Casemix Manager

At Siloam Hospitals Group, we believe that strong casemix management is the key to smooth hospital operations, faster claims, and better patient care. We’re looking for a Casemix Manager who can bridge strategy and operations — ensuring BPJS and insurance processes run flawlessly from start to finish.

Responsibilities:

• Partner with hospital leaders to plan and improve BPJS operations
• Work with Finance to analyze gross margins and find ways to make BPJS cases more profitable
• Monitor billing vs. BPJS reimbursements and identify opportunities for improvement
• Build relationships with clinics, hospitals, and industry networks to secure referral priorities
• Collaborate with medical teams to manage patient length of stay and optimize resources
• Oversee daily supervision of BPJS patients and ensure smooth claim processes
• Guide teams on the latest BPJS regulations and ensure full compliance
• Solve claim rejections and prevent potential fraud cases

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Qualifications:

• Bachelor’s degree i n General Medicine (MD.)
• Minimu m 2 years’ experien ce in hospital casemix management
• Proven experience handlin g insuran ce an d BP JS casemix
• Strong administrative skills with high attention to detail
• Able to work under pressure and meet deadlines
• Excellent coordination and communication abilities
• Willing to be placed in Siloam Bangka Belitung