Location
Australia
Job Type
fulltime
Posted
June 26, 2026
Job Description
Medical Advisor - 12 month contract
Role Summary — Medical Advisor (Registered Nurse) - 12 month contract
Location: Brisbane
Team: International Health (OSHC & OVHC)
This role sits at the intersection of clinical expertise, claims adjudication, and cost containment. The RN acts as a medical decision-maker ensuring appropriate treatment approvals and accurate claims assessment while managing high-cost cases and supporting non-clinical teams.
Core Purpose
- Assess and approve Guarantee of Payment (GOP) and treatment requests
- Adjudicate medical claims aligned to policy, MBS/PBS, and guidelines
- Manage high-cost cases (>$50K) with clinical and financial oversight
- Provide clinical guidance across the business
- Drive cost containment and governance
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