Case Management Leader

4 weeks ago

กรงเทพมหานคร, Thailand April Asia Pacific Full time

For over 30 years, APRIL International Care has been specializing in international health insurance solutions. We design, distribute, and manage insurance plans and assistance services for individuals and businesses. With teams across Asia, Europe, and the Americas, we look after our members wherever they are to ensure they have access to the best care.

We are part of the APRIL Group, an insurance specialist with 2,300 staff in 16 countries.

We are seeking a skilled and dedicated **Case Management Leader **to join our team in the APAC region.

As a case Management Leader, you will lead the management of complex clinical cases within the APAC region with the double objective of improving the patient’s journey and enhancing the cost-effectiveness of the treatment plans. Step up the challenge and make a difference in member healthcare

**Responsibilities**:

- Manage the case management team and monitor their performance.
- Take ownership of the case management process, ensuring a comprehensive understanding of each complex ongoing medical case.
- Develop innovative and effective action plans to achieve the dual mandate stated in the mission of this role.
- Monitor cost savings and use data supported analysis to propose new strategies to foster additional savings.
- Focus on customer experience and provide clear and transparent explanations to members. Engage with members regarding their healthcare situations, providing guidance and discussing alternative treatments, suggesting alternatives, and facilitating second medical opinions when necessary.
- Prepare well-structured and concise case summaries as part of the escalation process, ensuring all relevant information is included.
- Oversee and coordinate the various teams involved in the case management process, including the LOG and Medical teams.
- Organize regular case study sessions to enhance teamwork, communication, and collaboration among team members. Foster a supportive and collaborative work environment.

**Requirements**:

- Medical background or ability to challenge medical decisions based on experience
- Successful experience in insurance or assistance sector would be a plus
- Being structured and detail-orientated
- Proven experience in developing effective solutions to challenges, utilizing both logical reasoning and creative approaches to overcome obstacles
- Confident to challenge a decision and provide argumentation to support it
- Experience in negotiating costs effectively to achieve favourable outcomes
- Capacity to work under limited supervision and to take the initiative
- Excellent written and communication skills with the ability to communicate ideas and opinions with confidence
- Fluent in English

**Benefits**:

- Opportunities for professional development and continuous learning.
- Collaborative and inclusive work environment.
- Work-life balance and flexible working arrangements.
- Engaging and challenging work with a meaningful impact on patient care.
- Cutting-edge technology and resources to support your work.
- Supportive leadership and opportunities for career growth within the organization.

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