Clinical Advisor Associate
4 days ago
Vhi is a leading healthcare provider dedicated to delivering exceptional medical services to our customers. We are committed to fostering a culture of innovation, excellence, and patient-centered care.
Job Description
We are seeking a Clinical Advisor Associate to join our team of medical professionals. This role will involve providing clinical guidance, developing guidelines, and conducting research to support our organization's business strategy.
Key Responsibilities
The successful candidate will be responsible for:
- Providing medical advice to our Claims Department on appeals and Insurance Ombudsman referrals.
- Developing clinical guidelines to support claim assessment.
- Assessing new medical/surgical procedures, technologies, and drugs.
- Reviewing provider utilisation data.
- Participating in clinical billing audits.
- Developing hospital reimbursement systems.
- Conducting research and analysis related to applications for approval of new facilities.
Qualifications and Skills
To be considered for this role, you must possess the following qualifications and skills:
- Full Medical Qualification (MB, BCH or equivalent).
- Current registration with the Medical Council.
- Minimum 7 years post-graduate medical experience – ideally across a range of specialties.
- MICGP, MRCGP, MRCPI or equivalent qualification.
- Medical indemnity insurance.
- Excellent report writing and analytical skills.
Benefits
This role offers a comprehensive benefits package, including:
- Hybrid working opportunities.
- Health Insurance.
- Performance-related pay.
- Company pension.
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