Senior Medical Advisory & Fraud Management Lead

AIA Hong Kong; Kuala Lumpur; On-site; MYR 100,000 - 150,000; Full time

Job summary

A healthcare company in Kuala Lumpur seeks a professional responsible for pre-certification and cost containment in hospitalization reviews. This role includes team leadership and mentorship, ensuring adherence to quality standards and contributing to cost-saving initiatives. Ideal candidates should possess strong analytical and leadership skills, with experience in healthcare decision-making. Exciting career growth opportunities await.

Qualifications

• Prior experience in healthcare decision-making processes.
• Ability to analyze and provide clear guidance on medical requirements.
• Strong communication skills for team collaboration.

Responsibilities

• Pre-certify cases and ensure compliance with company guidelines.
• Lead team management and ensure targets are achieved.
• Mentor team leaders and assessors in decision-making.

Skills

Leadership skills

Analytical skills

Mentorship

Job description

A healthcare company in Kuala Lumpur seeks a professional responsible for pre-certification and cost containment in hospitalization reviews. This role includes team leadership and mentorship, ensuring adherence to quality standards and contributing to cost-saving initiatives. Ideal candidates should possess strong analytical and leadership skills, with experience in healthcare decision-making. Exciting career growth opportunities await.