Medical Consultant – Associate Director HSM
Medical Doctor
Job Purpose
Provide the most up to date medical best practice information to support health business planning and operations
Job Description:
- Develop and implement annual continued medical education program for HSM staff
- Develop contents and conduct regular medical training for HSM staff (claims and medical management) including topics relevant medical claim assessment and medical management
- Develop protocols and build, consolidate, improve medical management guidelines for current high volume admissions to support effective medical management decision
- Develop standards and conduct medical record audit for medical services provided by network providers
- Provide medical consultation to claim assessors and medical management staff including establishing panel of medical specialists to support the consultation
- Provide medical opinions based on current standard of clinical practices for appeal or dispute medical claim decision upon request
- Monitor health and illness situation that can impact medical service utilization
- Be champion of HSM initiatives related to health and wellness promotion
- Assist in the communication of medical issues with external stakeholders including doctors, hospitals, customers and agents as assigned
Qualifications:
- Medical doctor with license to practice medicine in Thailand with subspecialty certification preferably in Pediatrics
- At least 5 years in active subspecialty clinical practice, preferably in a teaching center
- Excellent skill in teaching and communication
- Self-motivated and outcome driven
Qualified candidates please submit your CV with current and expected salary Click here
if you have any question on Positions, please contact to our team.
Email – sirintorn.v@humantechrecruitment.com
Line – @humantech
phone – 02-026-3624