Medical Director in Penang or KL
1 week ago
We provide managed healthcare services to corporate clients ranging from SMEs to MNCs. Responsibilities Medical/Regulatory Oversight Serve as Clinical Governance Officer (CGO) for all our clinics Lead audit preparation and execution to ensure regulatory compliance Act as the ordering doctor for laboratory and imaging tests, including prompt responses to critical results Address general medical regulations queries from internal and external stakeholders Lead initiatives to manage and reduce the cost of medical claims through clinical review, provider negotiation, and strategic interventions. Conduct and oversee claims audits, identifying patterns of overutilization or fraud, waste, and abuse (FWA). Monitor provider performance and billing behavior to identify and mitigate fraud, waste, and abuse (FWA); initiate corrective actions where necessary. Develop internal cost containment SOPs and workflows in collaboration with operational teams to streamline claims processing and medical adjudication. Act as the primary client-facing representative for all matters related to medical cost containment. Prepare regular reports and presentations for leadership and clients, highlighting key cost drivers, trends, and opportunities for optimization. Clinical Support Review Patient Information Leaflets (PIL) Perform regular medication reviews and sign off for VIP, ensuring safe and effective treatment plans Claims, LOG and Pre-Authorization Act as the final medical escalation point for claims, LOG, and pre-authorization within the company Develop and refine general guidelines and definitions for medical reimbursable claims Provide strategic support to the Claims and LOG teams in developing and enhancing STP workflows and overall process improvements Business Development Support Participate in presentations and stakeholder engagement as a clinical representative Collaborate on workflow reviews to align clinical operations with BD initiatives Contribute to the ongoing refinement of company data analytics, offering client insights and actionable strategies. Provide KIV support for on-site rollout of services Participation in initiative-based projects as required, including clinical input and representation in BD-related presentations and discussions Chronic disease management program- Involvement in design, execution, and evaluation LPA program- Support for program rollout and medical compliance Job Requirements Medical Degree from a recognized university (MD or MBBS preferred) Minimum 5 years of relevant experience in TPA or insurance company Willingness to support after-office-hours remotely #J-18808-Ljbffr
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HRsg Project
5 days ago
Singapore Region Diversified Full time**Job ID**: - 4 Visual Inspectors, with API qualifications. - 2 standby person equipped with **NSTP/OGSP** and valid AESP with medical checkup. - Day and night shift will be required - Location is in Penang, Malaysia. **Requirements**: - and _ - with indicative current day rate (RM) and availability._
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Sales Executive/ Senior Sales
2 weeks ago
Singapore RGF Full time**Location**: Singapore **Salary**: Open **Industry**: Manufacturing, Engineering & Industrial **Sub-industry**: Chemicals & Plastics **Function**: Manufacturing & Engineering **Job Description**: **Our Client**: Our client is a Japanese Chemical Engineering and Manufacturing company, headquartered in Japan with global subsidiaries. They're specialized...
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7506 - Group Legal Counsel
7 days ago
Singapore The Supreme HR Advisory Full timeOverview Salary: $15,000 - $20,000 + AWS + Bonus Working Days: 5 days Working Timing: 9AM to 6PM Working Location: Tanjong Pagar or Shenton Way MRT The company is a group that focuses on trading and distributing steel-related products. They are also involved in developing properties, such as service apartments. Right now, they are looking for a legal expert...
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Singapore THE SUPREME HR ADVISORY PTE. LTD. Full timeSalary: $15,000 - $20,000 + AWS + Bonus Working Days: 5 days Working Timing: 9AM to 6PM Working Location: Tanjong Pagar or Shenton Way MRT The company is a group that focuses on trading and distributing steel-related products. They are also involved in developing properties, such as service apartments. Right now, they are looking for a legal expert to help...
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Singapore THE SUPREME HR ADVISORY PTE. LTD. Full timeSalary: $15,000 - $20,000 + AWS + Bonus Working Days: 5 days Working Timing: 9AM to 6PM Working Location: Tanjong Pagar or Shenton Way MRT The company is a group that focuses on trading and distributing steel-related products. They are also involved in developing properties, such as service apartments. Right now, they are looking for a legal expert to help...
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Singapore THE SUPREME HR ADVISORY PTE. LTD. Full timeSalary: $15,000 - $20,000 + AWS + Bonus Working Days: 5 days Working Timing: 9AM to 6PM Working Location: ANSON ROAD SPRINGLEAF TOWER, MRT nearby are Tanjong Pagar or Shenton Way The company is a group that focuses on trading and distributing steel-related products. They are also involved in developing properties, such as service apartments. Right now, they...
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Neurologist Medical Director
3 days ago
Singapore PHARMACEUTICAL RESEARCH ASSOCIATES SINGAPORE PTE. LTD. Full timeWe are currently looking for a **Medical Director - Neurology **for our Medical Affairs Department in Asia Pacific to be based in Singapore, Taiwan, Philippines, Australia. Joining our Medical Affairs Department working in a fast-paced, client-focused global environment the Medical Director's specialist expertise is called upon throughout the entire...
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Associate Medical Director
2 weeks ago
Singapore IQVIA Full time**Job Overview** The Associate Medical Director / Medical Director will provide medical, clinical and scientific advisory expertise to all IQVIA divisions as requested, participate in all aspects of medical science involvement on assigned trials, serve as a medical expert during project delivery lifecycle, provide therapeutic and medical expertise to...
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Lead Legal Counsel | Trading, Property
1 week ago
Singapore THE SUPREME HR ADVISORY PTE. LTD. Full timeThe company is a group that focuses on trading and distributing steel-related products. They are also involved in developing properties, such as service apartments. Right now, they are looking for a legal expert to help build a legal team. Job Details: Salary: $15,000 - $20,000 + AWS + Bonus Working Days: 5 days Working Timing: 9AM to 6PM Working Location:...
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Group Legal Counsel | Steel Trading
5 days ago
Singapore THE SUPREME HR ADVISORY PTE. LTD. Full timeOverview Salary: $15,000 - $20,000 + AWS + Bonus Working Days: 5 days Working Timing: 9AM to 6PM Working Location: MRT nearby are Tanjong Pagar or Shenton Way The company is a group that focuses on trading and distributing steel-related products . They are also involved in developing properties , such as service apartments. Right now, they are looking for a...
