Senior Health Systems Function Specialist

General information

Name Senior Health Systems Function Specialist Ref # 56807 Date Monday, January 5, 2026 Full / Part Time Full Time

Description & Requirements

Senior Health Systems Functional Specialist 

At Bupa, purpose meets possible. Join us and help shape a future where healthcare is more connected, more personal and more human.

We’re a global healthcare leader trusted by millions and committed to helping people to live longer, healthier, happier lives and making a better world. Healthcare is changing, and so are we. We’re investing in more clinics, better systems and smarter, more connected ways to help our customers. As we continue to expand our services and invest in innovation, you’ll help create a healthcare system that meets people where they are, responds to what they need and leaves them better than before. 

Here, your work has purpose, your voice matters and your future is full of possibility.

Just imagine the impact you could make.

 

The purpose of this job is to manage and optimise our core health processing systems, with a particular focus on the Eclipse platform, Hospital Case mix Protocol (HCP) reporting and updates, Diagnosis-Related Group (DRG) processing and updates, and ICD-10-AM/ACHI/ACS functionality and updates. 

This position plays a key role in ensuring Bupa’s claims and health information management is accurate, efficient, and meets all regulatory compliance supporting both operational and strategic business objectives. You’ll work as part of a broader team within Bupa that supports the claims processing and reporting on claims processing to meet internal and regulatory requirements.

This is a permanent, full-time role that can be based in Melbourne, Brisbane, Sydney or Adelaide.

 

What you’ll need to make it possible:

• Extensive experience with health claims processing platforms, preferably Eclipse.
• Strong working knowledge of DRG methodologies and ICD10 coding standards. 
• Experience in provider data management and health system integrations.
• Strong and demonstrated leadership and people management skills

 

Why you’ll love it?

We support our people to be the healthiest and happiest versions of themselves.

Work-life balance:

• Ability to work remote / from home 3 days a week. 
• Flexible working hours. 

Salary & Compensation:

• Base salary & bonus scheme.
• Salary reviews.
• Subsidised health cover.

 

If this sounds exciting, we’d love to hear from you. Let’s shape the future of healthcare, together.

 

At Bupa your wellbeing, identity, and personal story are respected and valued. We are continuing to build teams that reflect the diversity of the communities we serve. Bupa is committed to providing equal opportunities and fostering a workplace and environment that is free of discrimination, bullying and harassment.

We actively encourage applicants from all backgrounds and experiences, including Aboriginal and Torres Strait Islander peoples, veterans, people with disabilities, and LGBTQIA+ applicants.

We are dedicated to re