Case Management Doctor

Halodoc; Jakarta Selatan; On-site; IDR 279,000,000 - 468,720,000; Full time

Job summary

Halodoc is recruiting a Medical Doctor with an active STR in Indonesia to oversee case management and GL issuance, ensuring SLA/TAT compliance. You will support medical reviews, establish treatment plans, and aid billing with cost containment.

Collaboration with providers, clients, and internal teams will be essential for escalations and quality improvements. This role requires excellent communication, strong analytical skills, and willingness to be on-call for urgent cases.

Qualifications

• MD with STR valid in Indonesia.
• Minimum 2 years’ experience in health insurance, TPA, hospital utilization, or case management.
• Strong knowledge of clinical pathways, treatment protocols, and insurance policies.
• Excellent communication, analytical, and problem-solving skills.
• Willing to be on-call for urgent/critical cases.

Responsibilities

• Oversee case management and guarantee letters (GL) to ensure SLA/TAT compliance.
• Provide medical support to case management and claims teams.
• Review medical necessity, treatment plans, and billing for cost containment.
• Liaise with providers, clients, and internal teams on medical escalations.
• Ensure clinical quality, support training, and contribute to process improvements.
• Lead medical-related issue resolution and service enhancements.

Skills

MD qualification

STR Indonesia

Communication

Analytical thinking

Problem-solving

Education

MD (Medical Doctor) – STR

Job description

Oversee case management and guarantee letters (GL) to ensure SLA/TAT compliance.

Provide medical support to case management and claims teams.

Review medical necessity, treatment plans, and billing for cost containment.

Liaise with providers, clients, and internal teams on medical escalations.

Ensure clinical quality, support training, and contribute to process improvements.

Lead medical-related issue resolution and service enhancements.

Qualifications:

Medical Doctor (MD) with valid STR (Indonesia).

Min. 2 years’ experience in health insurance, TPA, hospital utilization, or case management.

Strong knowledge of clinical pathways, treatment protocols, and insurance policies.

Excellent communication, analytical, and problem-solving skills.

Willing to be on-call for urgent/critical cases.

Your application will include the following questions:

• Berapa gaji bulanan yang kamu inginkan?
• Kualifikasi mana yang kamu miliki?
• Bagaimana kamu menilai kemampuan bahasa Inggrismu?
• Berapa tahun pengalaman kerjamu sebagai Dokter?
• Apakah kamu bersedia bekerja di luar jam kerja biasa saat dibutuhkan? (cth. akhir pekan, malam hari, hari libur nasional)

Halodoc is a health-tech platform with a mission to simplify access to healthcare by connecting millions of patients with licensed doctors, insurance, labs, and pharmacies in one mobile application. Halodoc’s innovative technology, nimble services, and patient focus enable a host of solutions including 24/7 doctor teleconsultation; medicine purchase & delivery; lab services at home; and strong CS.

Halodoc is the 2018 Forbes Indonesia Choice Award winner and Galen Growth’s 2018 Most Innovative HealthTech Startup in Asia, a testimony to a team of compassionate, innovative, trustworthy and agile people who take ownership of their work in building the most trusted digital healthcare company.

Halodoc is a health-tech platform with a mission to simplify access to healthcare by connecting millions of patients with licensed doctors, insurance, labs, and pharmacies in one mobile application. Halodoc’s innovative technology, nimble services, and patient focus enable a host of solutions including 24/4 doctor teleconsultation; medicine purchase & delivery; lab services at home; and strong CS.

Halodoc is the 2018 Forbes Indonesia Choice Award winner and Galen Growth’s 2018 Most Innovative HealthTech Startup in Asia, a testimony to a team of compassionate, innovative, trustworthy and agile people who take ownership of their work in building the most trusted digital healthcare company.