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Casemix Manager

Siloam Hospitals Group (Tbk)

Jakarta Selatan
On-site
IDR 100,000,000 - 200,000,000
7 days ago
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Warehouse Manager - FMCG

PT Trust Recruit Indonesia

Jakarta Timur
On-site
IDR 300,000,000 - 400,000,000
7 days ago
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Admin Engineering

PT Penguin Indonesia

Banjarmasin
On-site
IDR 100,000,000 - 200,000,000
7 days ago
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Operator Gudang

PT Intan Tekno Mandiri

Cirebon
On-site
IDR 100,000,000 - 200,000,000
7 days ago
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Sales Executive (Medical)

PT INNOMED JAYA UTAMA

Jakarta Utara
On-site
IDR 200,000,000 - 300,000,000
7 days ago
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Senior Social Media & Brand Specialist

PT Iora Dermajaya Utama

Jakarta Utara
On-site
IDR 165,892,000 - 248,839,000
7 days ago
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Head of Sales - Commercial Vehicle Distributor

Michael Page

Jakarta Timur
On-site
IDR 400,000,000 - 450,000,000
7 days ago
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Assistant Manager - Mould Production

PT Satu Bumi

Bantul ꦧꦤ꧀ꦠꦸꦭ꧀
On-site
IDR 100,000,000 - 200,000,000
7 days ago
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Radiology Services Coordinator

Siloam Hospitals Group (Tbk)

Depok
On-site
IDR 100,000,000 - 200,000,000
7 days ago
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DRSC Global Technology Sr. Analyst, Data Modernization and Intelligence

Deloitte PLT

Daerah Khusus Ibukota Jakarta
On-site
IDR 200,000,000 - 300,000,000
7 days ago
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Staff Packing

PT Intan Tekno Mandiri

Batam
On-site
IDR 100,000,000 - 200,000,000
7 days ago
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SALES

PT. KAISAR EVS MOTORINDO

Jawa Barat
On-site
IDR 100,000,000 - 200,000,000
7 days ago
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Sales Executive

Ahti Interiors

Indonesia
Remote
Confidential
7 days ago
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Staff Packing

PT Intan Tekno Mandiri

Tangerang
On-site
IDR 100,000,000 - 200,000,000
7 days ago
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Account Executive

PT Citra Niaga Mas

Padang
On-site
IDR 100,000,000 - 200,000,000
7 days ago
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Marketing Branding Specialist

PT Wook Global Technology

Jakarta Utara
On-site
IDR 100,000,000 - 200,000,000
7 days ago
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Supply Chain Management Staff

PT Duniatex Group

Surakarta
On-site
IDR 100,000,000 - 200,000,000
7 days ago
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Programmer Android / Ios

PT Citra Niaga Mas

Bogor
On-site
IDR 200,000,000 - 300,000,000
7 days ago
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Operator Gudang

PT Intan Tekno Mandiri

Bogor
On-site
IDR 100,000,000 - 200,000,000
7 days ago
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Account Executive

PT Citra Niaga Mas

Kota Semarang
On-site
IDR 100,000,000 - 200,000,000
7 days ago
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Secondary Maths Teacher (IB AA and HS Maths) - Bali, Indonesia - Immediate

Edvectus Ltd

Indonesia
On-site
IDR 100,000,000 - 200,000,000
7 days ago
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Accounting Finance Tax Senior Staff

PT. Allstar Scandy Azteka

Provinsi Bali
On-site
IDR 200,000,000 - 300,000,000
7 days ago
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Staf Admin Media Sosial & Customer Service - Staf Keuangan

Melooh x Direktorat Sekolah Sanjaya

Sleman
On-site
IDR 100,000,000 - 200,000,000
7 days ago
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Area Marketing Head (Jabodetabek)

PT Penguin Indonesia

Pluit
On-site
IDR 12,000,000 - 20,000,000
7 days ago
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Online Sales SPV

Pengiklan Anonim

Pluit
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IDR 100,000,000 - 200,000,000
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Casemix Manager
Siloam Hospitals Group (Tbk)
Jakarta Selatan
On-site
IDR 100.000.000 - 200.000.000
Full time
7 days ago
Be an early applicant

Job summary

A leading healthcare provider in Jakarta Selatan is seeking a Quality Manager to oversee service quality and operational initiatives. The role requires a Bachelor Degree in a related field and at least 2 years of experience in medical quality management. Key responsibilities include managing patient care quality, collaborating with hospital leadership, and conducting financial performance analysis. Join us to lead quality healthcare transformation.

Qualifications

  • Minimum 2 years work experience in health or quality management.
  • Experience in quality projects or internal audit is a plus.
  • Familiarity with ICD, DRG, and healthcare classification systems.

Responsibilities

  • Manage quality and costs of patient services and care.
  • Collaborate with hospital leaders on strategic and operational planning.
  • Analyze discrepancies between billing rates and insurance reimbursements.

Skills

Problem-solving skills
Attention to detail
Proficiency with coding systems

Education

Bachelor Degree in Medical Department or related field
Job description

Located in the business district of South Jakarta, Siloam Hospitals Simatupang has become a trusted private hospital for locals and foreigners living in the South Jakarta area. The hospital provides all kinds of quality healthcare services, especially through its excellent services in cardiology, neurosciences, orthopaedics and radiation oncology. With modern medical equipment and tools, the specialists, general practitioners, nurses, and support staff at Siloam Hospitals Simatupang are committed to providing patients with international-standard healthcare and services.

Job Description
  • Manage the quality and costs of services/care provided to patients and be responsible for carrying out various initiatives, both strategic and operational, including analyzing patients by each service unit, ensuring positive internal referrals, and building good relationships between units and related external parties
  • Collaborate with hospital leaders (CEO, Hospital Director, AMA) in areas ranging from strategic planning to operational development
  • Collaborating with Finance to conduct an analysis of gross margins based on type of service (craft groups) and treatment
  • Analyze discrepancies between hospital billing rates and insurance reimbursements to identify opportunities for improved financial performance in insured patient cases.
  • Collaborating with the Siloam marketing and clinic team.
  • Hold regular meetings with Siloam clinics, non-Siloam clinics and other related hospitals to get priority referrals.
  • Collaborate with AMA to improve performance of low utilization equipment.
  • Review and carry out daily supervision of insured inpatients based on daily reports from the RMO for IPD cases
  • Maintaining the estimated number of claims in the web application and communicating it with specialist doctors.
  • Conduct discussions with AMA and/or Hospital Director regarding difficult or special cases.
  • Communicate with the medical team (specialists and RMO) and pharmacy to review the services, procedures, and examinations provided to insured patients, starting from the reception of IPD patients and/or based on daily reports until discharge, including any follow-up examinations..
  • Ensure that the rooms provided are in accordance with the specified patient class and/or patient top-up standards (if any).
Qualifications
  • Bachelor Degree from any related major (preferably in Medical Department)
  • Have minimum 2 years work experience in the field of health or quality management, having experience in quality projects or internal audit will be plus
  • High attention to detail to ensure accuracy in coding and data reporting.
  • Strong problem-solving skills to address and resolve issues related to case mix data and coding practices.
  • roficiency with coding systems such as ICD, DRG, and other classification systems used in healthcare.
Additional Information

[BEWARE OF RECRUITMENT SCAMS]

It has come to our attention that there are fake job offers claiming to be hiring for Siloam Hospitals Group. Please note that Siloam Hospitals Group do not require applicants to make payment when seeking employment with our hospitals.

Healthcare & Medical More than 10,000 employees

Siloam Hospital Group (SHG) is Indonesia's top leading hospital chain with 41 hospital units across the nation. Providing progressive and innovative healthcare services since 1996, Siloam was established in a mission to increase equitable access to affordable, quality healthcare across Indonesia.

The Group's vision of International Quality, Reach, Scale, and Godly Compassion continues to set the platform for Siloam to respond to the dynamic social transformation in Indonesia, while at the same time developing a business strategy that allows our hospitals to operate at a lower cost on economies of scale and enhance affordability in the nation's medical care demands.

Siloam continually seeks out motivated and professional leaders to join our team!

Join us as we make way to push boundaries and pioneer into the era of innovation, transformation, and digitalization!

The Skill to Pioneer. The Spirit to Care.

Find us on:

PT Siloam International Hospitals Tbk (Head Office)

LinkedIn: Siloam Hospitals Group

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* The salary benchmark is based on the target salaries of market leaders in their relevant sectors. It is intended to serve as a guide to help Premium Members assess open positions and to help in salary negotiations. The salary benchmark is not provided directly by the company, which could be significantly higher or lower.

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