Casemix & BPJS Analytics Lead

Siloam Hospitals Group

Kota Yogyakarta

In loco

IDR 180.000.000 - 300.000.000

Tempo pieno

19 ore fa

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Descrizione del lavoro

Siloam Hospitals Group in Yogyakarta seeks a qualified healthcare quality manager to oversee BPJS services, analyze case mix, and drive strategic initiatives. You will work with hospital leadership to improve margins, optimize referrals, and coordinate with medical and marketing teams.

This role emphasizes precision in coding and data reporting, with a focus on patient care quality and operational efficiency.

Competenze

Bachelor degree in Medicine or equivalent and licensed physician.
Minimum 2 years of work experience in health or quality management.
Experience in quality projects or internal audits is a plus.
High attention to detail to ensure accuracy in coding and data reporting.
Proficiency with ICD, DRG, and other healthcare classification systems.

Mansioni

Manage BPJS service quality and costs; drive strategic and operational initiatives.
Collaborate with hospital leaders on BPJS planning and development.
Analyze gross margins for BPJS by service type.
Monitor billing vs BPJS reimbursements to identify profitable cases.
Coordinate with marketing and clinic teams.
Lead regular meetings with clinics to secure priority referrals.
Work with AMA to improve low-utilization equipment performance.
Build and expand Siloam's healthcare network.
Collaborate with medical team to optimize BPJS patient ALOS.
Review BPJS daily reports from RMO for IPD cases.
Track claims in the web app and share with specialists.