Relationship Manager - Affiliated Providers at Southern Cross Health Insurance

Southern Cross Health Insurance is shaping a healthier Aotearoa New Zealand. Our purpose is simple: empowering our members to live well for longer. We're here to give peace of mind through timely access to quality care, inspire healthier living, and lead positive change across the health system. As a New Zealand-owned, member-based organisation, we're building a future where wellbeing is at the heart of everything we do -- delivering exceptional value for our members and creating an environment where our people thrive.

Now is an exciting time to join us. You'll be part of a high-performing, values-driven team where people are at the heart of everything we do -- and in return for your talent, you'll have the opportunity to grow, make an impact, and be proud of the difference your work makes.

About The Role

As an Affiliated Provider Relationship Manager, you'll build strong relationships with our contracted healthcare providers while supporting members through prior approval and eligibility assessments. You'll collaborate across the Society to resolve queries, provide great service, and help deliver positive outcomes for both providers and members.

This role can be based in Hamilton or Auckland and offers plenty of variety, a supportive team environment, and opportunities to broaden your knowledge and connections across the business.

What You'll Be Doing

• Assess and process prior approvals, claims, and top-up requests accurately and efficiently.
• Provide members with clear information regarding eligibility, cover, shortfalls, and ACC or treatment injury considerations.
• Build strong relationships with Affiliated Providers and act as a key point of contact for day-to-day queries.
• Manage multiple workstreams including calls, emails, provider applications, and follow-ups.
• Work collaboratively with Contact Centre, Healthcare Partnerships, Partnership Managers, and other internal teams to resolve issues.
• Identify and escalate potential risks, including eligibility concerns and pre-existing conditions.

About You

We're looking for someone who brings:

• Experience in customer service, relationship management, or stakeholder-focused roles.
• Experience in claims assessment or decision-making environments.
• Strong communication and relationship-building skills.
• Excellent attention to detail and sound judgement.
• The ability to manage competing priorities and work proactively.
• Confidence using technology and multiple systems in a fast-paced environment.

This is a great opportunity to make a meaningful impact on our members' healthcare journeys while building valuable relationships across our provider network.

We are proud to have taken the Pride Pledge, reflecting our commitment to inclusion and belonging. We also facilitate an active, employee‑led Diversity, Equity and Inclusion Forum, which includes our Rainbow Network, Māori Network, Pasifika Collective, and Neurodiversity and Whānau Support networks.

If you share our commitment and passion, we'd love to hear from you.