PT Asuransi Jiwa InHealth Indonesia (InHealth) is a subsidiary of PT Askes (Persero) who has more than 40 years of doing business health insurance. InHealth conducting its business activities in the field of life insurance health insurance with superior products that InHealth Managed Care and Indemnity InHealth. InHealth provide health insurance solutions with high quality and cost control.
With the goal of providing protection and fast, flexible and reliable, InHealth has established extensive cooperation with more than 5,000 providers: 2,664 general practitioners / specialist doctor / dentists / puskesmas, 820 hospitals within and outside the country, 702 clinics, 153 laboratories and 1,410 pharmacy / optical). InHealth company serving more than 1,400 policyholders with more than 1 million participants. We are currently seeking for highly qualified candidates to fill the following position:
Supervisor Pembinaan Provider
Responsibilities:
- Negotiate rates with providers in accordance with the authority
- Monitoring and up to date data provider (including cross-check the validity providers that will run out)
- Conduct utilization review (UR), case management and identify and report fraud and abuse
- Scheduling training provider
- Conduct intensive communication with the medical officer and paramedical providers
- Approve collateral provider confirmed cases
- Ensure appropriate services are provided to participants benefit and medical indications
- Handle and resolve complaints and Hospital participants in accordance with the limits of authority
- Male / Female, max 35 years old
- S1 of Medicine (Kedokteran)
- Minimum 2 years experience in the area of insurance
- Honest, disciplined, and able to work under pressure in the conditions
- Ability to work in a team
- Have good communication skills and good leadership
- Honest, disciplined, and able to work under pressure in the conditions
- Mastering Microsoft Office 2010
- Mastering Indonesian and English well
- For placement in cities: Medan (MDN), Pekanbaru (PKB), Palembang (PLB), Jakarta (JKT), Bandung (BDG), Semarang (SMG), Surabaya (SBY), Balikpapan (BPN), Makassar (MKS), Denpasar (DSR), Manado (MND)
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