Healthcare Expert, Strategist
7 days ago
Disruptive Doctors is a leading multinational insurance and financial services provider, known for its comprehensive range of life insurance products, wealth management solutions, and a strong commitment to promoting health and wellness through innovative programs and customer-centric services.
We operate across multiple markets in Asia, offering financial security and peace of mind to millions of customers.
Job DescriptionAs a Senior Medical Specialist, Planner, you will play a crucial role in driving the development of our Disease Management programme.
You will be responsible for evaluating and providing medical expertise/opinions on proposed treatments, procedures, drugs, and interventions for insurance claims management.
Additionally, you will work closely with healthcare providers/specialists to capture more information and insights to provide effective care for patients.
Key Responsibilities:
- Evaluate and provide medical expertise/opinions on proposed treatments, procedures, drugs, and interventions for insurance claims management.
- Review and conduct research on relevant diseases/conditions and treatment plans by establishing sound medical standards for the purpose of health claims adjudication aligning with international recognized standards.
- Collaborate with healthcare providers/specialists to capture more information and insights to provide effective care for patients.
- Drive the development of a strong evidence base through structured collection, analysis, and interpretation of health data.
- Recommend preventative care measures to reduce the risk of illness or injury.
- Stay informed about advancements in medical practices and standards.
To be successful in this role, you will need:
- A valid APC.
- Ideal to have work experience in both government and private hospitals.
- Tertiary qualification in Medical Science (e.g., MBBS, MD) from an accredited institution.
- Work experience: At least 6-8 years of proven clinical experience. Active and unrestricted medical license, with board certification in relevant medical specialty.
- Other Requirements: Strong analytical skills with the ability to critically evaluate medical information. Familiarity with insurance claim processes and regulations is a plus. Proficient in using Microsoft Office. Have effective verbal and written communication skills.
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