Healthcare Advisory Physician
il y a 1 mois
Job Overview
The role of the Healthcare Advisory Physician involves providing specialized knowledge and guidance within the healthcare sector to enhance organizational effectiveness.
Key Responsibilities
- Offer expert insights on the healthcare framework to the organization.
- Act as a representative for the organization in various partnerships and formal settings.
- Conduct oversight and advisory missions for the organization, external entities, insured individuals, healthcare practitioners, and medical facilities.
- Verify the medical validity of treatments submitted for reimbursement, ensuring adherence to existing legislative and regulatory standards.
- Assess the appropriateness of the insured individual's care journey and address specific cases with a holistic approach.
- Engage in risk management initiatives aimed at controlling healthcare costs and preventing fraud.
- Participate in professional dispute resolution processes.
- Provide expertise in healthcare organization, preventive measures, and health promotion strategies to the organization.
Candidate Profile
- Possession of a Doctor of Medicine degree is essential.
- Comprehension of institutional policies and social protection matters, particularly in health policy.
- Basic knowledge of agricultural social legislation.
- Familiarity with the organization and operations of medical control.
- Ability to take initiative and propose solutions.
- Strong analytical skills and proficiency in written communication.
- Forward-thinking with strong organizational skills.
- Adaptability to changing circumstances.
- Excellent interpersonal skills and a collaborative mindset.
- Proficient in IT and office software applications.
- A valid driver's license is required.
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