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  •  ...Are you passionate about Clinical Training Officer and its' processes? If so, this opportunity could be for you! Join us at B. Braun, a leader in the medical devices industry, where your skills and experience will be recognized and celebrated. Take the next step in... 

    PHILIPPINE RENAL CARE INC

    Taguig
    3 days ago
  •  ...The Clinical Research Director (CRD) is the Clinical Operations lead in a country/cluster and is responsible for execution of all Clinical Trials in scope for GCTO country operations. Adherence to GCP, local and global policies and procedures to conduct high... 

    Merck Sharp & Dohme Corp

    Makati
    1 day ago
  •  ...The Clinical Appeals Specialist is responsible for reviewing and preparing clinical and coding-related appeals for denied or downgraded healthcare claims. This role involves analyzing medical documentation, applying ICD-10 coding guidelines, and utilizing MCG/InterQual... 
    Remote job

    Our Clients

    Metro Manila
    20 days ago
  •  ...The Clinical Research Associate is the clinical sites’ direct point of contact and accountable for managing site quality and delivery from site identification through close-out. The aim of this role is to build the relationship with the site, to be the sole position accountable... 
    Manila
    4 days ago
  •  ...The Clinical Operations Lead (COL) leads Local Study Team(s) (LSTs) at country level to deliver committed components of clinical studies according to agreed resources, budget and timelines complying with Client Procedural Documents, international guidelines such as ICH... 
    Manila
    4 days ago
  •  ...Clinical Data Coordinator - Homebased - PHL 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... 
    Remote job

    ICON plc

    Manila
    9 days ago
  •  ...Philippines - Clinical Trial Manager 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... 
    Remote job

    ICON plc

    Manila
    9 days ago
  • 775000 $ per day

     ...contracts.  ~ Utilize client specific criteria sets (e.g., Milliman or InterQual), applicable client specific medical policy and client clinical guidelines for decision making to either approve or summarize and route to Client's nursing reviewer and/or Client's medical staff... 

    Accenture

    Quezon City
    7 days 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
    12 days ago
  •  ...Job Title: Business Manager - Psychological Clinic (Remote) Overview: We are seeking a high-level, "Type A" Senior Operational Manager to serve as the heartbeat of our private mental health practice. This is not a standard front-desk role; this is a leadership... 
    Remote job

    STAFFVIRTUAL

    Cebu City
    6 days ago
  • 4 - 6 $ per hour

     ...Overview: We are seeking an experienced and highly organized Patient Service Representative (PSR) to join our fastpaced urology clinic. The ideal candidate will have prior experience scheduling within a urology practice, strong communication skills, and a patient... 

    MedCore Solutions

    Philippines
    9 days ago
  • 840000 Php per year

     ...Job Summary The Clinical Documentation Improvement (CDI) Specialist is responsible for reviewing clinical documentation to ensure accuracy, completeness, and compliance with regulatory and coding requirements. The role focuses on improving the quality of physician documentation... 

    Snaphunt

    Quezon City
    1 day ago
  •  ...in our Global Business Solutions (GBS) center, responsible for managing and reviewing and filing study documents that are used on clinical trials. This position is also responsible for written and verbal correspondence with the internal team as well as regulatory authorities... 

    SGS

    Muntinlupa
    9 days ago
  •  ...validating programs that generate listings, tables and figures using SAS and standard tools and processes. Prepare and analyze clinical trial patient datasets such as laboratory data, vital signs data, tumor response data, imaging data, quality of life and wellbeing... 
    Remote job
    Manila
    17 days ago
  •  ...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

    Manila
    3 hours ago
  •  ...dedicated team at HBiz where we strive to provide outstanding care and service excellence. We are currently seeking a highly skilled Clinical Appeals Nurse to play a crucial role in managing medical denials by providing clinical expertise in the appeals process. This... 

    Health Business Solutions LLC

    Manila
    a month ago
  •  ...Job Description: We are seeking a detail-oriented, knowledgeable, and proactive Clinical Quality Auditor to help ensure the integrity and quality of our clinical appeals. As an internal team member, you'll have the advantage of already being familiar with our processes... 

    Health Business Solutions LLC

    Cebu
    more than 2 months ago
  •  ...multinational company who specializes in patient-centric drug development and commercialization services, aiming to provide reliable clinical research solutions to pharmaceutical and biotech firms. The Pharmacovigilance Associate is responsible for the intake, processing,... 

    Monroe Consulting Group

    Manila
    more than 2 months ago
  •  ...for a team player who is ready to contribute to our mission, just like you! Roles and Responsibilities Provide after-hours clinical support to caregivers and patients via phone Conduct caregiver supervision calls and review patient care plans Respond to and... 

    ISTA Personnel Solutions

    Makati
    22 days ago
  • 35000 - 38000 Php

     ...A, ESSENTIAL FUNCTIONS   Provides clinical end-user application training after machine installation Provides clinical end-user application refresher training upon request Consults Regional/HQ Support for critical equipment and software issues, etc. Managing... 

    Fujifilm Philippines Inc.

    Philippines
    more than 2 months ago
  •  ...CLINICAL CODING ANALYST   Key Responsibilities: Review and analyze claims that have been denied due to coding-related issues, including diagnosis codes (ICD-10-CM), procedure codes (CPT/HCPCS), and related modifiers.  Identify coding discrepancies, documentation... 

    Health Business Solutions LLC

    Cebu
    more than 2 months ago
  •  ...Key Responsibilities: Denials and Appeals Management: Review and evaluate denied claims, including payer policies and clinical documentation Submit retro-authorizations in response to authorization denials Conduct medical necessity reviews and prepare... 

    Our Clients

    Taguig
    a month ago
  •  ...Work Location: 100% Onsite (Bicutan)  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... 

    Tasq Staffing Solutions, Inc.

    Taguig
    25 days ago
  •  ...Forefront of Innovation We have successfully supported the top 50 pharmaceutical companies and more than 750 biotechs, spanning 2,700 clinical trials across 100 countries in the last 5 years. As part of our expert team, you’ll have the opportunity to ensure operational... 
    Remote job
    Manila
    17 days ago
  •  ...Signing bonus for new employees! Senior Clinical Coding Analyst  - Onsite Manila  Health Business Solutions, LLC We are seeking an experienced and detail-oriented Senior Clinical Coding Analyst to join our team and take on a crucial role in ensuring coding quality... 

    Health Business Solutions LLC

    Manila
    more than 2 months ago
  •  ...teams that range from patient support to medical billing to chart annotating and review. These teams provide medical assistance and clinical administrative support to healthcare practitioners and staff of our partner clinics and healthcare offices in the United States.... 

    SBCPH

    Makati
    13 days ago
  • 4 $ per hour

     ...Company: New U Therapy Center & Family Services New U Therapy Center & Family Services is a modern, and innovative mental health clinic that offers all needed services for a person to be well and happy within one place for convenience, quality, and time-saving care... 

    New U Therapy Center & Family Services, Inc.

    Makati
    6 days 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
    more than 2 months ago
  •  ...The Director – Operations (Clinical Services) is accountable for driving profitability through operational excellence and functional competitiveness across all Clinical Services lines of business outside Coding and UM/CM. This role ensures that clinical operations deliver... 

    Tasq Staffing Solutions, Inc.

    Taguig
    9 days ago
  • 45000 - 55000 $

     ...Handle prior authorizations for GLP-1 medications and endocrine/diabetes-related treatments ● Work directly with providers and clinical staff to obtain required documentation ● Communicate authorization updates, denials, and approvals clearly and professionally... 

    MedCore Solutions

    Philippines
    10 days ago