Officer, Medical Support

WHO ARE WE?

MiCare, you join a team of caring, dynamic, courageous and dependable individuals who are working together to make healthcare more accessible in Asia.

What We Offer?

• Attractive Salary
• Great Bonus
• Free Parking
• Career Growth

MiCare HealthTech Holdings (“MiCare”), a leading regional managed care organization + healthtech player, is looking for a Medical Support Manager to join our team which will act as Advisor/Consultant providing medical input and advice on cases relating to operations, medical audit and service provider team.

You are experienced in professional interactions with healthcare organizations such as pharmaceutical multinationals, healthcare providers and payors/ insurers and You will promote business growth and build trust with internal/external stakeholders of the company.

What You Will Be Accountable For

• To ensure consistency in all medical claim cases, business integrity is upheld and due diligence is met on any related regulatory requirement.
• To assist in dealing with and resolving complex medical claim cases sharing views and recommendation to the best of medical knowledge and expertise.
• To provide assessment review and to improve quality justification of claim in order to meet expectations on operational processes.
• To plan and conduct training to improve staff medical knowledge and competency with case study relating to diagnosis, 13th Schedule.
• Provide support to operation team, ensure adherence to and update when necessary the procedural steps to meet the standards required for the medical claims assessment.
• Provide medical advice on claims cases, responsible for queries and correspondence with hospitals and doctors, review and resolve any dispute or challenges related to charges and practices.
• To establish guides and initiatives related to cost containment measures across teams within operations, assist team in decision making.
• To ensure continuous learning and upgrade of knowledge needed to support the daily operation through coaching, guides and reference cases.
• To ensure compliance to the local and group policies and regulatory requirements.
• To participate in any other tasks and duties as assigned by the superior.

Essential Experience, Skills And Knowledge

• Minimum 3 years’ experience as medical advisor /consultant.
• Must have medical degree preferably with valid APC
• Must have experience as Occupational Health Doctor with valid license.
• Excellent analytical, written/ verbal communication, presentation, influential, interpersonal, and relationship building skills..
• Able to work independently and under pressure and meet milestones within time, cost, and quality constraints
• Solid problem-solving skills, ability to coach the team members to analyse complex situation, identify core issues, investigate, evaluate and discuss the issues effectively with management to reach appropriate conclusions.
• Ability to adapt to changes quickly and multi-task.
• Competent with MS Office Applications
• Good command of both verbal and written English.

This position will be based in Bukit Jelutong, Shah Alam.

Candidates are required to apply online and only shortlisted for interview will be contacted.