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  •  ...Performs clinical reviews needed to resolve and process appeals by reviewing medical records and clinical data to determine medical necessity for services in accordance with policies, guidelines, and National Committee for Quality Assurance (NCQA) standards.   Roles... 

    NTT DATA Services

    Metro Manila
    13 days ago
  •  ...quality. MediCard now boasts of more than half a million members and over 54,000 accredited doctors in over 1,000 hospitals and clinics nationwide. It also operates 16 MediCard free-standing clinics that provide services at par with those offered by hospitals minus... 

    AIA Group

    Philippines
    a month ago
  •  ...quality. MediCard now boasts of more than half a million members and over 54,000 accredited doctors in over 1,000 hospitals and clinics nationwide. It also operates 16 MediCard free-standing clinics that provide services at par with those offered by hospitals minus... 

    AIA Group

    Taguig
    a month ago
  •  ...Key Responsibilities ● Collaborates with clinical informatics teams and business analysts to analyze requirements and functional specifications to design clinical documents. ● Builds and maintains configuration items and clinical templates, including order forms,... 

    Octal Philippines Inc.

    Taguig
    3 days ago
  •  ...This is a remote position. A Remote Clinical Coordinator is responsible for developing care plans, coordinating patient care services, and ensuring patients receive the necessary medical treatment. They consult with healthcare providers, evaluate patient progress... 

    GABA Telepsychiatry

    Manila
    4 days ago
  •  ...About Sutherland Artificial Intelligence. Automation. Cloud engineering. Advanced analytics. For business leaders, these are key...  ...services to the insurance and healthcare vertical to set up the clinical/bill review/insurance practice. Establish and maintain communication... 

    Sutherland

    Taguig
    12 days ago
  •  ...quality. MediCard now boasts of more than half a million members and over 54,000 accredited doctors in over 1,000 hospitals and clinics nationwide. It also operates 16 MediCard free-standing clinics that provide services at par with those offered by hospitals minus... 

    AIA Group

    Philippines
    a month ago
  • Position Overview This position is responsible for providing product awareness, distribution support, and continuous medical education on medical equipment and consumable products to all stakeholders of IDS Medical Systems Philippines, Inc. The role ensures proper product...

    IDS Medical Systems (idsMED)

    Central Visayas
    a month ago
  • JR144450 Clinical Trial Assistant ICON plc is a world-leading healthcare intelligence and clinical research organization. We’re proud to foster an inclusive environment driving innovation and excellence, and we welcome you to join us on our mission to shape the future... 

    ICON Strategic Solutions

    Philippines
    11 days ago
  • What You'll Be Doing Performing a variety of medical laboratory tests and procedures to assist in the diagnosis, treatment, and prevention of diseases Collecting and preparing samples for analysis, following standardised protocols and safety guidelines Accurately...

    Manila Bankers Life Insurance

    Central Visayas
    a month ago
  • The Clinical Branch Manager is responsible for overseeing the daily operations, clinical excellence, regulatory compliance, and financial performance of the branch. This role provides leadership to clinical and administrative staff while ensuring high-quality patient care... 

    XM

    Philippines
    a month ago
  • Sr. Clinical Trial Manager Syneos Health® is a leading fully-integrated life sciences services organization built to accelerate customer success. We partner with innovators at every point across the drug development and commercialization continuum, helping them navigate... 
    Mandaluyong
    3 days ago
  •  ...Description: The Clinical Applications Specialist (CAS) is responsible for providing professional support to our medical device sales team. The support takes on many forms and shapes, ranging from technical support with our devices/equipment to clinical... 

    Polytechnic University of the Philippines

    Pasig
    a month ago
  •  ...What Clinical Operations contributes to Cardinal Health Clinical Operations is responsible for providing clinical specialties support and expertise in the areas of advice and consulting, research and patient care to internal business units and external customers.... 

    Cardinal Health

    Taguig
    21 days ago
  •  ...serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Clinical Admin Nurse / Prior Authorization Nurse will require ability to read through clinical information, interpret guidelines and... 

    UnitedHealth Group

    Philippines
    a month ago
  •  ...nutrition, movement support, and clinician-led care from prescribers, nurses, health coaches, pharmacists, and dietitians. Our published clinical research shows that our combined clinical and behavioural approach helps patients lose significantly more weight during their... 

    Eucalyptus

    Philippines
    a month ago
  • Client Locations: Alabang, Mandaluyong, Makati, Quezon City, San Fernando Pampanga, Santa Rosa Laguna The Clinic Cluster Lead will handle clinic management in terms of daily clinic operations, engagement with staff, guidance in reports, audit compliance, etc. A coordinator... 

    ACTIVEONE HEALTH, INC.

    Philippines
    a month ago
  •  ...Description: Under the general supervision of the Clinic Head primarily welcomes patients/clients and assists the Hearing Care Specialist to give better service to the clients/patients in conformity with the companys strict compliance and standards for... 

    Polytechnic University of the Philippines

    Mandaluyong
    a month ago
  • 3600000 Php per year

     ...technological, and process enablers. -Advocate for technological advancement and integration of automation, AI, and analytics to enhance clinical denial management and hospital billing accuracy. -Commercially minded with the proficiency to identify market gaps and convert... 

    Snaphunt

    Quezon City
    18 days ago
  •  ...English required • Problem-solving skills with ability to navigate complex situations • Experience building professional relationships across all organizational levels • Experience in clinical research/life science/manufacturing/scientific industry preferred... 
    Remote job

    Thermo Fisher Scientific

    Taguig
    18 days ago
  •  ...and support multiple Hospital Information Systems (HIS). Perform basic system configuration, updates, and maintenance to support clinical and operational workflows. Manipulate, analyze, and structure medical data for reporting and operational purposes. Quickly... 

    RecruitGo

    Quezon City
    a month ago
  •  ...-FRI Scheduled Hours 8:30 AM-5 PM Scheduled Daily Hours 7.5 HOURS Pay Range $53,040.00-$66,300.00 Job Summary Clinical Research Coordinator I will oversee multiple clinical trials, serving as a point person for patients, their family members and the... 

    Montefiore Health System

    Ramon, Isabela
    a month ago
  •  ...Discover your 100% YOU with MicroSourcing! Position: RCM Clinical Appeals Specialist (RN) Location: BGC, Taguig City Work setup & shift: Onsite | Night shift Sign-on bonus: 50,000. Why join MicroSourcing Youu0027ll have: Competitive... 

    MicroSourcing

    Taguig
    a month ago
  •  ...tasks assigned by managers of the Clients and/or Helpware Requirements  At least high school graduate with diploma  With clinical experience ~6 months of experience in customer service over phones, email, or live chat  ~ Healthcare experience is NOT required... 

    Helpware

    Cebu
    a month ago
  • 48.12 $ per hour

    This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Senior Clinical Solutions Architect - REMOTE. In this role, you will lead cross-functional collaboration to design and implement scalable, strategic solutions that align... 

    Jobgether

    Philippines
    a month ago
  •  ...Job Opening: Clinical Documentation Integrity (CDI) Specialist  Location: Eastwood, Quezon City (Remote / Hybrid)  Company: Neolytix  Employment Type: Full-Time  Department: Healthcare Operations / Clinical Quality  About Neolytix  Neolytix is a tech-enabled... 
    Remote job

    Neolytix

    Philippines
    8 days ago
  •  ...to do so Required Qualifications ~ Bachelor's degree in nursing + PHRN Active License + Active Certification ~3+ years of clinical experience - bed side, critical care in Tertiary/Secondary Hospital (ICU, CCU, Telemetry, Cardiovascular ICU, Medical ICU, ER, MS)... 

    Optum Philippines

    Philippines
    a month ago
  •  ...Work Location: 100% Onsite (Cebu)  Schedule:  Monday to Friday (8am-5pm) Responsibilities: Streamline and optimize daily clinic workflows for maximum productivity and quality. Translate organizational goals into actionable initiatives that improve clinic performance... 

    Tasq Staffing Solutions, Inc.

    Cebu City
    20 days ago
  •  ...Description Veterinarian - Spay and Neuter Clinic The City of Cleveland is seeking a dedicated and compassionate Veterinarian. This position will oversee all aspects of animal care, including testing, records, surgical procedures, health checks and spay and neuter... 

    Cleveland Division of Police

    Central Visayas
    a month ago
  •  ...Collaborates with clinical informatics teams and business analysts to analyze requirements and functional specifications to design clinical documents. Builds and maintains configuration items and clinical templates, including order forms, flowsheets, and logic controls... 

    Octal Philippines Inc.

    Quezon City
    11 days ago