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Health Insurance Medical Advisor - Clinical Strategy & Claims
Job Description & How to Apply Below
PT Nata Praja Solusindo is seeking a Medical Advisor for health insurance in Jakarta Barat. You will evaluate providers, analyze tariff structures, and advise on medical necessity and policy exclusions to support product development and claims adjudication.
You will also review medical guidelines and clinical pathways to ensure alignment with current standards and efficiency in healthcare delivery. A clearly defined role focuses on maintaining high-quality care and cost-effectiveness.
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