เงื่อนไขการค้นหา

ประสบการณ์:

5 ปีขึ้นไป

ทักษะ:

Excel, Power BI

ประเภทงาน:

งานประจำ

• Approve the payment based on authorization.
• Perform rejection of claims reimbursement.
• Require the additional information.
• Issue memo into the system for administration in performing next steps.
• Submit for further investigation.
• Request the hospital records from hospital.
• Continuously monitor and make decision for the pending cases of Claims Reimbursement, or back log.
• Consolidate the complex cases and prepare for Claim Committee and COO/ CEO according to the authorization.
• 2) Hospital assessment Claims (OPD cashless)Handling the OPD cashless claims from the hospital.
• Perform investigation and make decision for OPD cashless claims received in the system.
• Approve for the payment base on authorization.
• Perform rejection of fax claims received.
• Require the additional information.
• Issue memo into the system for administration in performing next steps.
• Submit for further investigation.
• Request the hospital records from hospital.
• Continuously monitor and make decisions for the pending cases of OPD cashless Claims Hospital, or back log.
• Manage the complex cases which require Claim Committee Decision, and present to Claim Committee and COO/ CEO according to the authorization.
• Handle claim approvals, ensuring accuracy, timeliness, and adherence to service level agreements (SLAs).
• Must HaveDegree in business administration, Nursing, Business Sciences (Medical Technology) or related field.
• Minimum 5 years of experience in Claims Assessor or other related fields in insurance industry.
• Experience/knowledge in nursing, medical, claim insurance related topics, regulation, policy, guideline.
• Nice to HaveAccuracy concern detail orientation.
• Experience in using claims/CRM systems.
• Ability to prioritize claim related functions.
• Knowledge of MS Office, Excel, PowerPoint or data software Power BI.
• Any AI-future skills e.g., ChatGPT, or CoPilot365, will be advantage.
• Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges is what makes us a unique employer. We are united by a shared commitment: to put our customers first and at the centre of everything we do. Their needs inspire our thinking and guide our actions. Together, we can build an environment where everyone feels empowered and confident to explore, grow and shape a better future - for our customers and for the world around us. At Allianz, we stand for unity: we believe that a united world is a more prosperous world, and we are dedicated to consistently advocating for equal opportunities for all. The foundation for this is our inclusive workplace, where people and performance both matter, and where integrity, fairness, inclusion and trust are at the heart of our culture. We therefore welcome applications regardless of ethnicity or cultural Internal background, age, gender, nationality, religion, social class, disability or sexual orientation, or any other characteristics protected under applicable local laws and regulations.
• Join us. Let's care for tomorrow.

ประสบการณ์:

3 ปีขึ้นไป

ทักษะ:

English

ประเภทงาน:

งานประจำ

• Location: Bangkok, Thailand (primarily at PBT - Paramount Bed Thailand office).
• This is a project-based, full-time position with an Indefinite contract..
• About Instalimb.
• Instalimb, a Japan-founded med-tech company, is looking for a qualified professional to lead their digital prosthetic fabrication project in Thailand. This role focuses on implementing modern 3D printing and AI technology to provide affordable, high-quality care to patients.
• Core Responsibilities.
• Training & Mentorship: Deliver training on digital workflows, including 3D scanning, CAD design, and 3D printing to local partner facilities..
• Clinical Oversight: Supervise patient evaluations, fitting, and gait analysis at partner sites to ensure high-quality standards..
• Project Coordination: Align with international organizations, Thai ministries, and hospitals to manage multi-site schedules..
• R&D & Localization: Propose adjustments to device designs based on local Thai patient needs, climate, and activity levels..
• Technical Support: Operate 3D printers, manage software (Instalimb ONE), and troubleshoot technical issues..
• Must-Have Qualifications.
• Nationality: Full working rights for Thailand..
• Certification: A Prosthetist & Orthotist qualification recognized in Thailand..
• Experience: At least 3+ years of clinical experience in the P&O field..
• Language: Proficiency in both Thai and English (oral and written)..
• Preferred Skills.
• Experience with 3D printers and CAD tools for P&O devices..
• An ISPO-accredited degree..
• Background in management, team supervision, or training others..
• A valid Thai driver s license for field visits.
• Employment Details.
• Compensation: THB 360,000 - 600,000 annually, with travel expenses reimbursed..
• Schedule: Monday - Friday, 8:00 - 17:00 (fixed; no flexible work)..
• Travel: Requires domestic travel within Thailand and potential international travel (e.g., to India)..

ประสบการณ์:

1 ปีขึ้นไป

ทักษะ:

Fast Learner, English, Thai

ประเภทงาน:

งานประจำ

• ทำงานส่งเครื่องมือผ่าตัด สายงานออร์โธปิดิกส์
• ดูแลจัดเครื่องมือตามจำนวนงานที่ได้รับมาในแต่ละวัน
• ดูแลเครื่องมือให้อยู่ในสภาพพร้อมใช้อยู่เสมอ
• รับผิดชอบงานครบตามเวลาในแต่ละวัน.

ประสบการณ์:

1 ปีขึ้นไป

ทักษะ:

Thai

ประเภทงาน:

งานประจำ

• ให้บริการงานเภสัชกรรม ให้ถูกต้องและเหมาะสม.
• บริหารจัดการร้านยาและทีมงาน ให้สามารถดำเนินการได้อย่างมีประสิทธิภาพ.
• หน้าที่และความรับผิดชอบ (Key Responsibilities).
• ให้บริการงานเภสัชกรรม ให้คำปรึกษาและจ่ายยากับคนไข้ร้านขายยา ทั้งทางหน้าร้านและผ่านระบบ Tele Pharmacy ให้เป็นไปตามเป้าหมาย.
• ตรวจสอบ ดูแล และเพิ่มเติมข้อมูลยาในฐานข้อมูลระบบให้มีความถูกต้อง และ Up to date ให้เป็นไปตามแผนงานที่วางไว้.
• จัดทำรายงานการขาย และรายงานที่จำเป็นสำหรับ Partner และหน่วยงานพันธมิตรต่างๆ รายเดือน.
• ควบคุม กำกับ ดูแล และตรวจสอบบัญชียา ขย. 9 ขย.10 และขย. 11 มาตรฐาน GPP ให้ถูกต้องตามเกณฑ์ของสำนักงานคณะกรรมการอาหารและยา (อย.).
• เป็น Domain expert ที่ช่วยให้ความเห็น คำปรึกษา และแนะนำเกี่ยวกับสินค้า แคมเปญการตลาด ร่วมกับทีมงานฝ่ายอื่นๆ.
• มีส่วนร่วมในการให้คำแนะนำ และข้อคิดในการพัฒนาระบบ Arincare.
• ปฏิบัติงานอื่นๆ ตามที่ได้รับมอบหมาย.
• สนใจติดต่อฝ่าย HR Arincare: 061-8175131 / ID Line: hr.arincare.
• ปริญญาตรี เภสัชศาสตร์บัณฑิต (ภ.บ.) และมีใบประกอบโรคศิลป์.
• ไม่จำกัดเพศและอายุ.
• มีใจรักงานบริการและงานบริบาลทางเภสัชกรรม.
• มีความรับผิดชอบสูง ทำงานเป็นทีม และบริหารงานได้ดี.
• มีความคิดสร้างสรรค์.
• แก้ไขสถานการณ์เฉพาะหน้าได้ดี.
• มีความรับผิดชอบ ติดตามงาน และส่งมอบงานภายในระยะเวลาที่กำหนด.
• มีทัศนคติเชิงบวกในการทำงาน และสามารถทำงานภายใต้สภาวะกดดันได้.
• พัฒนาตัวเองและพร้อมเรียนรู้ต่อเนื่อง.
• กระตือรือร้น และมีความยืดหยุ่นในการทำงาน.
• มีความรู้ สามารถใช้งานเครื่องมือ AI และสามารถปรับตัวเรียนรู้เทคโนโลยีใหม่ๆ ได้เป็นอย่างดี.
• ความรู้ด้านยา อาหารเสริม และกฎหมายที่เกี่ยวข้อง (อย., พ.ร.บ.โฆษณา).
• มีความสนใจด้านเทคโนโลยีและนวัตกรรมด้านการบริการสุขภาพ.
• หากมีทักษะด้าน Digital Marketing จะได้รับการพิจารณาเป็นพิเศษ.

ประเภทงาน:

งานประจำ

• Review patient admissions and length of stay to ensure medical necessity.
• Conduct concurrent and on-site case reviews.
• Escalate complex cases to physicians when criteria are not met.
• Identify quality issues and flag them to medical leadership.
• Prepare monthly reports and insights for hospital partners.
• Collect only pertinent clinical information and document all UM review information using the appropriate software system.
• Hospital Network Medical AnalysisWork with hospital partners to resolve inappropriate utilization.
• Conduct on-site reviews and service evaluations.
• Investigate and report misuse or abnormal medical practices.
• Medical Services OperationsAppoint and manage panel physicians for pre-insurance checkups.
• Coordinate mobile medical services and scheduling.
• Manage medical room operations (staff, equipment, supplies).
• Support customer medical requests and reports.
• Handle medical document issues with underwriting team.
• Prepare monthly communications (e.g., medical newsletter, updates).
• Support marketing campaigns and customer programs with hospital partners.
• Prepare report and payment for physician fee such as ECG, CxR, Orasure, doctor fee, Bria Lob, PRO lab and medical expense to relevant party every month.
• Coordinate with underwriter by receiving the medical examination documents from underwriter such as incorrect or incomplete to review and provide feedback to physician and nurse, and provide the formal letter to physician and nurse.
• Additional ResponsibilitiesSupport projects (e.g., hospital awards, service improvements).
• Handle customer inquiries and complaints professionally.
• What You Need (Must-Have)Bachelor's degree in nursing science or related field.
• Utilization review / case management / medical cost control.
• Hospital-based nursing (ICU, CCU, or medical ward).
• Strong understanding of clinical decision-making and patient care.
• Experience in claim assessor roles from insurance or healthcare industry.
• Nice to HaveKnowledge of utilization management tools (e.g., InterQual).
• Understanding of medical claims, ICD-10, or insurance practices.
• Familiarity with healthcare analytics tools.
• Good understanding of healthcare regulations.
• Self-driven/management and strongly in result oriented (KPI).
• Collaborative and communication skills.
• Any AI-future skills e.g., ChatGPT, or CoPilot365, will be advantage.
• Why Join UsWork at the intersection of healthcare and insurance.
• Collaborate with leading hospitals and medical professionals.
• Make a real impact on patient care quality and cost management.
• Grow your career in a dynamic healthcare environment.
• Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges is what makes us a unique employer. We are united by a shared commitment: to put our customers first and at the centre of everything we do. Their needs inspire our thinking and guide our actions. Together, we can build an environment where everyone feels empowered and confident to explore, grow and shape a better future - for our customers and for the world around us. At Allianz, we stand for unity: we believe that a united world is a more prosperous world, and we are dedicated to consistently advocating for equal opportunities for all. The foundation for this is our inclusive workplace, where people and performance both matter, and where integrity, fairness, inclusion and trust are at the heart of our culture. We therefore welcome applications regardless of ethnicity or cultural Internal background, age, gender, nationality, religion, social class, disability or sexual orientation, or any other characteristics protected under applicable local laws and regulations.
• Join us. Let's care for tomorrow.

ประเภทงาน:

งานประจำ

• Occupational Health: Fitness to work, Return to work, Medical Surveillance.
• Industrial Hygiene: Health Hazard Management, Health Risk Assessment.
• Fatigue Risk Management, Human Factor and Ergonomic.
• Health Promotion.
• Medical Emergency Response Plan.
• Clinic management.
• Responsible for applying Shell Health protocols and providing expert occupational health guidance to support business operations. Implementing key occupational health and industrial hygiene programs including health risk assessments, exposure monitoring, fatigue risk and human factors.
• Work through Shell Health protocols and processes (such as: Fitness to Work, Health Hazard Management (HHM), Fatigue Risk Management, Human Factor Engineering) to deliver agreed KPIs independently and adapt the protocols to local or individual need.
• Advising key internal stakeholders (employees and lines of business) on occupational health topics and may be the local focal point for specific areas e.g. ergonomics, travel health, and other relevant disciplines.
• Develop and maintain effective medical emergency response plans.
• Provide technical support to site owners to ensure medical equipment and supplies are maintained and ready.
• Collates and escalate issues from the frontline horizontally to asset specialist, and collaborates with central teams to deliver standardized optimised solutions.
• Promote and implement Shell Health activities and programmes to your population (working with key internal stakeholder departments, social/network groups and committees), to improve their physical, mental and social health through care so that they can be at their best.
• Lead, coordinate and collaborate with other businesses or functions, in implementing the physical, mental and social health plans, activities and programmes to the relevant sites and populations.
• Support clinic management and manage medical records relating with medical confidential data of employees.
• Please note: We occasionally amend or withdraw Shell jobs and reserve the right to do so at any time, including prior to the advertised closing date. Before applying, you are advised to read our data protection policy. This policy describes the processing that may be associated with your personal data and informs you that your personal data may be transferred to Shell/Shell Group companies around the world. The Shell Group and its approved recruitment consultants will never ask you for a fee to process or consider your application for a career with Shell. Anyone who demands such a fee is not an authorised Shell representative and you are strongly advised to refuse any such demand. Shell is an Equal Opportunity Employer.

ประสบการณ์:

1 ปีขึ้นไป

ทักษะ:

Good Communication Skills, English, Mandarin, Korean

ประเภทงาน:

งานประจำ

• สามารถทำงานในห้องผ่าตัดได้.
• สามารถติดต่อประสานงานกับหน่วยงานที่เกี่ยวข้องได้
• มีความสนใจด้านการขายเครื่องมือแพทย์ Spine, locking plate, Gamma Nail ( PFNA ),TKA, THA,.
• C-Spine.

ประสบการณ์:

8 ปีขึ้นไป

ทักษะ:

Marketing Strategy, Thai, English

ประเภทงาน:

งานประจำ

• Develop and execute market development strategies across ETC (Hospitals/Physicians), OTC (Pharmacies/Chain Pharmacies), Distributor, and Direct-to-Consumer (D2C) channels.
• Drive B2B sales by developing and managing relationships with hospitals, clinics, pharmacy chains, distributors, and institutional partners.
• Own and deliver sales targets (revenue, volume, and channel performance) in line with organizational goals.
• Manage annual budget as well as Advertising & Promotion (A&P) to ensure effective and efficient spend aligned with organization objectives.
• Identify and build new market opportunities for plant-based/NAPI products.
• Translate agroforestry-based raw materials into commercially viable product propositions.
• Align upstream supply with downstream demand to ensure sustainable growth.
• Lead go-to-market strategies including positioning, pricing, and channel mix.
• Establish, manage, and evaluate distributor networks with clear KPIs.
• Build strong relationships with healthcare professionals, pharmacy chains, and key partners.
• Collaborate with R&D and Regulatory teams to ensure product-market fit and compliant claims.
• Monitor channel performance, sales growth, and market penetration.
• Develop market insights, competitive analysis, and demand forecasts.
• Ensure pricing governance, channel integrity, and regulatory compliance.
• Support sustainability goals including traceability, community impact, and forest restoration.
• Bachelor s Degree in Pharmacy (required), Master s Degree in Business Administration and/or Marketing will be a plus.
• A minimum of 8 years of experience in pharmaceutical, nutraceutical, or healthcare-related industries.
• Proven experience in B2B sales, market development, or commercial strategy.
• Strong track record of achieving or exceeding sales targets.
• Experience in budget planning and A&P management with ROI-driven mindset.
• Strong understanding of ETC and OTC channel dynamics.
• Experience managing distributors and multi-channel business models.
• Knowledge or exposure to plant-based products, herbal medicine, or natural extracts.
• Strong stakeholder management and cross-functional collaboration skills.
• Ability to work in a regulated healthcare environment.
• Strategic thinker with strong execution capability.
• Excellent communication, analytical, and leadership skills.
• Passion for sustainability and community-driven developmen.