Pharmacist – Claims Review & Medical Compliance (TPA)

Doctor Anywhere Pte Ltd; Petaling Jaya; On-site; MYR 100,000 - 150,000; Full time

Job summary

A leading healthcare provider in Petaling Jaya is seeking a Pharmacist to support their medical and claims review function. Responsibilities include reviewing prescriptions, verifying drug information, ensuring compliance with medical guidelines, and responding to inquiries from insured members and internal teams. The ideal candidate will have a valid pharmacist license and 1–3 years of experience in pharmacy operations. This role offers an opportunity to be part of a dynamic team focused on transforming healthcare in Southeast Asia.

Qualifications

• Valid pharmacist registration as per local regulations.
• Minimum 1–3 years of experience in pharmacy or claims review.
• Good knowledge of drugs, dosages, and insurance processes.

Responsibilities

• Review and authenticate prescriptions and treatment plans.
• Provide expert pharmaceutical opinion for claims.
• Respond to queries from stakeholders regarding medications.

Skills

Attention to detail

Analytical ability

Communication skills

Customer-centric approach

Knowledge of drug classifications

Proficiency in MS Office

Adaptability and willingness to learn

Education

Valid pharmacist registration/license

Experience in hospital or retail pharmacy

Tools

Claims processing software

Job description

A leading healthcare provider in Petaling Jaya is seeking a Pharmacist to support their medical and claims review function. Responsibilities include reviewing prescriptions, verifying drug information, ensuring compliance with medical guidelines, and responding to inquiries from insured members and internal teams. The ideal candidate will have a valid pharmacist license and 1–3 years of experience in pharmacy operations. This role offers an opportunity to be part of a dynamic team focused on transforming healthcare in Southeast Asia.