Pbtb Assistant Manager, Medical Management
3 months ago
PBTB | Assistant Manager, Medical Management
Prudential's purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support our people's career ambitions. We pledge to make Prudential a place where you can Connect, Grow, and Succeed.
Together with Medical Management team, to serve as a comprehensive unit to provide medical input in all areas in the company.
Join a dedicated team focused on improving the healthcare delivery and quality within the takaful sector. Be part of a dynamic environment where your expertise can make a real impact.
Key responsibilities:
a) Medical support across the company
- Assist assessors in managing complex cases on daily basis, including handling medical referrals and detecting potential
- Provide medical input & expertise to other departments such Product development, health awareness initiatives as required
b) Establish and review guidelines
- To review & update the Claims and Underwriting Guidelines to ensure current industry standard are met
- To assess and review new technologies and procedures.
- Provide medical training to the Operations to ensure knowledge is up to date
c) Medical Quality Review
- Conduct audit to assess the technical capabilities & quality of the Operations
- Support the managers in the provider review to ensure adherence to medical standards
d) Panel Clinic & health partnership Management
- Oversee of appointment, termination and auditing the panel clinics
- To ensure that panel clinics maintain good quality and compliant to the medical & regulatory standard
Together with Medical Management team, to serve as a comprehensive unit to support medical business in all areas in the company.
Job ID 24080493
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