Manulife
Case Management
Job Description
**Cost Efficiency Analysis**
Assess provider practices to identify unnecessary tests, procedures, or billing inefficiencies.
**Quality** **and** **Cost Efficient**
Ensure providers maintain high standards of care while reducing avoidable expenses.
**Performance Metrics**
Track KPIs such as average claim cost, readmission rates, and utilization of diagnostic services.
**Contractual Compliance**
Verify that providers adhere to agreed pricing structures and cost-control measures.
**Continuous Improvement**
Recommend strategies (e.g., bundled payments, preventive care programs) to reduce long-term costs.
**Qualification**
Degree in healthcare administration, economics, or medical sciences.
Strong ability to interpret cost data, claims, and clinical outcomes.
Experience 5–10 years in healthcare quality assurance, provider relations, or cost management.
**_When yo...
Assess provider practices to identify unnecessary tests, procedures, or billing inefficiencies.
**Quality** **and** **Cost Efficient**
Ensure providers maintain high standards of care while reducing avoidable expenses.
**Performance Metrics**
Track KPIs such as average claim cost, readmission rates, and utilization of diagnostic services.
**Contractual Compliance**
Verify that providers adhere to agreed pricing structures and cost-control measures.
**Continuous Improvement**
Recommend strategies (e.g., bundled payments, preventive care programs) to reduce long-term costs.
**Qualification**
Degree in healthcare administration, economics, or medical sciences.
Strong ability to interpret cost data, claims, and clinical outcomes.
Experience 5–10 years in healthcare quality assurance, provider relations, or cost management.
**_When yo...