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Medical Cost Containment Specialist

1 week ago

Kuala Lumpur, Kuala Lumpur, Malaysia GREAT EASTERN Full time

We are looking for a Medical Cost Containment Specialist to join our team.

**Job Description:**

  • To lead the development and management of the panel clinic network by leveraging medical expertise to ensure quality and cost-effective healthcare services.
  • The role requires a deep understanding of primary care settings, medical cost structures, clinical best practices, and the ability to engage with healthcare providers on service quality, treatment protocols, and pricing strategies.

**Responsibilities:**

  • Lead the identification, onboarding, and management of panel clinics.
  • Develop and maintain strategic partnerships with clinic management and medical practitioners.
  • Support negotiations for service agreements, discounts, and other contractual arrangements with clinics.
  • Assess and negotiate service agreements with clinics, ensuring appropriate clinical care at cost-effective rates.
  • Monitor and analyze trends in primary care treatment costs, medical service utilization, and emerging healthcare practices.

**Requirements:**

  • Possesses either a Degree in Healthcare related field of studies. Majoring in Insurance would be an added advantage.
  • Minimum of 3 years of experience in clinical practice, healthcare management, or medical insurance operations.
  • A licensed medical doctor in good standing within the medical community is preferred.
  • Strong understanding of primary care clinical settings, medical cost structures, and treatment protocols.