Head of Medical Department

  • Oversee Company medical programs and resources, directing activities, project initiation with other departments, divisions, and external partners.
  • Work collaborate with other functional areas that interface with medical management including provider relations, sales, healthcare delivery and national medical services to achieve the business goals of the company.
  • Apply data analytics, predictive models, and industry trends to develop utilization management strategies.
  • Improve quality and enhance capabilities of Company Medical Team. 
  • Provide clinical expertise and business direction in support of medical management programs through participation in clinical team activities.
  • Act as lead business and clinical liaison to network providers and facilities to support the effective execution of medical service program by the clinical team.

Medical and utilization management

  • Develop and implement initiatives focused on claim management and healthcare provider management.
  • Collaborate with associates to provide medical expertise during the investigation, evaluation, and appropriate resolution of individual insurance claims.
  • Review insurance claims and evaluate the appropriateness and cost-effectiveness of the medical treatment and services
  • Perform mortality and morbidity risk assessments as well as assist in projecting medical costs for insurance claims reserving and settlement analysis.
  • Master or Doctor’s degree holder with education background in related fields (i.e. Medical, Medical Technology, Business Administration, Engineering, Actuarial Science, Economics, Mathematics, Statistics, Finance, or related experience).
  • Work experience in hospital management or hospital partnership
  • Work Experience in business strategy planning, Underwriting or experience related to insurance management
  • Excellent English proficiency
  • Well business presentation Skill
  • Mature, independent, and self-driven
  • Ability to handle projects assignments
  • Computer literate in MS Word and Excel, Power Point.

Let’s care for tomorrow. For a career with plenty of room to grow. Care to join us?

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