132 Healthcare jobs in Vietnam
Chuyên Viên Đăng Ký Thuốc/ RA Executive
Posted today
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Job Description
Mô tả công việc:
(Mức lương: Thỏa thuận)
Chuẩn bị hồ sơ đăng ký
Phân tích, cập nhật các hướng dẫn, quy định hiện hành để đảm bảo tính tuân thủ của công ty. Đưa ra lời khuyên chung về chiến lược quản lý
Nhận công văn bổ sung, phân tích và lên kế hoạch trả lời. Tổng hợp, chuẩn bị và nộp hồ sơ bổ sung
Tìm kiếm thông tin và chuẩn bị tài liệu dược học, tờ hướng dẫn sử dụng
Theo dõi và xử trí các giấy phép lưu hành thuốc được giao. Nộp hồ sơ (thay đổi, gia hạn) để đảm bảo sự liên tục của giấy phép lưu hành
Hướng dẫn và hỗ trợ nhân viên khác có trình độ thấp hơn. Rà soát chất lượng hồ sơ đăng ký
Chuẩn bị báo cáo theo yêu cầu của trưởng phòng đăng ký thuốc
-
Prepare registration dossier
Analyze, update current guideline, regulation to ensure the compliance of company. Offer general advice on regulatory strategy
Receive deficiency letter, analyze and make plan to answer. Compile, prepare and submit amendment dossier.
Find information and prepare pharmacology document, leaflet
Manage drug MA (marketing authorization certification) of company that he/she in charge of. Take action (submit extension, variation dossier) to ensure the continuation of MA
Guide and support lower-level staff. Review the quality of the registration dossier
Make report as required by RA manager
Chức vụ: Nhân Viên/Chuyên Viên
Hình thức làm việc: Toàn thời gian
Quyền lợi được hưởng:
CHẾ ĐỘ PHÚC LỢI:
Thưởng tháng/quý/năm theo từng vị trí công việc
Thưởng chuyên cần
Thưởng lương tháng 13
Xem xét tăng lương hàng năm
Đào tạo chuyên môn sâu, cơ hội thăng tiến
Công việc ổn định, lâu dài
Tham gia bảo hiểm bắt buộc 100%
Bảo hiểm 24/7
Có xe đưa rước từ HCM
Yêu cầu bằng cấp (tối thiểu): Đại Học
Yêu cầu công việc:
‐ Bằng cấp về Dược
‐ Ít nhất 2 năm kinh nghiệm ở lĩnh vực liên quan
‐ Kiến thức chuyên sâu về đăng ký thuốc để thực hiện hầu hết các công việc thông thường cũng như xử lý các trường hợp bất thường
- Kiến thức đầy đủ về phát triển thuốc, kiểm tra chất lượng, đảm bảo chất lượng liên quan đến hồ sơ đăng ký
‐ Khả năng phân tích và giải quyết vấn đề
‐ Khả năng thực hiện cùng lúc nhiều công việc chi tiết
‐ Khả năng làm việc dưới áp lực và đáp ứng tốt thời hạn
‐ Khả năng tự định hướng công việc
‐ Khả năng dẫn dắt và hỗ trợ nhân viên khác có trình độ thấp hơn
- Khả năng sử dụng các chức năng cơ bản của Word, Excel, Powerpoint
‐ Tiếng Anh: Có khả năng nghe, nói, đọc, viết và có khả năng phiên dịch
‐ Khả năng giao tiếp tốt bằng lời nói và văn bản
‐ Khả năng làm việc nhóm tốt
-
‐ Degree in Pharmacy
At least 2 years' experience in related field
Thorough knowledge in drug registration: sufficient comprehension of the subject area to solve unusual as well as common work problems
Sufficiency knowledge in drug development, quality control, quality assurance related to drug registration
Ability to analyze and solve problems
Ability to perform multiple detailed, concurent tasks
Ability to work under pressure and intensive deadlines
Ability to work in a self-directed manner
Ability to guide and support the lower-level staff
MS Office: Ability to use basic function of Word, Excel, Powerpoint
English: Has ability to listen, speak, write, read, and translate
Excellent verbal and written communication skills
Good teamwork skills
Yêu cầu giới tính: Nam/Nữ
Ngành nghề: Dược,Kỹ Thuật Y Học - Xét Nghiệm,Sales Y Tế - Dược Phẩm,Sức Khỏe - Dinh Dưỡng
Đại Học
1 - 2 năm
Healthcare Professionals Activator
Posted today
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Job Description
Opella is the self-care challenger with the purest and
third-largest portfolio in the Over-The-Counter (OTC) & Vitamins, Minerals & Supplements (VMS) market globally
.
Our mission is to bring health in people's hands by
making self-care as simple as it should be
. For half a billion consumers worldwide – and counting.
At the core of this mission is our
100 loved brands
, our
11,000-strong global team, our 13 best-in-class manufacturing sites
and 4 specialized science and innovation development centers. Headquartered in France, Opella is the proud maker of many of the world's most loved brands, including Allegra, Buscopan, Doliprane, Dulcolax, Enterogermina, Essentiale and Mucosolvan.
As a globally certified B Corp company,
we are active players in the journey towards healthier people and planet. Find out more about our mission at
Join us on our mission. Health. In your hands
Role Overview
A fantastic opportunity is available for an HCP Activator to join the Opella HCP team and play a pivotal role in the growing Vietnam market. Reporting to the HCP Lead, the HCP Activator will take full ownership of building, developing, localizing, and executing impactful HCP engagement plans across both global and local brands, where applicable. The role ensures scientific credibility, supporting omnichannel effectiveness, and measurable impact on Reach, Content, and Conversion for long term success of Opella, while fostering long-term advocacy with HCPs and professional associations.
Key Accountabilities
BUILD & EXECUTE HCP ENGAGEMENT PLANS
- Coordinate with Brand managers and Category lead to contribute to deploying global HCP brand playbook, creating & localizing HCP content, testing & optimization to cater local HCP insights & needs.
- Convert brand plan strategy and category strategy into clear HCP marketing plans rooted in HCP insight, brand RMOG & SOG, HCP Job to be done, as well as HCP influence matrix to consumer.
- Develop and execute HCP engagement plans for local priority brands, ensuring alignment with business growth goals
- Regular update HCP marketing strategies and tactics for the brand and category provided to sales and Market access team during cycle meetings and sales conference and company annual meeting.
- Partner with omnichannel team to ensure optimal mix of face-to-face, digital, and hybrid activities.
ENSURE SCIENTIFIC CREDIBILITY & COMPLIANCE
- Ensure all HCP content, detailing materials, and training tools meet compliance, regulatory, and medical standards.
- Coordinate with local medical and regulatory teams for timely approval and audit readiness.
- Build internal medical knowledge within salesforce through training and approved materials.
MANAGE BUDGET & TRACK, OPTIMIZE KPIs & PERFORMANCE
- Meet and Monitor HCP marketing budget and ensure expenditure is as per planned activities/ initiatives on monthly basic and within the allocated budget from brand managers.
- Measure & report brand impact on Reach, Content Engagement, and Conversion
- Track KPIs at Local or Global brand level as applicable, ensuring insights are shared with relevant cross functional teams.
- Monitor and measure budget to ensure efficient use of resources and applicable ROI
- Continuously test and optimize content, messaging, and channels to maximize effectiveness.
DRIVE & IMPLEMENT HCP ACTIVITIES & SUPPORT OMNICHANNEL
- Identify opportunities to elevate Global/ Local brands via partnerships & omnichannel campaigns
- Develop and implement HCP activations for effectiveness and efficiency in liaise with each channel
- Coordinate with sales in HCP segmentation and targeting exercise to put right resource into focus area.
- Ensure that sales, finance, and market access are aligned to bring product access through healthcare channel, esp. hospital channel.
- Developing all detailing / promotional materials to HCP and training document/ tool kit/ role play/ test of med reps that get internal and external approval (where applied)
- Proactively contribute to the development and implementation of market access and sales force strategies for the assigned brands, handled by the market access team and sales team.
DRIVE HCP ADVOCACY & PARTNERSHIPS
- Build and manage relationships with KOLs, DOLs, and HCOs to strengthen advocacy & credibility.
- Identify opportunities to elevate brand presence through partnerships, professional associations, and educational initiatives.
- Support broader disease awareness campaigns with aligned HCP education.
Job Requirements
Education background:
- Bachelor's degree in Medicine & Pharmacy is a must
- Bachelor's degree in Marketing & Business is an additional advantage
Required Knowledge And/or Experience
- At least 3 – 5 years relevant experience in MNC pharmaceutical companies.
- Strong track records for content development.
- Experience in strategic planning and execution.
- Dynamic, results-oriented individual with a "hands on" style
- Adaptable to a fast-paced, high-growth, changing environment
- Excellent interpersonal and communication skills; team player
- Project management skills with the ability to get things done
Language Skills
- Excellent communication and presentation skills (both written and spoken) in English + Local Language.
Patient Journey Partner
Posted today
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Job Description
At Roche you can show up as yourself, embraced for the unique qualities you bring. Our culture encourages personal expression, open dialogue, and genuine connections, where you are valued, accepted and respected for who you are, allowing you to thrive both personally and professionally. This is how we aim to prevent, stop and cure diseases and ensure everyone has access to healthcare today and for generations to come. Join Roche, where every voice matters.
The Position
- We advance science so that we all have more time with the people we love
At Roche, we believe it is urgent to deliver medical solutions, even as we develop innovations for the future. We are passionate about transforming patients' lives. We are brave in both decision and action and we believe that good business means a better world.
The PJP is an empowered leader and the local face of Roche. They partner closely with all stakeholders directly touching the patient journey in a given therapeutic area, (including but not limited to healthcare professionals, academics, patient advocacy groups and patients) gaining a deep understanding of their needs in order to connect Roche's capabilities to co-create meaningful solutions.
Your Opportunity
- The primary (but non-exclusive) point of contact between stakeholders and Roche.
- Responsible for Roche's products through their lifecycle and supports their appropriate use, which includes sharing their merits with HCPs.
- Disease landscape understanding and products' knowledge.
- Responsibility of Roche's products through their lifecycle and support its appropriate use.
- Broad understanding of his/her therapeutic area and its respective future pipeline, such that they can work on future-based solutions
- Partners with patient journey stakeholders to remove roadblocks and unlock possibilities to deliver value for patients and the community.
- Awareness of disease, diagnosis
- HCP education (pre-approved & post-approved products)
- Proactive communication with HCPs on PSP
- PJP acts as a system thinker with the ability to identify shared purpose among stakeholders and leverages this to co-create solutions with stakeholders in the ecosystem.
- Responsible for reporting the incident/accident immediately to SHE department. Attend / complete all requisite on-line and F2F trainings (Role specific, Safety Responsibility and Compliance) within specified time limit to ensure the learning outcome after the training has been implemented
Who you are
- University degree of pharmacy or medical (Must-have)
- Minimum 3 years of oncology therapeutic area experience (is preferred)
- Consistent track record of achieving objectives, collaboration and team work
- Experience in agile ways of working is a plus
- Cross functional collaboration & experience
- Strong business acumen with desired expertise in commercialization, medical and customer experience excellence.
- Growth mindset and deep understanding of patient journey(s) and related treatments in the oncology area, enabling engagement at the specialist level.
- Broad understanding of Roche's present portfolio and future pipeline, such that they can work on future-based solutions.
- Robust understanding of medical affairs strategies and tactics including clinical research.
- Excellent verbal and written English communications skills
- Demonstrated excellence in relationship building and partnering at all levels within an organization
- Creative approach to problem-solving with the ability to focus on details while maintaining the "big picture" view
- Agility, creativity and enthusiasm
Who we are
A healthier future drives us to innovate. Together, more than 100'000 employees across the globe are dedicated to advance science, ensuring everyone has access to healthcare today and for generations to come. Our efforts result in more than 26 million people treated with our medicines and over 30 billion tests conducted using our Diagnostics products. We empower each other to explore new possibilities, foster creativity, and keep our ambitions high, so we can deliver life-changing healthcare solutions that make a global impact.
Let's build a healthier future, together.
Roche is an Equal Opportunity Employer.
Regulator Affair Specialist- Pharmaceutical/ Healthcare
Posted today
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Job Description
- Địa điểm làm việc:
Khu Công Nghệ Cao, TP. Thủ Đức (Quận 9 cũ)
- Thời gian làm việc:
Thứ 2 – Thứ 7 (08:00 – 17:00)
- Lương:
thỏa thuận
Mô tả công việc:
- Soạn thảo, rà soát hồ sơ đăng ký thuốc mới, hồ sơ bổ sung, thay đổi cho sản phẩm trong nước theo quy định của Cục Quản lý Dược.
- Theo dõi, tiếp nhận và xử lý phản hồi từ Cục Quản lý Dược, hoàn thiện hồ sơ theo yêu cầu.
- Phối hợp với các phòng ban nội bộ, nhà cung cấp và đối tác để bổ sung tài liệu cần thiết.
- Quản lý, lưu trữ hồ sơ đăng ký (bản cứng và bản mềm).
- Soạn thảo, cập nhật hướng dẫn sử dụng thuốc từ tài liệu tham khảo quốc tế.
- Cập nhật các văn bản pháp quy, nghị định, thông tư mới từ cơ quan quản lý.
- Cung cấp giấy tờ, tài liệu liên quan đến sản phẩm cho các phòng ban khi cần.
- Báo cáo công việc định kỳ cho quản lý trực tiếp.
Yêu cầu ứng viên:
- Tốt nghiệp Đại học Dược chính quy
(bắt buộc).
- Có tối thiểu
2 năm kinh nghiệm tại vị trí tương đương.
- Nắm vững kiến thức pháp luật về đăng ký thuốc, dược lý, dược lâm sàng, công nghệ sản xuất dược phẩm.
- Tiếng Anh giao tiếp khá trở lên, đọc – viết tốt.
- Thành thạo tin học văn phòng.
- Cẩn thận, tỉ mỉ, trung thực, có tinh thần trách nhiệm, chủ động và kỹ năng làm việc nhóm tốt.
Healthcare SEO Writer
Posted today
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Job Description
This is a contractor role lasting 6 months.
We accept applicants that are based in Southeast Asia and can work in Singapore timezone (GMT +8).
We may extend the work contract based on performance.
Company Overview
Thomson Medical is one of the leading listed healthcare players in the Southeast Asian region with operations in Singapore, Malaysia, and Vietnam. We're committed to providing high-quality and personalised medical services and are embarking on an exciting digital transformation journey to enhance our core systems and end-user applications, creating a seamless digital experience for our patients and healthcare partners.
As part of this initiative, we are seeking a motivated
Healthcare SEO Writer
(Contractor)
to join our dynamic team.
Job Description
Thomson Medical is seeking a
Healthcare SEO Writer (
Contractor
)
to work with our Content Team in producing and managing high-quality content. This role involves creating engaging and educational materials for our visitors and patients.
What you'll do:
- Research, outline, and write educational and engaging content about healthcare (women's health, children's health, dermatology, TCM, etc.).
- Edit articles.
- Use SEO optimisation tools like Ahrefs to ensure content ranks for target keywords.
- Publish content.
- Ensure all content, headings, images, and meta titles/descriptions are clean and optimised.
What are we looking for?
- You are a continuous learner. You are willing to learn more about the healthcare industry, SEO, and content marketing.
- You're a natural-born writer You probably spent a lot of time perfecting your craft, you have a strong grasp of grammar, and you enjoy writing/editing/proofreading.
- You have excellent communication skills, with the ability to clearly convey complex concepts in an easy-to-understand manner.
- You're organised and independent, but you love working in a collaborative and positive team environment.
- You're self-motivated and take initiative to meet and exceed your goals.
- You've experience writing and editing English articles for SEO.
Nice to have:
- A portfolio and samples of your work.
- You've written content for healthcare industry.
What we offer:
- Learning opportunities.
- Remote and flexible working.
- Salary.
To Apply
If you are interested in this position, please send the following to Note that only candidates who are a good match will be contacted.
- A brief explanation of why you're interested in the role.
- Your resume (PDF file).
- (Good to have) A portfolio and samples of your work.
- Your desired start date.
- Your expected salary (in your local currency).
HCM - Key Account Executive (Consumer Healthcare)
Posted today
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Job Description
Do you feel like every day starts at zero?
Do you crave action?
Do you actively seek out problems to solve?
Mega We Care Vietnam is looking for a Key Account Executive to work closely with Project Manager in a fast-paced environment that will offer ample opportunity to learn and expand your experience and expertise.
LOCATION: TP.HCM
JOB DESCRIPTION:
· Develop and maintain relationships with retail pharmacy and hospital chains to ensure brand presence and customer satisfaction.
· Achieve sales targets through strategic planning, promotional activities, and effective execution.
· Manage orders while negotiating contracts and pricing with clients.
· Monitor sales performance, analyze market trends, and provide insights to management.
· Collaborate with internal teams to align strategies and ensure seamless operations.
REQUIREMENTS:
·
Preferably over 2 years of experience at KAE role and/ or OTC related MKT role, especially in FMCG and food supplements.
·
Bachelor's degree in Bussiness/Marketing/Pharmacy or related field.
·
Knowledge and experience of pharmaceutical regulations.
·
Proactive, Good adaptation, Creative, Corporative
Healthcare Access Specialist – Oncology
Posted today
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Job Description
The HAS (Healthcare Access Specialist)– Oncology is responsible for leading and executing access strategies across the oncology portfolio in Vietnam. This role ensures timely and sustainable patient access to innovative oncology therapies through strategic pricing, reimbursement, stakeholder engagement, and policy shaping.
Role Responsibilities
1
. Strategic Access Planning
- Develop and implement access strategies aligned with brand objectives and national health priorities.
- Lead NRDL submission planning and execution for oncology brands
- Collaborate with regulatory and medical teams to support dossier preparation and health economic modeling.
- Pricing Management
Define pricing strategies for new launches and in-line brands.
- Stakeholder Engagement
- Build and maintain relationships with key stakeholders including Ministry of Health, hospital administrators, and payer bodies.
- Organize educational events and policy dialogues to support access initiatives.
- Cross-Functional Collaboration
- Work closely with marketing, medical affairs, and commercial field colleagues (CFCs) to ensure integrated access planning.
- Support PSP (Patient Support Program) design and implementation in collaboration with external partners.
- Performance Monitoring
Track access KPIs including time-to-listing, coverage expansion, and tender wins.
Qualifications
Education:
- Bachelor's Degree in Pharmaceutical or Medical
Certification:
- Knowledge of the evolving healthcare environment, health policy
Working experience:
- Appropriate 5 years of experience in Pharma industry at Manager level. Experience on cross TAs is in advanced
- Well understanding/knowledge HC system
- Well relationship with all HAs/stakeholders mentioned above
Competencies:
- HC knowledge and networking.
- Demonstrated ability to build valuable customer relationships
- Demonstrated ability to effectively execute project management
- Demonstrated ability to leverage cross-functional partnerships that are aligned with business goals.
- Good digital practice/mindset enough to engage customers to be familiar and act on digital platform
Skills:
- Cross functional collaborative experience.
- Very good communication in written and spoken and listened English skills, especially in Medical English. Computer literate including manipulating Excel spreadsheets, PowerPoint, Word.
- Strong negotiation and influencing skills with both internal and external customer.
- Digital implementation skills
Pfizer is an equal opportunity employer and complies with all applicable equal employment opportunity legislation in each jurisdiction in which it operates.
Market Access
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About the latest Healthcare Jobs in Vietnam !
Commercial Director, Healthcare Business
Posted today
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Job Description
Mô tả công việc:
(Mức lương: Thỏa thuận)
Lead commercial business in Vietnam, driving revenue growth through omnichannel strategies, client leadership, and non-traditional sales models in Consumer Health and Food Supplements. Description * Developing and executing commercial strategies to drive revenue growth in the healthcare sector. * Identifying and cultivating relationships with key stakeholders and partners in Ho Chi Minh. * Analyzing market trends to identify new opportunities within the healthcare industry. * Overseeing sales & marketing teams to ensure alignment with business goals. * Creating and managing budgets to optimize profitability. * Collaborating with cross-functional teams to deliver tailored healthcare solutions. * Monitoring performance metrics and reporting to senior leadership. Profile * A strong background in business management, marketing or related field * Proven leadership and team management skills. * Good analytical and strategic thinking abilities. * Effective communication and stakeholder management skills. * The ability to thrive in a fast-paced and evolving market environment. * Good exposure to both omnichannel and offline sales channels Job Offer Our client offers you: * Opportunities to work at the forefront of healthcare and technology innovation. * A collaborative work environment with a focus on professional growth. * Potential for long-term career advancement within a growing organization. * Involvement in impactful projects that transform healthcare delivery. If you are passionate about healthcare industry, this is your opportunity to make a difference. Apply now to join a team dedicated to shaping the future of healthcare. Page Group Vietnam is acting as an Employment Agency in relation to this vacancy.
Chức vụ: Giám Đốc Và Cấp Cao Hơn
Hình thức làm việc: Toàn thời gian
Quyền lợi được hưởng:
Bonus
Yêu cầu bằng cấp (tối thiểu): Trung cấp - Nghề
Yêu cầu công việc:
A strong background in business management, marketing or related field
Proven leadership and team management skills.
Good analytical and strategic thinking abilities.
Effective communication and stakeholder management skills.
The ability to thrive in a fast-paced and evolving market environment.
Good exposure to both omnichannel and offline sales channel in FMCG (Consumer Health, Personal Care)
Yêu cầu giới tính: Nam/Nữ
Ngành nghề: Kinh Doanh/Bán Hàng,Marketing,Phát Triển Thị Trường,Quản Lý Sản Xuất,Sản Xuất/Lắp Ráp/Chế Biến
Trung cấp - Nghề
Không yêu cầu
Hotline Healthcare Claims Manager
Posted today
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Job Description
Responsibilities
- Handling 24/7 inbound and outbound calls about customers and sales' Healthcare claims concerns, enquiries and complaints in a timely manner and in accordance with company's policy, providing right information, appropriate solutions and alternatives;
- Handling hospitals/medical providers' enquiries for arrangement of direct billing services to MVL's clients;
- Contribution as Subject Matter Expert in projects relating to enhance healthcare services;;
- Collaboration with cross departments/functions to smoothly solve all claims-related issues and reach claims objectives;
- Duties to support Department targets and Company objectives as and when assigned by Team leader/Line Manager.
What We're Looking For
- EDUCATION / TRAINING
University or College Degree
English intermediate is preferred
- PROFESSIONAL / TRADE QUALIFICATION
Insurance Business
- COMPETENCIES
Hard working, honesty, be able to work under high pressure
Negotiation
Problem solving skill
- EXPERIENCE
Having experience at least 3 years in insurance.
- COMPUTER PROFICIENCY
MS Office
- KEY WORKING RELATIONSHIP
Good attitude and respect colleagues
Team work
When You Join Our Team
- We'll empower you to learn and grow the career you want.
- We'll recognize and support you in a flexible environment where well-being and inclusion are more than just words.
- As part of our global team, we'll support you in shaping the future you want to see.
About Manulife And John Hancock
Manulife Financial Corporation is a leading international financial services provider, helping people make their decisions easier and lives better. To learn more about us, visit
Manulife is an Equal Opportunity Employer
At Manulife/John Hancock, we embrace our diversity. We strive to attract, develop and retain a workforce that is as diverse as the customers we serve and to foster an inclusive work environment that embraces the strength of cultures and individuals. We are committed to fair recruitment, retention, advancement and compensation, and we administer all of our practices and programs without discrimination on the basis of race, ancestry, place of origin, colour, ethnic origin, citizenship, religion or religious beliefs, creed, sex (including pregnancy and pregnancy-related conditions), sexual orientation, genetic characteristics, veteran status, gender identity, gender expression, age, marital status, family status, disability, or any other ground protected by applicable law.
It is our priority to remove barriers to provide equal access to employment. A Human Resources representative will work with applicants who request a reasonable accommodation during the application process. All information shared during the accommodation request process will be stored and used in a manner that is consistent with applicable laws and Manulife/John Hancock policies. To request a reasonable accommodation in the application process, contact
Working Arrangement
In Office
Digital Health Services
Posted today
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Job Description
Report to
: Manager, Healthcare Claims
Location:
Ho Chi Minh
Function
: Customer & Information Technology |
Department
: Customer Office
Type
: Individual Contributor
Position no.1:
Claims Assessment_Direct Billing
THE OPPORTUNITY:
- Manage direct billing claims within the Turnaround Time (TAT) of 2 hours for final LOG, 30 minutes for outpatient cases, ensuring a 99% accuracy rate. Collaborate effectively with medical provider staff and proactively engage with medical providers to ensure customers have the best experience and expenses are controlled reasonably.
- Maintain a customer-centric approach throughout the claim process, achieving a customer satisfaction score of 90% or higher.
- Actively contribute at least three creative ideas per quarter to the team to enhance performance and achieve claim cost savings of 10%
ROLES AND RESPONSIBILITIES:
1. Direct Billing handling (60%)
- Thoroughly and promptly assess all direct billing cases, ensuring claims decisions within Claim Authority are based on valid grounds and fully comply with Claim guidelines, policies, and terms and conditions.
- Collaborate closely with hospital staff to ensure treatment expenses are necessary and appropriate, avoiding unnecessary abuse.
- Utilize classification software to accurately apply clinical codes in the system for each sub-benefit.
- Document patients' health information, including medical history, examination and test results, and any treatments or procedures provided.
- Maintain the confidentiality of all patient records.
- Achieve claims SLA commitments to customers, distribution, and partners.
- Prepare proper documentation and, if possible, provide recommendations on cases referred to higher authority levels, the Claim Committee, or re-insurers for decisions.
- Proactively contribute good practices and ideas to the team to improve performance.
- Perform other responsibilities and duties as periodically assigned to support the company's business
2.Reimbursement claim handling (30%)
- As a claim assessor, to be responsible for processing reimbursement claim if assigned by manager.
- Training for newcomers about the healthcare claim practice, medical knowledge if any.
3. Customer inquiries (10%)
- Handle customer calls regarding claim information outside of regular working hours to ensure clear and accurate information is provided.
Position no.2:
Claims Assessment_Reimbursement
THE OPPORTUNITY:
Manage and resolve claims in a fair, efficient, and empathetic manner to:
- Ensure that policyholders receive the appropriate compensation according to the terms and conditions of their insurance policies and ensure to bring the best claim experiences to customer.
- Minimize financial risks and protect company's financial state (A/E) by identifying potential fraud and implementing preventive measures
ROLES AND RESPONSIBILITIES:
1.Re-imbursement claim handling (80%)
- Managing the entire lifecycle of insurance claims from submission to resolution to ensure claims are processed accurately and timely.
- Evaluating claims based on policy coverage, medical necessity, and contractual agreements.
- Ensuring that claims processing adheres to regulatory requirements and claims procedure.
- Providing guideline, advice to team member or make final decision for the borderline cases.
- Process payment, ensure policy benefit and policy values to be calculated correctly and pay to the right Beneficiary.
- Communicate with customers/ providers to request additional documents.
- Work with POS team/ actuary/ UW for Policy value calculation.
- Prepare claims letter and to customers and keep agents updated about claims status/ results.
- Quality Assurance
: Monitoring and auditing claim handling processes to maintain accuracy and efficiency including conducting audits, providing feedback to leader, and implementing improvements. - Customer Service:
Addressing inquiries and issues related to claims from healthcare providers, policyholders, and internal stakeholders. - Provider Relationship:
to ensure smooth operations between HC team and providers daily when dealing with direct billing.
2.Direct Billing claim handling (20%)
- Support or handle cashless claim in case of high volume of claims following manager directions.
- Back up assessor, who is responsible for direct billing hotline, in case of her/his absence.
JOB REQUIREMENTS:
- Education –
University Graduate. - Experience –
At least 3 years of experience in medical claim at an insurance company - Certifications/licenses –
LOMA certificate - Good in communication and interpersonal skill, decision-making skill, management skill and planning skill.
- Medical background is preferred.
- Customer Service Mindset
- Good in English speaking and writing