งาน บริการด้านการแพทย์ 358 ตำแหน่ง

กรุณาระบุอีเมล์ที่ถูกต้อง
บันทึกข้อมูลเรียบร้อยแล้ว, คุณจะได้รับข่าวเกี่ยวกับตำแหน่งงานใหม่ๆ ตามที่คุณลงรายละเอียดไว้ หรือใกล้เคียงกัน

สิ่งที่ผู้หางานคนอื่น ค้นหาเพิ่มเติม

17 December 2018
รหัสงาน: BK-14902
Clinical Auditor

To provide clinical auditing both provider network and non-provider network , ensuring that Aetna members receive high quality and appropriate treatment and care at an affordable price.

Responsibilities

  • 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
  • Monitoring and claim data analysis to ensure appropriate treatment from Aetna network.
  • Medical analysis supporting clinical governance team

Qualifications

  • Bachelor degree (Nursing) with 3-5 years working experiences in hospital (nursing care IPD case if ICU will be advantage )
  • At least 1 year experience from insurance will be advantage.
  • Good written and verbal communication skills in English and Thai 
  • Good presentation skill Knowledge of computer applications including database and excel spreadsheet applications.
  • Diplomacy and tact , balanced with influencing and negotiating skills are required.
  • Able to work with colleagues from other disciplines.

รายละเอียดงาน:
  • ประเภทการจ้าง:
    งานเต็มเวลา, งานประจำ
  • ระดับของตำแหน่ง:
    ระดับเจ้าหน้าที่
  • ระดับการศึกษา (ขั้นต่ำ):
    ปริญญาตรี
  • อายุงาน (ขั้นต่ำ):
    3 ปี
  • ประเภทธุรกิจ:
    ธุรกิจประกันภัย
  • สถานที่ทำงาน:
    สาทร, กรุงเทพ, ประเทศไทย
  • เงินเดือน:
    สามารถต่อรองได้

สวัสดิการ
  • ทำงานสัปดาห์ละ 5 วัน
  • เงินโบนัสตามผลงาน
  • ประกันสุขภาพ
  • สิทธิการเบิกค่าทันตกรรม
  • ประกันชีวิต

Aetna Health Insurance (Thailand) Public Company Limited
About Aetna Aetna is one of the leading diversified health care benefits companies in the United States, serving an estimated 46.5 million people with information and resources to help them make better informed decisions about their health care. Aetna Insurance Company organized an annuity fund to sell life insurance in 1850. In 1853, the Annuity department separates from Aetna Insurance and is incorporated as Aetna Life Insurance Company. The company's first president is Eliphalet A. Bulkeley. The "Aetna" name is retained to take advantage of the good reputation of the original Aetna. The name was inspired by an 11,000-foot volcano on the eastern shores of Sicily, Mt. Etna, which was the most active volcano in Europe. Aetna offers a broad range of traditional, voluntary and consumer-directed health insurance products and related services, including medical, pharmacy, dental, behavioral health, group life and disability plans, and medical management capabilities, Medicaid health care management services, workers' compensation administrative services and health information technology products and services. Aetna's customers include employer groups, individuals, college students, part-time and hourly workers, health plans, health care providers, governmental units, government-sponsored plans, labor groups and expatriates. For more information, see www.aetna.com and learn about how Aetna is helping to build a healthier world. @AetnaNews About Aetna International Aetna International, part of Aetna Inc., is committed to helping create a stronger, healthier global community by delivering comprehensive health care benefits and population health solutions worldwide.  One of the largest providers of international private medical insurance services, Aetna International serves more than 700,000 members worldwide, including expatriates, local nationals and business travelers. Aetna International also offers customized technological and health management solutions for health care systems, government entities and large employers to improve people’s health, enhance quality of care and contain costs. For more information www.aetnainternational.com About Aetna Thailand In July 2017 Aetna was established in Thailand Formerly, and now we have over 300,000 members and more than 2,000 organizations and over 400 hospital networks.   For more information www.aetna.com