Officer, Medical Support

MiCARE Group; Selangor; On-site; MYR 60,000 - 80,000; Full time

Job summary

A leading healthcare company in Selangor is seeking a Medical Support Manager to provide expertise in medical claims and operations. You will work with healthcare organizations and build strong relationships with stakeholders. Candidates should hold a medical degree and have at least 3 years of relevant experience. This role involves training staff, resolving claims issues, and ensuring compliance with regulatory standards. The position is based in Bukit Jelutong, Shah Alam and requires excellent communication skills.

Benefits

Great Bonus

Free Parking

Qualifications

• Minimum 3 years’ experience as medical advisor/consultant.
• Good command of both verbal and written English.
• Ability to adapt to changes quickly and multi-task.

Responsibilities

• Ensure consistency in all medical claim cases and uphold business integrity.
• Assist in resolving complex medical claim cases with expert recommendations.
• Provide medical advice on claims and support operations team procedures.
• Conduct training to enhance staff medical knowledge and competency.

Skills

Analytical skills

Communication skills

Interpersonal skills

Problem-solving skills

MS Office proficiency

Education

Medical degree

Job description

MiCare, you join a team of caring, dynamic, courageous and dependable individuals who are working together to make healthcare more accessible in Asia.

What We Offer?

• Great Bonus
• Free Parking

MiCare HealthTech Holdings (“MiCare”), a leading regional managed care organization + healthtech player, is looking for a Medical Support Manager to join our team which will act as Advisor/Consultant providing medical input and advice on cases relating to operations, medical audit and service provider team.

You are experienced in professional interactions with healthcare organizations such as pharmaceutical multinationals, healthcare providers and payors/ insurers and You will promote business growth and build trust with internal/external stakeholders of the company.

What You Will Be Accountable For

To ensure consistency in all medical claim cases, business integrity is upheld and due diligence is met on any related regulatory requirement.

To assist in dealing with and resolving complex medical claim cases sharing views and recommendation to the best of medical knowledge and expertise.

To provide assessment review and to improve quality justification of claim in order to meet expectations on operational processes.

To plan and conduct training to improve staff medical knowledge and competency with case study relating to diagnosis.

Provide support to operation team, ensure adherence to and update when necessary the procedural steps to meet the standards required for the medical claims assessment.

Provide medical advice on claims cases, responsible for queries and correspondence with hospitals and doctors, review and resolve any dispute or challenges related to charges and practices.

To ensure consistency in the admission procedures and claim adjudication that charges are reasonable and aligned with the schedule of benefits.

To assist to establish guides and initiatives related to cost containment measures across teams within operations.

To participate in any other tasks and duties as assigned by the superior.

Minimum 3 years’ experience as medical advisor /consultant.

Must have medical degree

Excellent analytical, written/ verbal communication, presentation, influential, interpersonal, and relationship building skills.

Able to work independently and under pressure and meet milestones within time, cost, and quality constraints.

Solid problem-solving skills, ability to coach the team members to analyze complex situation, identify core issues, investigate, evaluate and discuss the issues effectively with management to reach appropriate conclusions.

Ability to adapt to changes quickly and multi-task.

Competent with MS Office Applications.

Good command of both verbal and written English.

This position will be based in Bukit Jelutong, Shah Alam.

Candidates are required to apply online and only shortlisted for interview will be contacted.