• Menerima dan Handle informasi by telephone dari RS untuk
• perawatan dan Claim peserta asuransi kesehatan
• Monitoring dan memberikan persetujuan tindakan/perawatan yang
• harus dilakukan RS kepada peserta pengguna asuransi
• Menjelaskan plan dan prosedure asuransi baik kepada peserta
• asuransi maupun kepada pihak RS
• Monitoring perawatan peserta sampai dengan claim biaya perawatan

·        Handle benefits enrollments, changes, and terminations accurately and promptly to the Insurance provider and BPJS Kesehatan.

·        Assist employees with benefits-related issues and questions, providing excellent customer service

·        Manage and process claims and invoices and resolve administrative problems with insurance providers.

·        Conduct presentations, enrollments, and educational sessions to inform employees about their benefits.

·        Evaluate benefits plans, programs, and policies to recommend changes and improvements.

·        Perform regular audits of benefits data to ensure accuracy and compliance

·        Ensure that all benefits programs comply with legal requirements.

Job Responsibilities:

• Develop tactics for communicating complex medical and scientific information to the healthcare community, including support for answering unsolicited medical questions, adverse event reporting, and other clinically related medical information.
• Acts as a strategic partner alongside Commercial and R&D, and medical and scientific partner to both external and internal stakeholders. 
• Leads the relationship management and communication of medical and scientific information with health-care providers, payers, and other medically-focused customers (e.g., regulators, institutional leaders) in accordance with required regulatory and compliance standards
• Develops scientific relationships and external expert engagement on behalf of the organization's customers.
• Communicates complex scientific and medical information to a variety of internal and external stakeholders; builds and fosters strong relationships with key external experts in their shared therapeutic category; works with external experts to execute medical projects that bridge the communication between clinical development and commercial success;  builds and fosters strong relationships with internal stakeholders for the benefit of the business;  and gathers and communicates field insights to inform business strategy and medical plans
• Develop tactics for communicating complex medical and scientific information to the healthcare community, including support for answering unsolicited medical questions, adverse event reporting, and other clinically related medical information
• Develop contacts with key clinicians, university teaching hospitals, group purchase organizations and other medical / scientific groups
• Act as a clinical resource with professional and advocacy organizations with the objective of developing relationships and identifying potential business opportunities
• Work closely with internal customers to develop and execute a plan designed to meet shared business/clinical objectives
• Uncover scientific data that may have the potential for publication and/or abstract presentation

Requirements:

• Candidates with a terminal Clinical/Science degrees e.g. MSc, PhD or MD degree will be considered
• Field-based Medical experience preferred, Therapeutic area Hepatology/Hematology/Oncology added advantage
• Effective communicator (written and presentation) with good interpersonal skills and experience of developing and delivering presentations
• Must excel at working independently and in cross-functional teams candidates with a self-starter attitude strongly preferred

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IQVIA is a leading global provider of advanced analytics, technology solutions and clinical research services to the life sciences industry. We believe in pushing the boundaries of human science and data science to make the biggest impact possible – to help our customers create a healthier world. Learn more at https://jobs.iqvia.com