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    Associate Director - Country Health Clinical Governance

    Full-Time
    , Thailand
    Posted: July 6, 2024
    Position Details

    Job responsibilities :


    • Clinical Leadership and High Cost Claim Consultation


    Provide any clinical consultation with high cost claim approval from medical perspective


    Provide clinical leadership to the clinical teams ensuring that they are kept up to date with changes in medical practice.


    • Clinical Quality


    Develop and implement a clinical quality strategy, which assures our members that they are receiving high quality and appropriate care.


    Ensure that all treatment and care given to our members including admission to hospital is appropriate and in accordance with agreed protocols.


    Encourage clinical best practice by providing analytical feedback hospitals, clinics and doctors on clinical practice including procedural costs, length of stays and outcomes.


    Ensure that all hospitals and clinics in our network meet our standards of care and take necessary action when the care given is below standard.


    Ensure that any new clinical procedures, drugs or technology are appropriate and safe for our customers


    To review and manage the treatment of high claiming members to ensure that their treatment is appropriate


    • Clinical Advice and Consultation


    Assist with the development of health information for our members.


    Network with both insurance and hospital medical directors to develop industry wide policies and procedures where appropriate eg. surgical schedule.


    Participate in the management team meetings and contribute to the overall development and improvement of the business.


    Participate in Company Project as Medical Department


    • Clinical Governance scheme


    Attend the pool insurance meeting as schedule


    Attend claim and clinical committee as team member


    Qualifications


    • Bachelor’s or Master’s Degree in Nursing
    • At Least 5-10 yrs of experience in Nurse in hospital and insurance industry experience will be advantage

    Skills
    Clinical Administration
    Nursing
    Clinical Consultation

    Functions
    Other
    Other

    Job Overview

    Job Type:

    Full-Time


    Company

    Allianz Ayudhya logo

    Allianz Ayudhya

    15 active jobs

    Industry:

    Banking & Finance

    Ready to Apply?

    Submit your application now and take the next step in your career journey.

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