Global Medical Case Manager – Hybrid

Allianz; Kuala Lumpur; Hybrid; MYR 150,000 - 200,000; Full time

Job summary

A leading global health services provider in Kuala Lumpur is seeking a knowledgeable professional to manage complex medical cases. This hybrid role involves case management, conducting pre-authorizations, and clinical negotiations, aimed at ensuring efficient and cost-effective care. The ideal candidate will have a medical degree, strong clinical judgment, and proficiency in negotiation. Join us at Allianz Partners for a fulfilling career in a supportive and inclusive environment focused on personal and professional development.

Benefits

Various courses and development programs

Work Well programs for health and wellbeing

Qualifications

• Minimum 2 years of clinical experience or residency, ER exposure is a plus.
• Registered medical doctor required, active clinical practice license not necessary.
• Experience in healthcare insurance or managed care is advantageous.

Responsibilities

• Manage high-cost/complex cases ensuring appropriate care.
• Conduct pre-authorizations for inpatient treatment.
• Lead clinical adjudication and negotiate care plans.

Skills

Strong clinical judgment

Negotiation skills

Fluent English

Digital tool proficiency

Education

Medical degree

Tools

Microsoft Office

Job description

A leading global health services provider in Kuala Lumpur is seeking a knowledgeable professional to manage complex medical cases. This hybrid role involves case management, conducting pre-authorizations, and clinical negotiations, aimed at ensuring efficient and cost-effective care. The ideal candidate will have a medical degree, strong clinical judgment, and proficiency in negotiation. Join us at Allianz Partners for a fulfilling career in a supportive and inclusive environment focused on personal and professional development.