Design new Third Party Administration products, and the respective scheme rules and management protocols
Take charge of claim adjudication
Perform system maintenance and development. Maintain updated information on medical schemes for different clients
Assist in provider network and relationship management
Perform statistical analysis and monitor KPIs for the team
Provide assistance to different departments for tasks that medical knowledge is required
Supervise the Medical Affair Team, which is composed of Third Party Administration, approval and claim functions, in order to ensure a smooth operation
Handle ad hoc projects / assignments
Requirements:
--University graduate with medical / nursing training
A minimum of 5 years of relevant experience in medical / insurance industry, solid experience in Third Party Medical Scheme Administration is preferred
Self-starter with good leadership skills
Independent, customer-oriented with good interpersonal communication and analytical skills
Good statistical knowledge and computer skills, including MS Office
Good command of written and spoken Chinese and English
We offer attractive salary package and fringe benefits. Interested parties please send your resume with current salary, expected salary and reference code to Quality HealthCare Medical Services Limited, G.P.O. Box 452, Hong Kong. Attn: HR Department or email to hrd@qhms.com.
(All information collected is strictly for recruitment purpose only)
