Senior Case Management Specialist

3 days ago


Thành phố Hồ Chí Minh, Vietnam Công Ty TNHH April Việt Nam Full time

**Mô tả công việc**:
(Mức lương: Thỏa thuận)
Your mission: Manage complex case management cases within the APAC region ensuring that members receive the best treatment at a reasonable cost while navigating the intricacies of healthcare systems.

Case management
- Develop a comprehensive understanding of each medical case to provide tailored support.
- Ensure the medical appropriateness of treatment plans by adhering to evidence-based medicine, and challenge providers when necessary to advocate the member’s best interests.
- Engage with members regarding their healthcare situations, offering guidance and discussing alternative treatments. Facilitate second medical opinions when needed and provide strategic recommendations.

Cost Control
- Implement innovative cost containment actions for each case to tackle the medical inflation and prevent abuse and over prescription.
- Negotiate directly with healthcare providers, including Hospital and Doctors, to secure the best possible outcomes for members.
- Execute cost control strategy to achieve cost savings while enhancing the overall customer experience.

Team Collaboration:

- Provide support and guidance on complex situations to other team members.
- Organize regular case study sessions to foster teamwork, communication, and collaboration among team members, creating a supportive work environment.
- Escalate cases as needed, offering detailed information and actionable suggestions for effective handling.
- Collaborate closely with the Regional Head of Medical to execute strategies and objectives.

**Chức vụ**: Nhân Viên/Chuyên Viên

**Hình thức làm việc**: Toàn thời gian

**Quyền lợi được hưởng**:
Salary will be commensurate with qualifications and experience
Opportunities to be trained in the professional environment to maximize your potential
Professional, dynamic working environment
**Yêu cầu bằng cấp (tối thiểu)**: Trung cấp - Nghề

**Yêu cầu công việc**:

- Medical degree in any specialty
- Previous experience in insurance or assistance sector would be a plus
- Exceptional communication skills and convincing skills
- Proven experience of effective costs negotiation
- Organizational and detail-oriented skill
- Proven ability to work collaboratively in a team-oriented environment while also being capable of working independently with mínimal supervision
- Fluency in English is required

**Yêu cầu giới tính**: Nam/Nữ

**Ngành nghề**: Sản Xuất/Lắp Ráp/Chế Biến

Trung cấp - Nghề
Không yêu cầu



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