like you Then read on. About The Role Responsible for providing technical medical expertise for underwriting decisions and resolution... Provide professional guidance, medical advice and relevant training to product development, underwriting and claims colleagues...
and potential, we are seeking a professional to join our team as a Manager, Medical Advisory & Case Management for the Medical...) or Reimbursement / medical claim disputes or appeals / investigations / underwriting, and to ensure effective implementation of case...
and the case management team/Top up GL/Additional doctor request and GL appeals. Review and coordinate cases that require the... involvement and escalation to providers and internal stakeholders. To provide medical advisory within and beyond AHS To support...
to address Fraud and Waste elements while ensuring strong outcomes are met with the providers 2. Medical advisory lead... and the case management team/Top up GL/Additional doctor request and GL appeals. Review and coordinate cases that require the...