of admissions and reducing length of hospital stays through a number of programs eg hospital in the home,  rehab in the home, and chronic disease management programs.  PHI invoicing and reporting is also managed by this team. 

In this rotation, you will develop an understanding of private health insurance claim data, gain business acumen around difficult decisions, and understand the financial impacts of broader health cover offerings.  You might:

• Review business operations and report on quality improvement activities
• Take part in a health service accreditation process, including the risk framework
• Complete a data analysis and help to identify business opportunities.

PHI:  Payment Integrity Team (Benefits Management)

This team of 14 hold expert knowledge of PHI claims and membership.  Using a set of ‘rules’ that they run over their data, they identify  claims or memberships that are unusual or don’t fit into normal patterns – these can identify errors in claims, systems issues, or even instances of deliberate fraud.  Currently the team are working to develop ways of finding synthetic identities, memberships, claims or providers that have been made for the purpose of obtaining money from the fund without a proper service being performed, or a refund for payments that haven’t been made.

A rotation in this team may involve reviewing data to identify outliers and the development tools that we can use on an ongoing basis to minimise leakage.    If you have an investigative and analytical mindset and love the idea of discovering tens of thousands of dollars’ worth of claims leakage, then this rotation will definitely be of interest to you!

PHI:  Program Integration Team

The Program Integration team will give you exposure to key cross functional projects and programs of work while providing experience delivering continuous improvement initiatives. Depending on your skills and experience, projects may be:

• IT based with the implementation of new systems
• Real estate related with setting up or altering branches or medical practices
• Customer outcome focussed through marketing and service enhancements
• Efficiency based initiatives that will expose you to lean tools, waste identification and improvement analysis. 

If you are interested in Project Management, Change Management, Lean/Continuous Improvement and Business Analysis then this rotation would be a great fit for you.

PHI:  Provider Contracts and Relationships (Benefits Management)

This team maintains contracts and relationships with external agencies (eg Australian Health Practitioner Regulation Agency; Department of Health; Australian Medical Association), as well as private and public hospitals, medical specialists and ancillary/allied health providers.  The team monitors registration of all Providers who are providing care to GMHBA members, as well as the data associated with Provider behaviour.  They also develop and maintain appropriate policies and procedures for Providers in our health services businesses (including dental, optical, & physio.)

A part of your role within the team will be to work with the Provider Coordinator to conduct research and reviews on different modalities, so that we keep pace with changes in those industries.The team make decisions based on facts and data driven insights. In this rotation, you may also work with our Provider Insights Analyst to create reports and dashboards for us to interrogate data and make sound business decisions.

Brand Team

As part of Marketing, the Brand team’s role is to develop and deliver customer value propositions, brand strategies, marketing plans and campaigns that are tied to customer insights and commercial objectives. The brand team are the custodians of all the brands in GMHBA’s portfolio (GMHBA Private Health Insurance, GMHBA Health Services and Frank Health Insurance), defining a clear brand architecture and maintaining robust brand governance standards.

Your work in this rotation may include:

• Assisting in the execution of the brand and marketing plans for GMHBA and Frank
• Supporting the implementation of media strategies
• Understanding customer insights and segmentation in the development of targeted and effective marketing campaign approaches
• Brand advocacy for both brands, ensuring brand alignment across functional areas
• Implementation of agreed promotions

Customer Insights and Engagement Team

Using qualitative and quantitative data to understand and design customer engagement strategies that improve experiences, the CI&E team are obsessed with our prospects, members and patients. A rotation in the CI&E team will set you up for customer-focused success throughout your career.

Depending on your background and skills, your work in this rotation may include:

• Digital Experience – supporting enhancements to our website content and user experience, and learn about building automated email journeys
• Member communications – writing, editing and implementing important member information communications, as well as researching and writing newsletters
• Data, analytics and insights – turning metrics and data into actionable insights that enhance the customer experience
• Improving prospect, member and patient communication journeys – supporting both acquisition and retention programs of work

In a world where the customer is key, a rotation in CI&E provides a strong pillar in your graduate program experience, wherever your career takes you.

The Health Services Team is made up of over 200 people working in both our Head Office, and across our various health practices spread over Geelong and regional Victoria.The Health Services Head Office team is responsible for the supporting the primary health care practices to run efficiently and effectively for the provision of safe and quality patient centred care.

A rotation across the Health Services team will have a focus on Primary Care.  The rotation will be based on your skills, knowledge and interests, and could potentially include: 

• Developing your operational skill set in running a Primary Health Care Practice;
• Clinical Governance (maintenance of stakeholder relationships to ensure good clinical outcomes);
• Developing Quality Improvement Plans for Practices;
• Prevention at the Practice level;
• Development of health articles and podcasts;
• Development of Practice financial dashboards;
• Assist in the development on patient feedback mechanisms. 
• Attendance at monthly financial meetings, Quality and Risk meetings, and regular Practice Meetings where you will be given broad exposure to Health Service operations.

The Business Intelligence Team is a cross-functional team that designs, develops, and runs reporting dashboards, analysis, and data sets to provide informative Insights and reports to help assist and drive sound business decision making, based on data. The team brings data to life in an informative and exciting way.

Your primary responsibilities will involve the monitoring of incoming work requests, (triaging where necessary), learning how to query large relational databases via SQL, and assist in producing and running ongoing regular work items. As the Business Intelligence team undergoes a transformation project to migrate to a new Data visualisation platform, new cutting tools will be introduced, and the team will be running a project to migrate from the old visualisation platform (QlikView) to the new (Microsoft Power BI). Depending on rotation timing, you would assist in gathering tasks and requirements for this project to help facilitate this once in a generation project along.

Our People and Culture (P&C) team consists of 17 highly passionate, experienced individuals that are driven to deliver the very best for our people.

The focus across both our Organisational Development and People Operations teams is to enable, support and connect our staff.

As part of the P&C team, you may contribute and gain experience within:

• Talent Acquisition, end to end recruitment
• People initiatives and programs contributing to our human centric culture
• Policy development and implementation
• People analytics and data reporting
• Occupation Health and Safety programs of work
• Diversity, Equity and Inclusion initiatives
• Health and Wellness initiatives

Joining our team, you will sit alongside various different roles and gain a genuine understanding of why we do what we do, how we do it, and who we do it for.

#BeRemarkable