Corporate and Insurance Doctor (Manado)

Siloam Hospitals Group (Tbk); Manado; On-site; IDR 600,000,000 - 900,000,000; Full time

Job summary

Siloam Hospitals Group (Tbk) is seeking a Corporate & Insurance Doctor to bridge clinical services with insurance management and corporate healthcare partnerships. The role emphasizes patient safety, service compliance, and strong relationships with insurance payers and corporate clients.

You will collaborate with clinicians, manage insured services, negotiate claims, and ensure accurate medical documentation across outpatient and inpatient settings in a corporate–hospital hybrid environment.

Qualifications

• Active STR and valid SIP (or willing to process SIP)
• 3–5 years of clinical experience, preferably in a hospital setting
• Experience or exposure in insurance, corporate accounts, medical assurance, or managed care
• Strong understanding of health insurance processes and medical claims
• Ability to collaborate with clinicians, admin teams, and insurance partners
• Capable of handling claim negotiations from a medical perspective
• Detail-oriented with clear communication in multidisciplinary forums

Responsibilities

• Collaborate with clinicians to manage insured and corporate-guaranteed patient services
• Ensure alignment between clinical services and insurance or corporate agreements
• Provide medical support in socialization and implementation of updated regulations to clinicians and admin teams
• Handle and negotiate problematic insurance claims with payers from a medical perspective
• Identify and resolve patient safety or hospital reputation risks
• Conduct data analysis and escalate key issues with the Head of AMA
• Prepare Initial Medical Reports (LMA) and Follow-Up Medical Reports (LML) for discharged patients
• Ensure completeness of insurance documentation for outpatient and inpatient services
• Support validation of medical documents, including diagnostics and procedures
• Assist in documentation readiness for care transitions from Outpatient to Pre-Operative Clinic (POC)

Skills

MD / Dr.

STR

Insurance knowledge

Education

MD degree

Job description

We are looking for a medical doctor who is passionate about bridging clinical services, insurance management, and corporate healthcare partnerships. This role plays a critical part in ensuring patient safety, service compliance, and strong relationships with insurance and corporate partners.

Key Responsibilities

As a Corporate & Insurance Doctor, you will:

Collaborate closely with clinicians to manage insured and corporate-guaranteed patient services

Ensure alignment between clinical services and insurance or corporate agreements

Provide medical support in the socialization and implementation of updated regulations to clinicians and administrative teams

Handle and negotiate problematic insurance claims with payers from a medical perspective

Identify and resolve issues that may pose risks to patient safety or hospital reputation

Conduct data analysis and escalated key issues through regular coordination with the Head of AMA

Prepare and review Initial Medical Reports (LMA) and Follow-Up Medical Reports (LML) for discharged patients

Ensure completeness and accuracy of insurance documentation for outpatient and inpatient services

Support validation of medical supporting documents, including diagnostics and procedures

Ensure daily medical reports from EMR are completed accurately

Assist in documentation readiness for care transitions from Outpatient Services to Pre-Operative Clinic (POC)

Requirements

Medical Doctor (MD / dr.) with an active STR and valid SIP (or willing to process SIP as required)

Minimum 3–5 years of clinical experience, preferably in a hospital setting

Experience or strong exposure in insurance, corporate accounts, medical assurance, or managed care is highly preferred

Good understanding of health insurance processes, including medical claims, LMA/LML, and coordination with payers

Strong ability to collaborate with clinicians, administrative teams, and insurance partners

Capable of handling claim negotiations and resolving complex cases from a medical perspective

Strong analytical skills to identify risks related to patient safety, service quality, and hospital reputation

Detail-oriented, assertive, and able to communicate clearly in multidisciplinary forums

Willing to work in a corporate–hospital hybrid role with both clinical and non-clinical stakeholders

Unlock job insights

Hirer responsiveness Salary match Number of applicants

Healthcare Services More than 10,000 employees

Siloam International Hospitals (Siloam) is Indonesia’s most progressive and innovative healthcare provider that has set the benchmark for high quality healthcare services in Indonesia. Siloam’s medical team of more than 500 general practitioners, 2,200 specialist doctors, and 9,000 nurses, allied health, and support staff, offers international quality healthcare services to nearly two million patients annually.

With equal access to medical care in Indonesia still a challenge, Siloam’s business strategy allows its hospital to operate on a lower cost based on economic of scale.

Siloam International Hospitals (Siloam) is Indonesia’s most progressive and innovative healthcare provider that has set the benchmark for high quality healthcare services in Indonesia. Siloam’s medical team of more than 500 general practitioners, 2,200 specialist doctors, and 9,000 nurses, allied health, and support staff, offers international quality healthcare services to nearly two million patients annually.

With equal access to medical care in Indonesia still a challenge, Siloam’s business strategy allows its hospital to operate on a lower cost based on economic of scale.

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